The size of the incision is dictated by surgeon preference and need for adequate exposure to remove the tumor. Most people will not be able to notice the incision once the redness fades away. Patient concern about cosmetic appearance has led surgeons to explore performing surgery through smaller incisions to extract tumors. Lobe TE, Wright SK, Irish MS. Next, an endoscope with two cameras that produce three-dimensional viewing is inserted into the incision, and three robotic arms are inserted into the incision. Yan HC, Xiang C, Wang Y, Wang P. Scarless endoscopic thyroidectomy (SET) lateral neck dissection for papillary thyroid carcinoma through breast approach: 10 years of experience. To date, conventional open thyroidectomy through a collar incision is the standard approach to thyroidectomy (4). Correspondence to Your incision is covered with a protective strip of clear glue called collodion. Approximately 70% of patients who have half of a normal thyroid gland left in place will not require thyroid hormone replacement pills. There are a number of factors that affect suitability for this procedure. The primary endpoint was the cosmesis of the collar scar six weeks after surgery assessed using the patient and observer scar assessment scale (POSAS). The operation generally lasts from 2-3 hours. The dissected area is marked in green. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. Medical records were reviewed retrospectively. World Journal of Surgical Oncology 2). Piccoli et al. These nerve control the vocal cords. The contribution of the incision to the cosmetic outcome does not end with the making of the incision itself. Endocr Relat Cancer. HOW BIG WILL THE INCISION BE? Nabhan F, Ringel MD. The operation is longer, requires the surgeon operate off a video monitor, and requires assistants to retract the tissues and another assistant to hold the endoscope. Although the numbers of identified parathyroid glands have not been calculated, we considered that the recognition and protection of the parathyroid gland would get improvement with the growing experience. Compared with conventional approach, it holds the advantages of comparative extensive indications and similar complication rate but achieving a better cosmetic result. When this happens, you can trim the edges or let the glue fall off on its own. In conclusion, these results revealed that gasless, endoscopic trans-axillary thyroidectomy is a feasible surgery type with an acceptable safety profile and cosmetic outcomes in strictly selected patients. &P3J&lwT,Y+noVac?GEbd1ygA( MIVAT combines the small incision with use of endoscopes to help provide illumination and visualization of the tumor. a skin incision was made using scalpel, The dose of thyroid hormone is usually based on the person's weight. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. Classically, standard thyroid lobectomy or thyroidectomy has been performed through an incision low in the neck called the low collar incision. 2 ). Kang SW, Jeong JJ, Yun JS, Sung TY, Lee SC, Lee YS, et al. This approach involves making an incision in the center of your neck to directly access your thyroid gland. Huang Z, Qin H, Liao J, Meng L, Qin Y, Li B, et al. However, thyroidectomy is still difficult because the thyroid gland is rich in blood supply and is adjacent to parathyroid glands and important nerves. However, despite careful technique, it is not uncommon to observe skin edges at the end of a procedure (particularly minimally invasive surgery) that are ischemic and traumatized. Substernal goiter can be removed through a relatively straightforward collar incision in the lower neck. The internal jugular vein was injured in two of the patients during the making of working space, one patients operation was converted to open surgery. Kim SK, Park I, Hur N, Lee JH, Choe JH, Kim JH, et al. Thyroid cancer can also spread to the lateral neck. Surg Today. A comparison of surgical outcomes between endoscopic and robotically assisted thyroidectomy: the authors' initial experience. %%EOF This work was supported by the National Natural Science Foundation of China (grant No. Most people take at least 15-30 days to recover. The average blood loss for this operation is less than a tablespoon and the chance of needing a blood transfusion is extremely rare. Manage cookies/Do not sell my data we use in the preference centre. Risks of the thyroid surgery include the risks common to all surgeries including risks associated with administration of general anesthesia, bleeding, and infection. The neck was entered through a collar incision, and bleeding was controlled with electrocautery.
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