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A comparative analysis of endoscopic thyroidectomy versus conventional thyroidectomy in clinically lymph node negative thyroid cancer.

Cho MJ, Park KS, Cho MJ, Yoo YB, Yang JH - Ann Surg Treat Res (2015)

Bottom Line: We practiced comparative analysis for clinicopathologic characteristics, surgical outcomes including postoperative complications, and recurred cases during follow-up periods of each group.Meanwhile, in postoperative complications, there were no statistically significant differences.During short follow-up periods, no recurrence or mortality case was observed.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Konkuk University School of Medicine, Seoul, Korea.

ABSTRACT

Purpose: Differentiated thyroid cancer has a good prognosis and high incidence in young women. Since endoscopic techniques were first recorded in 1996, surgical indications of endoscopic thyroidectomy have broadened. Therefore, the aim of this study is to investigate the usefulness of endoscopic thyroidectomy in clinically lymph node negative (cN0) thyroid cancer patients, based on oncologic completeness and safety, considering cosmetic outcomes.

Methods: From July 2009 to June 2011, a total of 166 cases had undergone endoscopic thyroidectomy using the BABA (bilateral axillo-breast approach) method or conventional open thyroidectomy by one surgeon. Finally, excluding 72 patients, 94 patients with cN0 thyroid cancer were divided into two groups according to operative methods and analyzed to compare differences between the two methods retrospectively (endoscopic group, n = 49; conventional open group, n = 45).

Results: We practiced comparative analysis for clinicopathologic characteristics, surgical outcomes including postoperative complications, and recurred cases during follow-up periods of each group. The results showed there was a tendency for patients, young, women rather than men, and having small size of thyroid cancer, to prefer endoscopic surgery to open surgery. Meanwhile, in postoperative complications, there were no statistically significant differences. During short follow-up periods, no recurrence or mortality case was observed.

Conclusion: Endoscopic thyroidectomy is a feasible and safe method for the treatment of clinically lymph node negative (cN0) thyroid cancer.

No MeSH data available.


Related in: MedlinePlus

Endoscopic thyroidectomy using the BABA (bilateral axillo-breast approach) method; (A) intraoperative scope insertion, (B) actual surgical approach, (C) outcome at 2nd week postoperatively, and (D) intraoperative picture (anatomy).
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Figure 2: Endoscopic thyroidectomy using the BABA (bilateral axillo-breast approach) method; (A) intraoperative scope insertion, (B) actual surgical approach, (C) outcome at 2nd week postoperatively, and (D) intraoperative picture (anatomy).

Mentions: Conventional open surgery is the method of approaching the thyroid gland through a 5- to 6-cm incision line made along a transverse skin crease at 2-3 cm above the sternal notch. Thus, a postoperative neck scar is left, whereas endoscopic surgery is the method of approaching the lesion by using endoscopic instruments inserted through incision lines of about 10-, 20-mm length along right and left anterior axillary crease and about 10-mm length along upper areola line of bilateral breast (Fig. 2). Thus endoscopic surgery using BABA method has no neck scar and also no obviously observed scars. In the course of surgical excision, all subjects in each group were managed with the same method.


A comparative analysis of endoscopic thyroidectomy versus conventional thyroidectomy in clinically lymph node negative thyroid cancer.

Cho MJ, Park KS, Cho MJ, Yoo YB, Yang JH - Ann Surg Treat Res (2015)

Endoscopic thyroidectomy using the BABA (bilateral axillo-breast approach) method; (A) intraoperative scope insertion, (B) actual surgical approach, (C) outcome at 2nd week postoperatively, and (D) intraoperative picture (anatomy).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4325647&req=5

Figure 2: Endoscopic thyroidectomy using the BABA (bilateral axillo-breast approach) method; (A) intraoperative scope insertion, (B) actual surgical approach, (C) outcome at 2nd week postoperatively, and (D) intraoperative picture (anatomy).
Mentions: Conventional open surgery is the method of approaching the thyroid gland through a 5- to 6-cm incision line made along a transverse skin crease at 2-3 cm above the sternal notch. Thus, a postoperative neck scar is left, whereas endoscopic surgery is the method of approaching the lesion by using endoscopic instruments inserted through incision lines of about 10-, 20-mm length along right and left anterior axillary crease and about 10-mm length along upper areola line of bilateral breast (Fig. 2). Thus endoscopic surgery using BABA method has no neck scar and also no obviously observed scars. In the course of surgical excision, all subjects in each group were managed with the same method.

Bottom Line: We practiced comparative analysis for clinicopathologic characteristics, surgical outcomes including postoperative complications, and recurred cases during follow-up periods of each group.Meanwhile, in postoperative complications, there were no statistically significant differences.During short follow-up periods, no recurrence or mortality case was observed.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Konkuk University School of Medicine, Seoul, Korea.

ABSTRACT

Purpose: Differentiated thyroid cancer has a good prognosis and high incidence in young women. Since endoscopic techniques were first recorded in 1996, surgical indications of endoscopic thyroidectomy have broadened. Therefore, the aim of this study is to investigate the usefulness of endoscopic thyroidectomy in clinically lymph node negative (cN0) thyroid cancer patients, based on oncologic completeness and safety, considering cosmetic outcomes.

Methods: From July 2009 to June 2011, a total of 166 cases had undergone endoscopic thyroidectomy using the BABA (bilateral axillo-breast approach) method or conventional open thyroidectomy by one surgeon. Finally, excluding 72 patients, 94 patients with cN0 thyroid cancer were divided into two groups according to operative methods and analyzed to compare differences between the two methods retrospectively (endoscopic group, n = 49; conventional open group, n = 45).

Results: We practiced comparative analysis for clinicopathologic characteristics, surgical outcomes including postoperative complications, and recurred cases during follow-up periods of each group. The results showed there was a tendency for patients, young, women rather than men, and having small size of thyroid cancer, to prefer endoscopic surgery to open surgery. Meanwhile, in postoperative complications, there were no statistically significant differences. During short follow-up periods, no recurrence or mortality case was observed.

Conclusion: Endoscopic thyroidectomy is a feasible and safe method for the treatment of clinically lymph node negative (cN0) thyroid cancer.

No MeSH data available.


Related in: MedlinePlus