Total Endoscopic Thyroidectomy: Axillary Approach

Chapter

Abstract

Minimally invasive surgery has recently been applied to thyroid and parathyroid disease, and the resulting scars on the neck are small and inconspicuous. However, there are some patients that feel uneasy about even having a small scar on their neck. Total endoscopic thyroidectomy by the axillary approach, first performed in 1999, is a remote access technique that eliminates the need for a cervical incision. This procedure enables the surgeon to complete a thyroidectomy with a minimal amount of surgical dissection, because the entire thyroid lobe can be identified from a lateral view without dissecting the sternohyoid muscle. Additionally, the operation can be performed at a low CO2 insufflation pressure, thereby minimizing the risk of insufflation-related complications. In this chapter, we describe the indications and operative details of this surgical procedure.

Keywords

Dioxide Assure Kelly Goiter 

Recommended Reading

  1. Amaral JF. The experimental development of an ultrasonically activated scalpel for laparoscopic use. Surg Laparosc Endosc. 1994;4:92–9.PubMedGoogle Scholar
  2. Gagner M. Endoscopic subtotal parathyroidectomy in patients with primary hyperparathyroidism. Br J Surg. 1996;83:875.PubMedCrossRefGoogle Scholar
  3. Hüscher CS, Chiodini S, Napolitano C, Recher A. Endoscopic right thyroid lobectomy. Surg Endosc. 1997;11:877.PubMedCrossRefGoogle Scholar
  4. Ikeda Y, Takami H, Sasaki Y, Kan S, Niimi M. Endoscopic neck surgery by the axillary approach. J Am Coll Surg. 2000;191:336–40.PubMedCrossRefGoogle Scholar
  5. Ikeda Y, Takami H, Niimi M, Kan S, Sasaki Y, Takayama J. Endoscopic thyroidectomy by the axillary approach. Surg Endosc. 2001;15:1362–4.PubMedCrossRefGoogle Scholar
  6. Ikeda Y, Takami H, Sasaki Y, Takayama J, Niimi M, Kan S. Clinical benefits in endoscopic thyroidectomy by the axillary approach. J Am Coll Surg. 2003;196(2):189–95.PubMedCrossRefGoogle Scholar
  7. Ikeda Y, Takami H, Sasaki Y, Takayama J, Kurihara H. Are there significant benefits of minimally invasive endoscopic thyroidectomy? World J Surg. 2004;28(11):1075–8.PubMedCrossRefGoogle Scholar
  8. Maeda S, Uga T, Hayashida N, Ishigaki K, Furui J, Kanematsu T. Video-assisted subtotal or near-total thyroidectomy for Graves’ disease. Br J Surg. 2006;93(1):61–6.PubMedCrossRefGoogle Scholar
  9. Miccoli P, Berti P, Conte M, Raffaelli M, Materazzi G. Minimally invasive video-assisted parathyroidectomy: lesson learned from 137 cases. J Am Coll Surg. 2000;191:613–8.PubMedCrossRefGoogle Scholar
  10. Miccoli P, Berti P, Raffaelli M, Conte M, Materazzi G, Galleri D. Minimally invasive video-assisted thyroidectomy. Am J Surg. 2001;181:567–70.PubMedCrossRefGoogle Scholar
  11. Ohgami M, Ishii S, Arisawa Y, Ohmori T, Noga K, Furukawa T, Kitajima M. Scarless endoscopic thyroidectomy: breast approach for better cosmesis. Surg Laparosc Endosc Percutan Tech. 2000;10:1–4.PubMedGoogle Scholar
  12. Sasaki A, Nakajima J, Ikeda K, Otsuka K, Koeda K, Wakabayashi G. Endoscopic thyroidectomy by the breast approach: a single institution’s 9-year experience. World J Surg. 2008;32(3):381–5.PubMedCrossRefGoogle Scholar
  13. Shimizu K, Akira S, Jasmi AY, Kitamura Y, Kitagawa W, Akasu H, Tanaka S. Video-Assisted neck surgery: endoscopic resection of thyroid tumors with a very minimal neck wound. J Am Coll Surg. 1999;188:697–703.PubMedCrossRefGoogle Scholar
  14. Yamamoto M, Sasaki A, Asahi H, Shimada Y, Sato N, Nakajima J, Mashima R, Saito K. Endoscopic subtotal thyroidectomy for patients with Graves’ disease. Surg Today. 2001;31(1):1–4.PubMedCrossRefGoogle Scholar
  15. Yeung GH. Endoscopic surgery of the neck: a new frontier. Surg Laparosc Endosc. 1998;8:227–32.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Department of SurgeryTeikyo University School of MedicineTokyoJapan

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