ArticleBMC surgery2014
Endoscopic thyroid surgery via a breast approach: a single institution's experiences.
Article in BMC surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Ultrasound-guided needle localization in trans-mammary endoscopic thyroidectomy: a case report.Journal of medical case reports · 2025Article
- Cumulative sum analysis for evaluating learning curve of endoscopic lateral neck dissection.BMC surgery · 2024Article
- Retroauricular endoscopic thyroidectomy: initial single-institution experiences.Updates in surgery · 2024Article
- Comparison of gasless transaxillary endoscopic thyroidectomy, endoscopic thyroidectomy via areola approach and conventional open thyroidectomy in patients with unilateral papillary thyroid carcinoma.World journal of surgical oncology · 2024Article
- Clinical analysis of a new multifunctional instrument set for gasless endoscopic thyroidectomy with two different approaches.Surgical endoscopy · 2024Article
- Prophylactic central lymph node dissection in cN0 papillary thyroid cancer: a comparative study of via breast and transoral approach versus via breast approach alone.Frontiers in endocrinology · 2024Article
- "Elastic stretch cavity building" system in endoscopic thyroidectomyFrontiers in oncology · 2023Article
- Qin's seven steps for endoscopic selective lateral neck dissection via the chest approach in patients with papillary thyroid cancer: experience of 35 cases.Surgical endoscopy · 2022Article
- "Elastic Stretch Cavity Building" System in Endoscopic Thyroidectomy of Giant Thyroid Tumors.Frontiers in oncology · 2022Article
- Single-Port Access Endoscopic Thyroidectomy via Axillary Approach for the Benign Thyroid Tumor: New Aspects from Vietnam.International journal of general medicine · 2021Article
- Comparison of quality of life between patients undergoing trans-oral endoscopic thyroid surgery and conventional open surgery.BMC surgery · 2020Article
- Article
- Feasibility of Endoscopic Thyroidectomy via Axilla and Breast Approaches for Larger Goiters: Widening the Horizons.Journal of thyroid research · 2018Article
- Modified equipment for facilitating the transoral vestibular approach to endoscopic thyroidectomy.Journal of minimal access surgeryArticle
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Authors and funding
6 authors.
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Abstract
backgroundThyroid carcinoma in young women is rapidly increasing, and cosmesis plays an important role in thyroid operations. Various endoscopic thyroid surgery approaches have been performed, and their application has recently been extended. We performed endoscopic thyroid surgeries via a breast approach since 1999. Herein, we evaluate the safety of this approach and identify the outcomes for differentiated thyroid carcinoma.
methodsA total of 452 consecutive patients with thyroid and parathyroid disease underwent endoscopic thyroidectomy via a breast approach at Uijeongbu St. Mary's Hospital between November 1999 and December 2012. The inclusion criteria for endoscopic thyroidectomy included a benign tumour less than 4 cm in diameter, malignant thyroid nodules less than 2 cm, and no evidence of lymph node metastasis or local invasion. We analysed the clinicopathologic data and surgical factors of this approach.
resultsThe mean age of the patients was 38.4 ± 10.6 years (range 11-73 years). The mean tumour size was 2.12 ± 1.17 cm (range 0.1-4 cm). The final tumour pathologies included papillary carcinoma (n = 120), follicular carcinoma (n = 8), nodular hyperplasia (n = 266), follicular adenoma (n = 43), and Hüthle cell adenoma (n = 4). The mean postoperative hospital stay was 3.8 ± 1.3 days (range 1-17 days). Temporary and permanent hypoparathyroidism requiring calcium and vitamin D supplementation developed in 32 (7.1%) and 4 (0.9%) patients, respectively. Transient vocal cord paresis occurred in 20 (4.4%) patients.
conclusionsFor patients with benign and low-risk malignant thyroid disease, endoscopic thyroidectomy via a breast approach is a safe, feasible, and minimally invasive surgical method with minimal complications.
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