Premium
Thyroid and parathyroid glands
Author(s) -
Tamaki Yasuhiro,
Ikeda Yoshifumi,
Usui Yoshiyuki,
Okamura Ritsuko,
Kitamura Kaoru,
Kazuo Shimizu,
Tangoku Akira
Publication year - 2015
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12264
Subject(s) - medicine , guideline , library science , general surgery , computer science , pathology
■ Explanation Endoscopic thyroidectomy performed in Japan can include complete endoscopic surgery with gas insufflation (1–3) or endoscopic-assisted surgery using the neck lifting method (4–7). The approaches of these methods are performed from one side; accordingly, the indications for these methods are benign diseases resectable by unilateral lobectomy. Larger tumors require longer surgical time and result in more blood loss; tumors extending into the mediastinum are difficult to resect. Therefore, the indications for endoscopic thyroidectomy are benign tumors ≤6 cm that are resectable by unilateral lobectomy and whose lower pole remains cephalad to the manubrium of the sternum. Problems of subtotal thyroidectomy for Basedow’s disease include leaving some volume of the thyroid gland and keeping of parathyroid function. Therefore, endoscopic thyroidectomy is not recommended for Basedow’s disease. Institutions proficient in surgery for Basedow’s disease and endoscopic thyroidectomy can consider endoscopic thyroidectomy under careful consideration of the size and function of the thyroid gland (3,7).