Comparative study of a gasless transaxillary approach versus a bilateral axillo-breast approach for endoscopic thyroidectomy in a single institute

Background Gasless transaxillary approach (TA) and the bilateral axillo‐breast approach (BABA) are 2 distinctive approaches for endoscopic thyroidectomy. The purpose of this study was to evaluate and compare these 2 procedures. Methods From May 2008 to July 2011, we performed endoscopic hemithyroide...

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Bibliographic Details
Published in:Head & neck 2014-05, Vol.36 (5), p.702-708
Main Authors: Lee, Myung-Chul, Park, Hoon, Choi, Ik Joon, Lee, Byeong-Cheol, Lee, Guk-Haeng
Format: Article
Language:English
Subjects:
Adult
Axilla - surgery
bilateral axillo-breast approach
Biopsy, Needle
Blood Loss, Surgical
Breast - surgery
Cohort Studies
endoscopic thyroidectomy
endoscopy
Endoscopy - methods
Female
Follow-Up Studies
Gases
gasless transaxillary approach
Humans
Immunohistochemistry
Middle Aged
Neoplasm Invasiveness - pathology
Neoplasm Staging
Operative Time
Pain, Postoperative
Postoperative Care - methods
Retrospective Studies
Statistics, Nonparametric
thyroid
Thyroid Neoplasms - pathology
Thyroid Neoplasms - surgery
Thyroidectomy - methods
Treatment Outcome
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Summary:Background Gasless transaxillary approach (TA) and the bilateral axillo‐breast approach (BABA) are 2 distinctive approaches for endoscopic thyroidectomy. The purpose of this study was to evaluate and compare these 2 procedures. Methods From May 2008 to July 2011, we performed endoscopic hemithyroidectomy via gasless TA (83 cases) and BABA (45 cases). The following variables were evaluated: operation time, postoperative pain score, drainage amount, drainage day, postoperative complications, and cosmetic satisfaction score. Results There were no significant differences between the 2 approaches in terms of clinicopathologic characteristics and surgical outcomes, except for postoperative pain and cosmetic satisfaction. As for postoperative pain and cosmetic satisfaction, the gasless TA group complained of less pain and the BABA group had a better cosmetic outcome. Conclusion These findings will contribute to providing guidelines for the choice of surgeons between gasless TA and BABA techniques for endoscopic thyroidectomy. © 2013 Wiley Periodicals, Inc. Head Neck 36: 702–708, 2014
ISSN:1043-3074
1097-0347
DOI:10.1002/hed.23349