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《Journal of Laparoscopic Surgery》 2005-01
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Video assisted endoscopic thyroidectomy using gasless anterior nect lifted method by infraclavicular way

CHI Pan,LIN Hui-ming (Union Hospital of Fujian Medical University,Fuzhou350001,China)  
Objective:To evaluate the feasibility of endoscopic thyroidectomy using gasless anterior neck lifted method by infraclavicular way.Methods:A single infraclavicular incision of2.5-3.0cm was made on the ipsilated side.The subplatysmal plane was dissected up to just above the anterior neck.A diameter of3.0mm kirschner wire was bent into a U-shaped wire and inserted into the subplatysmal space.The wire was sutured,lifted up and secured onto a horizon-tal bar to build a gasless space.Using ultrasonic scalpel,the thyroidectomy was preformed.Results:Nineteen cases were successfully operated and one case with thyroid cancer was converted to open surgery.The average time of operations was2.5±0.25h and intraoperative blood loss was25±5ml.Two cases with mild wound infection were cured without scar on neck.Conclusions:This method provides a simple way to lift the anterior neck wall for a safe gasless endoscopic thyroid surgery,and the method is safe and feasible.
【CateGory Index】: R653
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