Utility of a novel elastic traction system in endoscopic thyroidectomy via breast approach: initial experience with 34 patients

作者：Lyu, Yi-Jun; Shen, Fang; Zhang, Hai; Chen, Gao-Xiang^*

来源：Journal of International Medical Research, 2018, 46(8): 3200-3208.

DOI：10.1177/0300060518774138

• Endoscopic thyroidectomy
• breast approach
• elastic traction
• CO2 insufflation
• anterior neck surgery
• cosmesis

Objective To summarize our experiences in using an elastic traction, space-making technique for endoscopic thyroidectomy via breast approach in the treatment of early-stage differentiated papillary thyroid carcinoma. @@@ Methods A retrospective analysis was performed on patients who underwent endoscopic thyroidectomy via breast approach for thyroid carcinoma in our department. We used our self-developed mini elastic traction space-maker in a group of 34 patients; another 45 patients who underwent the procedure with the conventional CO2 insufflation method were enlisted as the control group. @@@ Results All patients had successful unilateral lobectomy and central lymph node dissection (CLND) surgeries. The adoption of the intraoperative elastic traction system increased the height of the subcutaneous working space (by 1 cm) and significantly decreased the times required for lobectomy and CLND compared with the controls (46.74.7 min vs. 50.7 +/- 4.9 min). However, there was no significant difference between the two groups in the set-up time to create the working space. @@@ Conclusions The elastic traction, space-making technique is a safe and feasible technique for endoscopic thyroidectomy via breast approach.

• 出版日期2018-8
• 单位宁波大学