title: [Endoscopic thyroid gland surgery without carbon dioxide neck insufflation].
abstract: OBJECTIVE
  To evaluate endoscopic thyroid gland surgery without carbon dioxide neck insufflation.
  
  
  METHODS
  Sixteen patients with thyroid gland benign tumor, aged from 23-62 years, were selected and treated with endoscopic surgery. Eight cases received whole thyroid lobectomy and the other eight cases received partial thyroid lobectomy, the procedure was through a wall method or a single 2.0-3.0 cm horizontal skin incision. Among the 16 cases, 6 were thyroid adenoma and 10 were nodular goiter.
  
  
  RESULTS
  All patients received endoscopic surgery, 2 cases with sub-clavicle approach and 14 cases with a single 2.0-3.0 cm horizontal skin incision approach. The recurrent laryngeal nerve and parathyroid glands were easily identified and preserved during operation, the operating time lasted from 1.1 hours to 4.0 hours, no complication occurred, the postoperative cosmetic outcome was excellent.
  
  
  CONCLUSIONS
  The results indicated that gasless technique is feasible and safe, so it suggested that the video-assisted thyroid surgery without carbon dioxide neck insufflation could be an alternative for thyroid gland surgery.
authors.affiliation: Department of Otorhinolaryngology, Second Affiliated Hospital of Sun Yat-sen University, Guangzhou 510120, China. xiaomingh@hotmail.com
authors.forename: Xiao-ming
authors.initials: XM
authors.lastname: Huang
authors.forename: Yi-qing
authors.initials: YQ
authors.lastname: Zheng
authors.forename: Geng
authors.initials: G
authors.lastname: Xu
authors.forename: Xiang
authors.initials: X
authors.lastname: Cai
authors.forename: Jian
authors.initials: J
authors.lastname: Gong
authors.forename: Xiang
authors.initials: X
authors.lastname: Liu
authors.forename: Jie-ren
authors.initials: JR
authors.lastname: Peng
authors.forename: Yao-dong
authors.initials: YD
authors.lastname: Xu
authors.forename: Wei
authors.initials: W
authors.lastname: Liu
mesh_terms: D000328:Adult; D002245:Carbon Dioxide; D004724:Endoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D007327:Insufflation; D008297:Male; D008875:Middle Aged; D012009:Recurrent Laryngeal Nerve / Q000601:surgery; D013961:Thyroid Gland / Q000601:surgery*; D013964:Thyroid Neoplasms / Q000601:surgery; D013965:Thyroidectomy / Q000379:methods*; D055815:Young Adult
chemical_list: D002245:Carbon Dioxide