Minimal access thyroid surgery: Is it feasible, is it appropriate?

Autor: Leigh Delbridge, Wendy R. Sackett, Thomas S. Reeve, Bruce Barraclough, Stan B. Sidhu
Rok vydání: 2002
Předmět:
Zdroj: ANZ Journal of Surgery. 72:777-780
ISSN: 1445-1433
DOI: 10.1046/j.1445-2197.2002.02558.x
Popis: Background: Reports of minimal access thyroid surgery (MATS) using various techniques have recently appeared. This study examined the feasibility of MATS using either a lateral ‘focused’ or endoscopically assisted approach. Methods: The study group comprised all patients undergoing minimally invasive parathyroidectomy (MIP) during the period May 1998 to April 2002 in whom a concomitant thyroid procedure was undertaken. All procedures were performed either through a 2-cm lateral cervical incision (n = 19) or endoscopically (n = 7). Results: Twenty-six patients underwent thyroid surgery, consisting of either local excision of a thyroid nodule (n = 25) or hemi­thyroidectomy (n = 1). In 13 patients the nodule was incidentally discovered, in four patients removal of the parathyroid necessitated partial thyroidectomy, and in nine patients the lesion identified by preoperative parathyroid localization proved to be a thyroid nodule. There were no permanent complications in the study group. Two patients required drainage of a haematoma. The final pathology of all 26 cases revealed benign nodular thyroid disease. Conclusion: Thyroid surgery can safely be performed as a minimally invasive procedure. Minimal access thyroid surgery is therefore a feasible option for selected patients. The question remains to be answered as to whether this surgical approach is appropriate treatment for nodular thyroid disease.
Databáze: OpenAIRE
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