Skip to main content
Top
Published in: Indian Journal of Surgery 6/2019

01-12-2019 | Hemithyroidectomy | Original Article

Endoscopic Thyroid Surgery: Initial Experience of More than 100 Cases from a Tertiary Care Centre in India

Authors: Gyan Chand, Goonj Johri, Anjali Mishra, Saroj Kanta Mishra

Published in: Indian Journal of Surgery | Issue 6/2019

Login to get access

Abstract

The demand for cosmetic procedures is stronger than ever and women who comprise the majority of patients with thyroid tumours drive this demand the world over. The goal of endoscopic thyroidectomy (ET) is to avoid visible scarring on the neck without compromising treatment safety and efficacy. At our institute, we are performing ET since 2014. The size limitation for ET usually ranges from 4 to 6 cm; however, being in an endemic goitre region, most of our patients usually present with long-standing goitres and majority are larger than the recommended size for ET. However, the patient’s demand for better cosmesis is only increasing. The aim of this study is to analyse our initial experience of endoscopic thyroidectomy and various approaches used and determine the feasibility in Indian patients.
Literature
2.
go back to reference Lirici MM, Huscher CS, Chiodini S, Napolitano C, Recher A (1997) Endoscopic right thyroid lobectomy. Surg Endosc 11:877–878CrossRef Lirici MM, Huscher CS, Chiodini S, Napolitano C, Recher A (1997) Endoscopic right thyroid lobectomy. Surg Endosc 11:877–878CrossRef
4.
go back to reference Miccoli P, Berti P, Bendinelli C, Conte M, Fasolini F, Martino E (2000) Minimally invasive video-assisted surgery of the thyroid: a preliminary report. Langenbeck's Arch Surg 385:261–264CrossRef Miccoli P, Berti P, Bendinelli C, Conte M, Fasolini F, Martino E (2000) Minimally invasive video-assisted surgery of the thyroid: a preliminary report. Langenbeck's Arch Surg 385:261–264CrossRef
5.
go back to reference Shimazu K, Akira S, Tanaka S (1998) Video-assisted neck surgery: endoscopic resection of benign thyroid tumor aiming at scarless surgery on the neck. J Surg Oncol 69:178–180CrossRef Shimazu K, Akira S, Tanaka S (1998) Video-assisted neck surgery: endoscopic resection of benign thyroid tumor aiming at scarless surgery on the neck. J Surg Oncol 69:178–180CrossRef
6.
go back to reference Ohgami M, Ishii S, Arisawa Y, Ohmori T, Noga K, Furukawa T, Kitajima M (2000) Scarless endoscopic thyroidectomy: breast approach for better cosmesis. Surg Laparosc Endosc Percutan Tech 10:1–4CrossRef Ohgami M, Ishii S, Arisawa Y, Ohmori T, Noga K, Furukawa T, Kitajima M (2000) Scarless endoscopic thyroidectomy: breast approach for better cosmesis. Surg Laparosc Endosc Percutan Tech 10:1–4CrossRef
7.
go back to reference Shimazu K, Shiba E, Tamaki Y, Takiguchi S, Taniguchi E, Ohashi S, Noguchi S (2003) Endoscopic thyroid surgery through the axillo-bilateral-breast approach. Surg Laparosc Endosc Percutan Tech 13:196–120CrossRef Shimazu K, Shiba E, Tamaki Y, Takiguchi S, Taniguchi E, Ohashi S, Noguchi S (2003) Endoscopic thyroid surgery through the axillo-bilateral-breast approach. Surg Laparosc Endosc Percutan Tech 13:196–120CrossRef
8.
go back to reference Choe JH, Kim SW, Chung KW, Park KS, Han W, Noh DY, Oh SK, Youn YK (2007) Endoscopic thyroidectomy using a new bilateral axillo-breast approach. World J Surg 31:601606CrossRef Choe JH, Kim SW, Chung KW, Park KS, Han W, Noh DY, Oh SK, Youn YK (2007) Endoscopic thyroidectomy using a new bilateral axillo-breast approach. World J Surg 31:601606CrossRef
