Use of a mini-instrument in endoscopic thyroidectomy via a breast approach to improve cosmetic outcomes.
The objective of this research was to evaluate the clinical benefits of using a mini-instrument during endoscopic thyroidectomy via a breast approach (ETBA). Surgery-related indices and cosmetic results were compared for 20 patients underwent ETBA with a mini-instrument (ETBA-m) and 20 patients who underwent standard ETBA (sETBA). Patients were closely matched in terms of age, gender, tumor size, and pathology. Patients who underwent sETBA had a significantly larger area of dissection and total length of incisions compared to patients who underwent ETBA-m (136.25 ± 19.22 cm(2)vs. 105.25 ± 9.54 cm(2), p < 0.001 and 2.66 ± 0.09 cm vs. 2.08 ± 0.24 cm, p < 0.001). All patients who underwent ETBA-m commented that they preferred their current cosmetic appearance after they were shown a picture of the scars of a patient who underwent sETBA. Results of this study revealed that use of a mini-instrument in ETBA is technically safe and feasible and it offers improved cosmetic outcomes compared to sETBA.
Department of General Surgery, Changzheng Hospital affiliated with the Second Military Medical University.
Wei
W
Zhang
Chenpo
C
Dang
Chengxiang
C
Shan
Sheng
S
Liu
Zhiguo
Z
Jiang
Bin
B
Wang
Ming
M
Qiu
D000328:Adult; D002921:Cicatrix / Q000473:pathology*; D004724:Endoscopy / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013965:Thyroidectomy / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods; D016896:Treatment Outcome