[Endoscopic thyroid gland surgery without carbon dioxide neck insufflation].
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.
Huang
Xiao-ming
XM
Department of Otorhinolaryngology, Second Affiliated Hospital of Sun Yat-sen University, Guangzhou 510120, China. xiaomingh@hotmail.com
Zheng
Yi-qing
YQ
Xu
Geng
G
Cai
Xiang
X
Gong
Jian
J
Liu
Xiang
X
Peng
Jie-ren
JR
Xu
Yao-dong
YD
Liu
Wei
W
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
D002245:Carbon Dioxide