Endoscopic thyroidectomy via an axillo-breast approach without gas insufflation for benign thyroid nodules and micropapillary carcinomas: Preliminary results

Hyun Jun Hong, Won Shik Kim, Yoon Woo Koh, So Yoon Lee, Yoo Seob Shin, Yong Cheol Koo, Yoon A. Park, Eun Chang Choi

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Purpose: To examine the feasibility of endoscopic thyroidectomy (ET) via an ax-illo-breast approach without gas insuffation for large thyroid tumors and micro-papillary carcinomas. Materials and Methods: The patients in the benign group were separated into groups 1 (n=95, <4 cm in tumor diameter) and 2 (n=37, ≥4 cm in tumor diameter). Also, 57 patients in the micropapillary carcinoma group underwent an endoscopic hemithyroidectomy (HT) (group 3) and were compared with 60 patients who received conventional open HT (group 4). Postoperative functional outcome, local complications, surgical outcomes, and pathological outcomes were compared between the groups. Results: In the benign group, there was no significant difference in mean operating time, hospital stay, or overall perioperative complications between the two groups. In the micropapillary carcinoma group, mean operating time and hospital stay in group 3 were significantly longer than in group 4 (p=0.015 and p≤0.001). The overall perioperative complications did not differ significantly between the groups. The postoperative cosmetic result was better in groups 1-3 (endo group) than in group 4 (open group). Conclusion: ET via a gasless axillo-breast approach seems to be a safe procedure even for benign thyroid lesions ≥4 cm and micropapillary carcinomas. Although it has the advantage of better cosmetic results over open thyroidectomy, there is room for improvement in terms of lessening its invasiveness and shortening the operative time.

Original languageEnglish
Pages (from-to)643-654
Number of pages12
JournalYonsei medical journal
Volume52
Issue number4
DOIs
Publication statusPublished - 2011 Jul 1

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Insufflation
Thyroid Nodule
Thyroidectomy
Breast
Gases
Carcinoma
Cosmetics
Length of Stay
Thyroid Gland
Neoplasms
Papillary Carcinoma
Operative Time

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Hong, Hyun Jun ; Kim, Won Shik ; Koh, Yoon Woo ; Lee, So Yoon ; Shin, Yoo Seob ; Koo, Yong Cheol ; Park, Yoon A. ; Choi, Eun Chang. / Endoscopic thyroidectomy via an axillo-breast approach without gas insufflation for benign thyroid nodules and micropapillary carcinomas : Preliminary results. In: Yonsei medical journal. 2011 ; Vol. 52, No. 4. pp. 643-654.
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abstract = "Purpose: To examine the feasibility of endoscopic thyroidectomy (ET) via an ax-illo-breast approach without gas insuffation for large thyroid tumors and micro-papillary carcinomas. Materials and Methods: The patients in the benign group were separated into groups 1 (n=95, <4 cm in tumor diameter) and 2 (n=37, ≥4 cm in tumor diameter). Also, 57 patients in the micropapillary carcinoma group underwent an endoscopic hemithyroidectomy (HT) (group 3) and were compared with 60 patients who received conventional open HT (group 4). Postoperative functional outcome, local complications, surgical outcomes, and pathological outcomes were compared between the groups. Results: In the benign group, there was no significant difference in mean operating time, hospital stay, or overall perioperative complications between the two groups. In the micropapillary carcinoma group, mean operating time and hospital stay in group 3 were significantly longer than in group 4 (p=0.015 and p≤0.001). The overall perioperative complications did not differ significantly between the groups. The postoperative cosmetic result was better in groups 1-3 (endo group) than in group 4 (open group). Conclusion: ET via a gasless axillo-breast approach seems to be a safe procedure even for benign thyroid lesions ≥4 cm and micropapillary carcinomas. Although it has the advantage of better cosmetic results over open thyroidectomy, there is room for improvement in terms of lessening its invasiveness and shortening the operative time.",
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Endoscopic thyroidectomy via an axillo-breast approach without gas insufflation for benign thyroid nodules and micropapillary carcinomas : Preliminary results. / Hong, Hyun Jun; Kim, Won Shik; Koh, Yoon Woo; Lee, So Yoon; Shin, Yoo Seob; Koo, Yong Cheol; Park, Yoon A.; Choi, Eun Chang.

In: Yonsei medical journal, Vol. 52, No. 4, 01.07.2011, p. 643-654.

Research output: Contribution to journalArticle

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T1 - Endoscopic thyroidectomy via an axillo-breast approach without gas insufflation for benign thyroid nodules and micropapillary carcinomas

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AU - Hong, Hyun Jun

AU - Kim, Won Shik

AU - Koh, Yoon Woo

AU - Lee, So Yoon

AU - Shin, Yoo Seob

AU - Koo, Yong Cheol

AU - Park, Yoon A.

AU - Choi, Eun Chang

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N2 - Purpose: To examine the feasibility of endoscopic thyroidectomy (ET) via an ax-illo-breast approach without gas insuffation for large thyroid tumors and micro-papillary carcinomas. Materials and Methods: The patients in the benign group were separated into groups 1 (n=95, <4 cm in tumor diameter) and 2 (n=37, ≥4 cm in tumor diameter). Also, 57 patients in the micropapillary carcinoma group underwent an endoscopic hemithyroidectomy (HT) (group 3) and were compared with 60 patients who received conventional open HT (group 4). Postoperative functional outcome, local complications, surgical outcomes, and pathological outcomes were compared between the groups. Results: In the benign group, there was no significant difference in mean operating time, hospital stay, or overall perioperative complications between the two groups. In the micropapillary carcinoma group, mean operating time and hospital stay in group 3 were significantly longer than in group 4 (p=0.015 and p≤0.001). The overall perioperative complications did not differ significantly between the groups. The postoperative cosmetic result was better in groups 1-3 (endo group) than in group 4 (open group). Conclusion: ET via a gasless axillo-breast approach seems to be a safe procedure even for benign thyroid lesions ≥4 cm and micropapillary carcinomas. Although it has the advantage of better cosmetic results over open thyroidectomy, there is room for improvement in terms of lessening its invasiveness and shortening the operative time.

AB - Purpose: To examine the feasibility of endoscopic thyroidectomy (ET) via an ax-illo-breast approach without gas insuffation for large thyroid tumors and micro-papillary carcinomas. Materials and Methods: The patients in the benign group were separated into groups 1 (n=95, <4 cm in tumor diameter) and 2 (n=37, ≥4 cm in tumor diameter). Also, 57 patients in the micropapillary carcinoma group underwent an endoscopic hemithyroidectomy (HT) (group 3) and were compared with 60 patients who received conventional open HT (group 4). Postoperative functional outcome, local complications, surgical outcomes, and pathological outcomes were compared between the groups. Results: In the benign group, there was no significant difference in mean operating time, hospital stay, or overall perioperative complications between the two groups. In the micropapillary carcinoma group, mean operating time and hospital stay in group 3 were significantly longer than in group 4 (p=0.015 and p≤0.001). The overall perioperative complications did not differ significantly between the groups. The postoperative cosmetic result was better in groups 1-3 (endo group) than in group 4 (open group). Conclusion: ET via a gasless axillo-breast approach seems to be a safe procedure even for benign thyroid lesions ≥4 cm and micropapillary carcinomas. Although it has the advantage of better cosmetic results over open thyroidectomy, there is room for improvement in terms of lessening its invasiveness and shortening the operative time.

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