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Minimal Endoscope-assisted Thyroidectomy Through a Retroauricular Approach: An Evolving Solo Surgery Technique

Authors
 Myung Jin Ban  ;  Jae Won Chang  ;  Won Shik Kim  ;  Hyung Kwon Byeon  ;  Yoon Woo Koh  ;  Jae Hong Park 
Citation
 SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES, Vol.26(6) : e109-e112, 2016 
Journal Title
SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES
ISSN
 1530-4515 
Issue Date
2016
Abstract
This study aimed to evaluate the feasibility and efficacy of minimal endoscope-assisted thyroidectomy (MEAT) through a retroauricular (RA) approach. Most of the thyroidectomy operative time was accounted for by direct visualization through the RA window, minimizing interference between surgical instruments. Endoscope use was minimized and limited to critical surgical aspects, including preservation of the recurrent laryngeal nerve and parathyroid glands. The recurrent laryngeal nerve was neuromonitored throughout the procedure. MEAT through an RA approach was performed in 8 patients with papillary thyroid carcinoma (mean tumor size, 1.2±0.5 cm). The mean patient age was 41.1±7.5 years. The endoscopic operating time was 19±3.4 minutes, and no postoperative hematoma, seroma, or vocal cord paralysis was observed. MEAT through an RA approach was feasible and safe. Solo thyroidectomy through the RA approach is possible without depending on an endoscopic view, overcoming limited working space and minimizing instrument interference during endoscopic RA thyroidectomy.
Files in This Item:
T201606492.pdf Download
DOI
10.1097/SLE.0000000000000353
Appears in Collections:
1. College of Medicine (의과대학) > Research Institute (부설연구소) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Koh, Yoon Woo(고윤우)
Kim, Won Shik(김원식)
Ban, Myung Jin(반명진)
Byeon, Hyung Kwon(변형권)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/155772
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