9.
go back to reference Inabnet Iii WB, Jacob BP, Gagner M (2003) Minimally invasive endoscopic thyroidectomy by a cervical approach. Minimally invasive endoscopic thyroidectomy by a cervical approach. Surg Endosc 7:1808–1811CrossRef Inabnet Iii WB, Jacob BP, Gagner M (2003) Minimally invasive endoscopic thyroidectomy by a cervical approach. Minimally invasive endoscopic thyroidectomy by a cervical approach. Surg Endosc 7:1808–1811CrossRef
10.
go back to reference Ikeda Y, Takami H, Sasaki Y, Takayama J, Niimi M, Kan S (2003) Clinical benefits in endoscopic thyroidectomy by the axillary approach. J Am Coll Surg 196(2):189–195CrossRef Ikeda Y, Takami H, Sasaki Y, Takayama J, Niimi M, Kan S (2003) Clinical benefits in endoscopic thyroidectomy by the axillary approach. J Am Coll Surg 196(2):189–195CrossRef
11.
go back to reference Lee KE, Kim HY, Park WS, Choe JH, Kwon MR, Oh SK, Youn YK (2009) Postauricular and axillary approach endoscopic neck surgery: a new technique. World J Surg 33:767–772CrossRef Lee KE, Kim HY, Park WS, Choe JH, Kwon MR, Oh SK, Youn YK (2009) Postauricular and axillary approach endoscopic neck surgery: a new technique. World J Surg 33:767–772CrossRef
12.
go back to reference Chen B, Wang Y, Xuan S, Zhang G, Hu S, Wachtel MS, Frezza EE (2012) Endoscopic thyroidectomy: the development in a Chinese center. J Laparoendosc Adv Surg Tech A 22(1):76–80CrossRef Chen B, Wang Y, Xuan S, Zhang G, Hu S, Wachtel MS, Frezza EE (2012) Endoscopic thyroidectomy: the development in a Chinese center. J Laparoendosc Adv Surg Tech A 22(1):76–80CrossRef
13.
go back to reference Nakajo A, Arima H, Hirata M, Mizoguchi T, Kijima Y, Mori S, Ishigami S, Ueno S, Yoshinaka H, Natsugoe S (2013) Trans-oral video assisted neck surgery (TOVANS). A new transoral technique of endoscopic thyroidectomy with gasless premandible approach. Surg Endosc 27(4):1105–1110CrossRef Nakajo A, Arima H, Hirata M, Mizoguchi T, Kijima Y, Mori S, Ishigami S, Ueno S, Yoshinaka H, Natsugoe S (2013) Trans-oral video assisted neck surgery (TOVANS). A new transoral technique of endoscopic thyroidectomy with gasless premandible approach. Surg Endosc 27(4):1105–1110CrossRef
14.
go back to reference Lee KE, Rao J, Youn YK (2009) Endoscopic thyroidectomy with the da Vinci robot system using the bilateral axillary breast approach (BABA) technique: our initial experience. Surg Laparosc Endosc Percutan Tech 19:e71–e75CrossRef Lee KE, Rao J, Youn YK (2009) Endoscopic thyroidectomy with the da Vinci robot system using the bilateral axillary breast approach (BABA) technique: our initial experience. Surg Laparosc Endosc Percutan Tech 19:e71–e75CrossRef
15.
go back to reference Mitchem JB, Gillanders WE (2013) Endoscopic and robotic thyroidectomy for cancer. Surg Oncol Clin 22(1):1–3CrossRef Mitchem JB, Gillanders WE (2013) Endoscopic and robotic thyroidectomy for cancer. Surg Oncol Clin 22(1):1–3CrossRef
16.
go back to reference Han JE, Kim JR (2008) Endoscopic thyroidectomy via an axillo-bilateral breast approach: 5 years of experience. Korean J Endocr Surg 8(1):33–37CrossRef Han JE, Kim JR (2008) Endoscopic thyroidectomy via an axillo-bilateral breast approach: 5 years of experience. Korean J Endocr Surg 8(1):33–37CrossRef
17.
