Minimal Endoscope-assisted Thyroidectomy Through a Retroauricular Approach

An Evolving Solo Surgery Technique

Myung Jin Ban, Jae Won Chang, Won Shik Kim, Hyung Kwon Byeon, Yoonwoo Koh, Jae Hong Park

Research output: Contribution to journalArticle

3 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)e109-e112
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume26
Issue number6
DOIs
Publication statusPublished - 2016 Jan 1

Fingerprint

Endoscopes
Thyroidectomy
Recurrent Laryngeal Nerve
Seroma
Vocal Cord Paralysis
Parathyroid Glands
Operative Time
Surgical Instruments
Hematoma
Neoplasms

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Ban, Myung Jin ; Chang, Jae Won ; Kim, Won Shik ; Byeon, Hyung Kwon ; Koh, Yoonwoo ; Park, Jae Hong. / Minimal Endoscope-assisted Thyroidectomy Through a Retroauricular Approach : An Evolving Solo Surgery Technique. In: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques. 2016 ; Vol. 26, No. 6. pp. e109-e112.
@article{75de9acd15b34ed9844e0dad00e22182,
title = "Minimal Endoscope-assisted Thyroidectomy Through a Retroauricular Approach: An Evolving Solo Surgery Technique",
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.",
author = "Ban, {Myung Jin} and Chang, {Jae Won} and Kim, {Won Shik} and Byeon, {Hyung Kwon} and Yoonwoo Koh and Park, {Jae Hong}",
year = "2016",
month = "1",
day = "1",
doi = "10.1097/SLE.0000000000000353",
language = "English",
volume = "26",
pages = "e109--e112",
journal = "Surgical Laparoscopy, Endoscopy and Percutaneous Techniques",
issn = "1530-4515",
publisher = "Lippincott Williams and Wilkins",
number = "6",

}

Minimal Endoscope-assisted Thyroidectomy Through a Retroauricular Approach : An Evolving Solo Surgery Technique. / Ban, Myung Jin; Chang, Jae Won; Kim, Won Shik; Byeon, Hyung Kwon; Koh, Yoonwoo; Park, Jae Hong.

In: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques, Vol. 26, No. 6, 01.01.2016, p. e109-e112.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Minimal Endoscope-assisted Thyroidectomy Through a Retroauricular Approach

T2 - An Evolving Solo Surgery Technique

AU - Ban, Myung Jin

AU - Chang, Jae Won

AU - Kim, Won Shik

AU - Byeon, Hyung Kwon

AU - Koh, Yoonwoo

AU - Park, Jae Hong

PY - 2016/1/1

Y1 - 2016/1/1

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=84995380634&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84995380634&partnerID=8YFLogxK

U2 - 10.1097/SLE.0000000000000353

DO - 10.1097/SLE.0000000000000353

M3 - Article

VL - 26

SP - e109-e112

JO - Surgical Laparoscopy, Endoscopy and Percutaneous Techniques

JF - Surgical Laparoscopy, Endoscopy and Percutaneous Techniques

SN - 1530-4515

IS - 6

ER -