Abstract:Objective
To evaluate the clinical application of endoscopic thyroidectomy(ESTC) via the approach of areola of breast.
Methods The clinical data of 46 cases of endoscopic thyroidectomy via the breast areola approach from October 2004 to November 2006 were retrospectively analyzed.
Results The operation was successfully completed endoscopically in 44 cases,including 18 cases of unilateral partial thyroidectomy,26 cases of bilateral partial thyroidectomy, and 2 cases were converted to open operation for thyroid cancer neck dissection.The operation time of ESTC was 80~160minutes(mean 110min),and the intraoperative blood loss was 25~45ml,(mean,33±9.5ml). Pathological findings showed 25 cases of thyroid adenoma ,16 cases of nodular goiter,and 3 cases of Graves disease. The length of postoperative hospital stay was 3~6day(mean4.5d).Complications occurred in 2 cases, including 1case of bleeding from left puncture tract,and 1 case of temporary hoarseness.
Conclusions Endoscopic thyroidectomy via breast areola approach is a technically feasible and safe procedure, and has the advantage of minimal trauma,and with excellent cosmetic outcomes.