Our initial experience of the transaxillary totally endoscopic approach for hemithyroidectomy
This article was presented as an oral presentation at the 2008 AAO-HNSF Annual Meeting & OTO EXPO, Chicago, IL, September 21-24, 2008.
Received 27 February 2009; received in revised form 14 May 2009; accepted 20 May 2009.
Refers to article:
Advanced approaches for thyroid surgery
Ronald B. Kuppersmith, Ahmed Salem, F. Christopher Holsinger
Otolaryngology - Head and Neck Surgery
September 2009 (Vol. 141, Issue 3, Pages 340-342) Abstract |
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Abstract
Objective
To report our initial experience with the transaxillary totally endoscopic (TATE) approach to the thyroid gland.
Study Design
A historic cohort study of patients undergoing TATE procedures compared with open procedures for hemithyroidectomy with isthmusectomy.
Setting
Private-practice otolaryngology group.
Subject and Methods
Patients selected for benign thyroid disease confirmed by fine-needle aspiration and requiring hemithyroidectomy with isthmusectomy. A historic cohort study of 24 patients who underwent TATE procedures for hemithyroidectomy with isthmusectomy. Comparison of the first 10 TATE approaches to a control group of 10 consecutive open approaches by the senior author's group.
Results
All 24 TATE patients were successful without the need to convert to an open procedure. The TATE approach had longer operative times than the open group (142 vs 105), but these operative times decreased as the number of procedures increased (first five TATE = 170, last five TATE = 114, n = 24, average = 114). No patients had peri- or postoperative complications.
Conclusions
The TATE approach to the thyroid gland is safe and effective. Operative time is longer but decreases with experience. The TATE approach is one option to treat young patients with unilateral benign thyroid disease who are seeking to avoid visible scars and limit morbidity.
aDepartment of Otolaryngology-Head and Neck surgery, University of Iowa, Iowa City, IA
bMinimally Invasive Head and Neck Surgery Center, Iowa Methodist Medical Center, Blank Children's Hospital, Des Moines, IA
Corresponding author: Simon K. Wright, MD, Director of Minimally Invasive Head and Neck Surgery, ENT Clinic of Iowa, 1455 29th Street, West Des Moines, Iowa 50266
No sponsorships or competing interests have been disclosed for this article.
ABSTRACT