title: [Three-dimensional ultrasound locatization in endoscopic thyroidectomy for multinodular goiter].
abstract: OBJECTIVE
  To explore the three-dimensional ultrasound locatization in endoscopic thyroidectomy for multinodular goiter (MG).
  
  
  METHODS
  Thirty two patients with MG underwent ET via bilateral areolar approach. Preoperative ultrasonography were used to locate lesions and marked in the 3-D map designed by us. Dur ing ET procedure, surgery skills were adopted to expose inferior pole of thyroid, glands in the area of Berry ligament or (and) upper pole were retained according to the preoperative location map.
  
  
  RESULTS
  According to the preoperative ultrasonic orientation, 3 lobectomy were performed in 15 cases of unilateral lesions, 12 subtotal thyroidectomy were performed in 17 cases of bilateral lesions, and 5 patients performed unilateral lobectomy add partial thyroidectomy. All patients had successful ET using bilateral areola approach. No conversions to open surgery, no complication occurred, and no nodules were found missing in the postoperative ultrasonography examinations.
  
  
  CONCLUSIONS
  Preoperative ultrasonic orientation and intraoperative operating skills are contributing to a successful ET for MG.
authors.forename: Yihong
authors.initials: Y
authors.lastname: Tan
authors.forename: Guoneng
authors.initials: G
authors.lastname: Du
authors.forename: Yugen
authors.initials: Y
authors.lastname: Xiao
authors.forename: Panzhou
authors.initials: P
authors.lastname: Chen
authors.forename: Guobiao
authors.initials: G
authors.lastname: Yan
authors.forename: Dongxing
authors.initials: D
authors.lastname: Tan
authors.forename: Kun
authors.initials: K
authors.lastname: Wang
authors.forename: Wanshou
authors.initials: W
authors.lastname: Qiu
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D004724:Endoscopy / Q000379:methods*; D005260:Female; D006044:Goiter, Nodular / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D008875:Middle Aged; D013965:Thyroidectomy / Q000379:methods*; D014463:Ultrasonography; D055815:Young Adult