Endoscopic Thyroidectomy for Thyroid Malignancies: Comparison with Conventional Open Thyroidectomy

Background Endoscopic techniques have recently been applied to thyroid surgery. We developed the bilateral axillo‐breast (BAB) approach for total thyroidectomy. The aims of this study were to evaluate the completeness of this approach for total thyroidectomy and to compare complications between endo...

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Bibliographic Details
Published in:World journal of surgery 2007-12, Vol.31 (12), p.2302-2306
Main Authors: Chung, Yoo Seung, Choe, Jun‐Ho, Kang, Kyung‐Ho, Kim, Seok Won, Chung, Ki‐Wook, Park, Kyoung Sik, Han, Wonshik, Noh, Dong‐Young, Oh, Seung Keun, Youn, Yeo‐Kyu
Format: Article
Language:English
Subjects:
Adult
Aged
Biological and medical sciences
Breast
Completeness
Complications
Endoscopic Thyroidectomy
Endoscopy
Endoscopy - adverse effects
Endoscopy - methods
Evaluation
Female
General aspects
Humans
Hypocalcemia
Male
Medical sciences
Middle Aged
Open Thyroidectomy
Paralysis
Patients
Permanent Hypocalcemia
Postoperative
Postoperative Complications
Recurrent Laryngeal Nerve
Recurrent Laryngeal Nerve Palsy
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of endocrine glands
Thyroglobulin
Thyroglobulin - blood
Thyroid
Thyroid cancer
Thyroid gland
Thyroid Neoplasms - diagnosis
Thyroid Neoplasms - surgery
Thyroidectomy
Thyroidectomy - adverse effects
Thyroidectomy - methods
Treatment Outcome
Vocal cords
Vocal organs
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Summary:Background Endoscopic techniques have recently been applied to thyroid surgery. We developed the bilateral axillo‐breast (BAB) approach for total thyroidectomy. The aims of this study were to evaluate the completeness of this approach for total thyroidectomy and to compare complications between endoscopic thyroidectomy and conventional open thyroidectomy. Methods We analyzed 198 patients who underwent open thyroidectomy and 103 patients who underwent endoscopic thyroidectomy for papillary thyroid microcarcinoma between January 2003 and June 2006 at Seoul National University Hospital. The postoperative thyroglobulin (TG) level was used to assess the completeness of the two methods. Complications such as hypocalcemia or vocal cord palsy were also evaluated. Results The mean hospitalization period was 3.18 days following open thyroidectomy and 3.04 days after endoscopic thyroidectomy. The 3‐month postoperative TG levels were
ISSN:0364-2313
1432-2323
DOI:10.1007/s00268-007-9117-0