go back to reference Choi JY, Lee KE, Chung KW, Kim SW, Choe JH, Koo DH, Kim SJ, Lee J, Chung YS, Oh SK, Youn YK (2012) Endoscopic thyroidectomy via bilateral axillo-breast approach (BABA): review of 512 cases in a single institute. Surg Endosc 26(4):948–955CrossRef Choi JY, Lee KE, Chung KW, Kim SW, Choe JH, Koo DH, Kim SJ, Lee J, Chung YS, Oh SK, Youn YK (2012) Endoscopic thyroidectomy via bilateral axillo-breast approach (BABA): review of 512 cases in a single institute. Surg Endosc 26(4):948–955CrossRef
18.
go back to reference Anuwong A (2016) Transoral endoscopic thyroidectomy vestibular approach: a series of the first 60 human cases. World J Surg 40(3):491–497CrossRef Anuwong A (2016) Transoral endoscopic thyroidectomy vestibular approach: a series of the first 60 human cases. World J Surg 40(3):491–497CrossRef
19.
go back to reference Bellantone R, Lombardi CP, Raffaelli M, Boscherini M, Alesina PF, Princi P (2002) Central neck lymph node removal during minimally invasive video-assisted thyroidectomy for thyroid carcinoma: a feasible and safe procedure. J Laparoendosc Adv Surg Tech A 12(3):181–185CrossRef Bellantone R, Lombardi CP, Raffaelli M, Boscherini M, Alesina PF, Princi P (2002) Central neck lymph node removal during minimally invasive video-assisted thyroidectomy for thyroid carcinoma: a feasible and safe procedure. J Laparoendosc Adv Surg Tech A 12(3):181–185CrossRef
20.
go back to reference Tan CT, Cheah WK, Delbridge L (2008) “Scarless” (in the neck) endoscopic thyroidectomy (SET): an evidence-based review of published techniques. World J Surg 32(7):1349–1357CrossRef Tan CT, Cheah WK, Delbridge L (2008) “Scarless” (in the neck) endoscopic thyroidectomy (SET): an evidence-based review of published techniques. World J Surg 32(7):1349–1357CrossRef
21.
go back to reference Choe JH, Kim SW, Chung KW, Park KS, Han W, Noh DY, Oh SK, Youn YK (2007) Endoscopic thyroidectomy using a new bilateral axillo-breast approach. World J Surg 31:601–606CrossRef Choe JH, Kim SW, Chung KW, Park KS, Han W, Noh DY, Oh SK, Youn YK (2007) Endoscopic thyroidectomy using a new bilateral axillo-breast approach. World J Surg 31:601–606CrossRef
22.
go back to reference Randolph G (2012) Surgery of the thyroid and parathyroid glands. Elsevier Health Sciences, Philadelphia Randolph G (2012) Surgery of the thyroid and parathyroid glands. Elsevier Health Sciences, Philadelphia
23.
go back to reference Johri G, Chand G, Gupta N, Sonthineni C, Mishra A, Agarwal G, Mayilvaganan S, Verma AK, Mishra K(2018) Feasibility of endoscopic thyroidectomy via axilla and breast approaches for larger goiters: widening the horizons. J Thyroid Res 2018: 4057542 Johri G, Chand G, Gupta N, Sonthineni C, Mishra A, Agarwal G, Mayilvaganan S, Verma AK, Mishra K(2018) Feasibility of endoscopic thyroidectomy via axilla and breast approaches for larger goiters: widening the horizons. J Thyroid Res 2018: 4057542
Metadata
Title
Endoscopic Thyroid Surgery: Initial Experience of More than 100 Cases from a Tertiary Care Centre in India
Authors
Gyan Chand
Goonj Johri
Anjali Mishra
Saroj Kanta Mishra
Publication date
01-12-2019
Publisher
Springer India
Published in
Indian Journal of Surgery / Issue 6/2019
Print ISSN: 0972-2068
Electronic ISSN: 0973-9793
DOI
https://doi.org/10.1007/s12262-018-1851-z

Other articles of this Issue 6/2019

Indian Journal of Surgery 6/2019 Go to the issue