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4 - Minimal invasive thyroid lobectomy with lateral mini-incision tecnique: Our first experience
Mehmet Uludağ, Gürkan Yetkin, Bülent Çitgez
Background: Several reports of minimally invasive thyroid surgery using various techniques have been published. The present study reviews our first experience about thyroid lobectomy using a mini-incision with lateral approach.
Study Design: The study group evaluated all patients undergoing minimally invasive thyroid surgery during the period July 2006-March 2007. Data were collected including patient demographics, indication for surgery, nodule size, final pathology, and complications. The thyroid lobectomy was carried out by 2.5-3 cm transverse incision nearly 1-1.5 cm inferior to the cricothyroid cartilage and from the medial border of the sternocleidomastoid muscle, with exposure gained by dissecting the plane between the sternomastoid muscle and the lateral edge of the strap muscles.
Results: Ten patients underwent minimally invasive thyroid surgery, 9 women and a man. The average incision size that was measured at the end of the procedure was 26,4 mm. The average nodule size was 20,8 mm, and the average thyroid lobe resected was measured 54,3 mm in maximal length. Final pathology revealed benign nodules in all patients. In one of the patients edema and masseration were seen at the incision line due to the tension caused by ecartation postoperatively. In other patients complications were not seen.
Conclusion: Minimal invasive thyroid surgery is a safe and feasible alternative to open thyroid surgery in "ed cases.
Keywords: thyroidectomy, minimally invazive thyroidectomy, lateral aproach
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