Feasibility and Safety of Endoscopic Thyroidectomy Via a Unilateral Axillobreast Approach for Unilateral Benign Thyroid Tumor in Vietnam

The purpose of this research study was to assess the safety and surgical outcomes of endoscopic thyroidectomy applied via a unilateral axillobreast approach with CO2 insufflation to one-sided benign thyroid tumors in Vietnam. Only 1 patient of the 50 (2%) had a postoperative hematoma at the surgery site. Open surgical conversions did not occur. The duration of postoperative drainage was from 3 to 8 days, or 4.86±1.24 days on average. The length of stay in the hospital after surgery was 4 to 9 days, or 5.9±1.2 days on average. The postoperative pain in the first postoperative days was lower in intensity compared with open surgeries. The given method provided better results in terms of patient satisfaction with the cosmetic effect of the surgery compared with up-front surgery, minimally invasive video-assisted thyroidectomy, and endoscopic procedures via the breast approach, and 96% of patients were completely satisfied.

[1]  R. Gajbhiye,et al.  Endoscopic thyroidectomy-axilla breast approach: the experience of 26 cases , 2018 .

[2]  P. Sittitrai,et al.  Endoscopic Thyroid Lobectomy via Axillary-Breast-Shoulder Approach versus Open Thyroid Lobectomy , 2018 .

[3]  E. Cibas,et al.  The Bethesda System for Reporting Thyroid Cytopathology , 2009, Springer International Publishing.

[4]  V. Naraynsingh,et al.  Endoscopic thyroid surgery in the Caribbean: A case report of the first clinical experience , 2017, International journal of surgery case reports.

[5]  Z. Dai,et al.  Comparative study of endoscopic thyroidectomy via a breast approach versus conventional open thyroidectomy in papillary thyroid microcarcinoma patients , 2017 .

[6]  Virawat Luangchana.  Total endoscopic thyroidectomy via a unilateral axillo-breast approach with two spatula-shaped wires each attached to the end of an endoscopic aspirator and a retractor-shaped wire. , 2015, Journal of the Medical Association of Thailand = Chotmaihet thangphaet.

[7]  Therezia Bokor-Billmann,et al.  Minimal-access video-assisted thyroidectomy for benign disease: a retrospective analysis of risk factors for postoperative complications. , 2014, International journal of surgery.

[8]  D. Terris,et al.  Alternative approaches to the thyroid gland. , 2014, Endocrinology and metabolism clinics of North America.

[9]  Y. Pons,et al.  Minimally invasive video‐assisted thyroidectomy: Learning curve in terms of mean operative time and conversion and complication rates , 2013, Head & neck.

[10]  G. Lee,et al.  New endoscopic thyroidectomy via a unilateral axillo‐breast approach with gas insufflation: Preliminary report , 2013, Head & neck.

[11]  W. Chung,et al.  A Comparison of Postoperative Pain After Conventional Open Thyroidectomy and Transaxillary Single-Incision Robotic Thyroidectomy: A Prospective Study , 2013, Annals of Surgical Oncology.

[12]  Jin Young Kwak,et al.  Thyroid imaging reporting and data system for US features of nodules: a step in establishing better stratification of cancer risk. , 2011, Radiology.

[13]  Feilin Cao,et al.  Endoscopic vs. conventional thyroidectomy for the treatment of benign thyroid tumors: A retrospective study of a 4-year experience. , 2011, Experimental and therapeutic medicine.

[14]  Y. S. Shin,et al.  Endoscopic Thyroidectomy via an Axillo-Breast Approach without Gas Insufflation for Benign Thyroid Nodules and Micropapillary Carcinomas: Preliminary Results , 2011, Yonsei medical journal.

[15]  N. Irawati.  Endoscopic Right Lobectomy Axillary-Breast Approach: A Report of Two Cases , 2010, International journal of otolaryngology.

[16]  Dosang Lee,et al.  Single-incision endoscopic thyroidectomy by the axillary approach. , 2010, Journal of laparoendoscopic & advanced surgical techniques. Part A.

[17]  Woong Youn Chung,et al.  Robotic thyroid surgery using a gasless, transaxillary approach and the da Vinci S system: the operative outcomes of 338 consecutive patients. , 2009, Surgery.

[18]  W. Chung,et al.  Comparative study of endoscopic thyroidectomy versus conventional open thyroidectomy in papillary thyroid microcarcinoma (PTMC) patients , 2009, Journal of surgical oncology.

[19]  Ricardo Rossi,et al.  An ultrasonogram reporting system for thyroid nodules stratifying cancer risk for clinical management. , 2009, The Journal of clinical endocrinology and metabolism.

[20]  E. Choi,et al.  Endoscopic hemithyroidectomy with prophylactic ipsilateral central neck dissection via an unilateral axillo-breast approach without gas insufflation for unilateral micropapillary thyroid carcinoma: preliminary report , 2009, Surgical Endoscopy.

[21]  E. Choi,et al.  Endoscopic thyroidectomy via a unilateral axillo-breast approach without gas insufflation for unilateral benign thyroid lesions , 2009, Surgical Endoscopy.

[22]  M. Kammal,et al.  Invisible scar endoscopic thyroidectomy by the dorsal approach: experimental development of a new technique with human cadavers and preliminary clinical results , 2008, Surgical Endoscopy.

[23]  D. Noh,et al.  Endoscopic Thyroidectomy Using a New Bilateral Axillo-Breast Approach , 2007, World Journal of Surgery.

[24]  P. O'dwyer,et al.  Endoscopic , 2021 .

[25]  Y. Tamaki,et al.  Endoscopic Thyroid Surgery Through the Axillo‐Bilateral‐Breast Approach , 2003, Surgical laparoscopy, endoscopy & percutaneous techniques.

[26]  M. Niimi,et al.  Total endoscopic thyroidectomy: axillary or anterior chest approach. , 2002, Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie.

[27]  G. H. Yeung.  Endoscopic thyroid surgery today: a diversity of surgical strategies. , 2002, Thyroid : official journal of the American Thyroid Association.

[28]  P Berti,et al.  Comparison between minimally invasive video-assisted thyroidectomy and conventional thyroidectomy: a prospective randomized study. , 2001, Surgery.

[29]  M. Niimi,et al.  Endoscopic neck surgery by the axillary approach. , 2000, Journal of the American College of Surgeons.

[30]  T. Furukawa,et al.  Scarless endoscopic thyroidectomy: breast approach for better cosmesis. , 2000, Surgical laparoscopy, endoscopy & percutaneous techniques.

[31]  C. Marcocci,et al.  Minimally invasive surgery for thyroid small nodules: Preliminary report , 1999, Journal of endocrinological investigation.

[32]  W. Kitagawa,et al.  Video-assisted neck surgery: endoscopic resection of thyroid tumors with a very minimal neck wound. , 1999, Journal of the American College of Surgeons.

[33]  F. Rubino,et al.  Minimally invasive, totally gasless video-assisted thyroid lobectomy. , 1999, American journal of surgery.

[34]  S. Chiodini,et al.  Endoscopic right thyroid lobectomy , 1997, Surgical Endoscopy.

[35]  M. Gagner.  Endoscopic subtotal parathyroidectomy in patients with primary hyperparathyroidism , 1996, The British journal of surgery.