Rui Qu1, Youming Guo1, Daosheng Liu1, Daniela Treitl2, Quan-Yang Duh2. 1First People’s Hospital of Zunyi, 2University of California, San Francisco
Background: Endoscopic thyroidectomy has been adopted because it can avoid neck scarring. However, there are seldom reports concerning completely endoscopic lateral neck dissection approaches. In our institute, we explored a technique for performing endoscopic thyroidectomy with lateral neck dissection via a breast approach.
Methods: We performed endoscopic total thyroidectomy along with levels IIa, IIb, III and IV dissection in more than 20 patients. The details of endoscopic lateral dissection (including IIa, IIb, III and IV) are shown in the submitted video.
Results: We present a case of trans breast endoscopic lateral neck dissection. This technique yielded adequate oncological dissection, while avoiding a visible neck incision. We demonstrate that this technique is both feasible and safe, and have successfully performed this dissection in 24 patients, with no complications to date, including no conversion to open, nerve injury, nor postoperative complications.
Conclusion: It is safe and feasible to perform lateral lymph node dissection (levels IIa, IIb, III and IV) with endoscopic thyroidectomy via a breast approach.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 95916
Program Number: V121
Presentation Session: Endocrine Videos
Presentation Type: Video