액와접근법을 이용한 무기하 내시경 갑상선 절제술(예비보고)

Abstract

Background and Objectives：Surgical treatments for thyroid diseases require skin incisions that can result in prominent scars in the anterior neck. For a reduction in scar size or the elimination of scar in the neck, the various kinds of minimally invasive thyroi-dectomies were reported. In this study, we report our early experience of endoscopic thyroidectomy by the axillary approach. Subjects and Method：Between February 2005 and October 2005, 12 patients underwent endoscopic thyroidectomy by gasless axillary approach. We assessed pathologic diagnosis, duration of operation, size of thyroid tumor and complication of our experi-ment of endoscopic thyroidectomy. Results：Endoscopic procedures were performed successfully in 11 cases (3 total lobectomy, 5 subtotal lobectomy and 3 lumpectomy). Conversion to conventional thyroidectomy was required in one patient because of recur-rent laryngeal nerve injury and tracheal laceration. Final histopathologic diagnoses were 7 cases of adenomatous hyperplasia, 4 follicular adenoma, 1 papillary carcinoma. The mean operating time was 302 minutes and it gradualy became shorter. Conclusion：Gasless endoscopic thyroidectomy via axillary approach may be a safe and technically feasible procedure that leads to an improved cosmetic result. (Korean J Otolaryngol 2007 ;50 :252-6)