Document Detail


Endoscopic thyroidectomy by the breast approach: a single institution's 9-year experience.
MedLine Citation:
PMID:  18172709     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The aim of this study was to evaluate the feasibility and cosmetic results of endoscopic thyroidectomy by the breast approach for patients with thyroid diseases. METHODS: From August 1998 to July 2007, 92 patients with benign thyroid diseases underwent endoscopic thyroidectomy at our institution. Of these patients, 54 underwent thyroid lobectomy for a thyroid nodule, and 38 selected subtotal thyroidectomy for Graves' disease. RESULTS: Ninety of the 92 procedures were successfully completed endoscopically. Mean operative time for thyroid lobectomy and subtotal thyroidectomy was 121.1 min and 231.9 min, respectively. Postoperative complications included one wound infection, one transient and one permanent recurrent laryngeal nerve palsy, one transient hypocalcemia, and five hypertrophic scars in the right breast medial margin. At 84 months of follow-up, one patient reported paresthesia in the anterior chest and one had experienced swallowing discomfort. Patient satisfaction was recorded as "satisfied," "equivocal," and "unsatisfied" in 54, 2, and 0 patients. Mean satisfaction score was 9.7, 9.5, 9.5, and 8.9 points in patients in their teens, 20s, 30s, and 40s, respectively, with an overall mean score of 9.3 points, showing more satisfaction in the young. CONCLUSIONS: Endoscopic thyroidectomy by the breast approach for patients with thyroid diseases is an effective procedure that allows an excellent cosmetic result.
Authors:
Akira Sasaki; Jun Nakajima; Kenichiro Ikeda; Koki Otsuka; Keisuke Koeda; Go Wakabayashi
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  World journal of surgery     Volume:  32     ISSN:  0364-2313     ISO Abbreviation:  World J Surg     Publication Date:  2008 Mar 
Date Detail:
Created Date:  2008-02-21     Completed Date:  2008-07-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7704052     Medline TA:  World J Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  381-5     Citation Subset:  IM    
Affiliation:
Department of Surgery, Iwate Medical University, 19-1 Uchimaru, Morioka 020-8505, Japan. sakira@iwate-med.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Adult
Breast
Endoscopy / methods*
Feasibility Studies
Female
Humans
Longitudinal Studies
Male
Patient Satisfaction / statistics & numerical data
Postoperative Complications
Questionnaires
Thyroid Diseases / surgery*
Thyroidectomy / methods*
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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