Application of minimal invasive technique for thyroidectomy without remote access in locally advanced thyroid carcinoma with gross extra-thyroidal extension

• Published in: International journal of surgery case reports 2020-01, Vol.75, p.143-146
• Main Authors: Choi, Jung Bum, Lee, Byoung Chul, Park, Young Mok, Jung, Hyuk Jae, Kim, Dong-il
• Format: Article
• Language: English
• Subjects: Case Report; Minimally invasive thyroidectomy; Thyroid carcinoma
• ISSN: 2210-2612; 2210-2612
• DOI: 10.1016/j.ijscr.2020.09.047

•Minimally invasive thyroidectomy (MIT) is useful and famous technique that is being applied to thyroid carcinoma.•MIT without remote access is useful and applicable in thyroid disease and carcinoma in terms of cost effect and cosmetic outcome.•MIT without remote access can be feasible method for thyroid carcinoma with gross extra-thyroidal extension, especially, upper pole carcinoma. Minimally invasive thyroidectomy (MIT) is technically less damaging tissue and is better cosmetic results with small neck scar, decreasing postoperative pain and neck discomfort. We present the experience of MIT without remote access with case of grossly extra-thyroidal extension positive papillary thyroid carcinoma. A 44-year-old, female presented 1.6 cm irregular hypoechoic nodule at upper pole in Right thyroid gland and diagnosed to papillary thyroid carcinoma. The tumor was suspicious to have extra-thyroidal extension. We performed MIT without remote access for this patient with 2 cm cervical incision. Postoperative course was uneventful and patient was discharged on the 3th postoperative day. At present, she is taking 100mcg levothyroxine and is free of disease 3 years post-surgery. If experienced surgeons can get sufficient resection margin and control bleeding of superior thyroid artery, MIT without remote access can be feasible method for thyroid carcinoma with gross extra-thyroidal extension, especially, upper pole carcinoma.