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Single‐port endoscopic thyroidectomy via a submental approach: Report of an initial experience
Author(s) -
Ding Zheng,
Deng XianZhao,
Fan YouBen,
Wu Bo
Publication year - 2014
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.23213
Subject(s) - medicine , surgery , thyroidectomy , port (circuit theory) , areola , thyroid , nodule (geology) , general surgery , electrical engineering , paleontology , engineering , biology
Background Based on our experience of trans‐areola single‐site endoscopic thyroidectomy and a preclinical study in the porcine model, we attempted to develop a new approach called trans‐submental single‐port endoscopic thyroidectomy (TSSPET). Methods Two female patients (43 and 27 years old, respectively) were selected for TSSPET. Both were preoperatively diagnosed with benign thyroid nodule by ultrasonography and fine‐needle aspiration cytology (FNAC). Two mini‐incisions were made in the submental area. The isthmectomy was performed for 1 patient and a right lobectomy for the other. Results This procedure was successfully accomplished in 2 cases. The operative time was 108 minutes and 150 minutes, respectively. No complications occurred. Postoperative hospital stay was 2 days. After 3 months, cosmetic result was satisfactory. Conclusion Our initial experience demonstrates that the TSSPET is feasible and safe for selected patients. Nevertheless, large series and comparative studies could be necessary to further confirm its effectiveness. © 2013 Wiley Periodicals, Inc. Head Neck 36: E60–E64, 2014