Muhammad Imran Khokhar, MBBS, FCPS, MRCS, Qasim M Farooq, MBBS, FCP, Awais Amjad Malik, MBBS, FCPS, M Ahsan, MBBS, FCPSI, Farooq M Afzal, MBBS, FCPS. Lahore General Hospital, Lahore, Pakistan
Background: Conventional Thyroid Lobectomy leaves an unpleasant neck scar. Endoscopic thyroidectomy was first applied by Huschner in 1997. Amongst the best endoscopic techniques is the one we use, referred to as the endoscopic axillary-breast-shoulder approach(ABSA) innovated by Dr. Luong.
Objective: To examine the safety, feasibility and cosmetic outcome of endoscopic thyroid lobectomy.
Patients and Methods: We performed endoscopic lobectomy in 3 patients at SGRH Lahore, from May 2016 to 8th September 2016 & 5 patients in LGH from 9th September to 31st July 2017. We adopted axillary-breast-shoulder approach. Inclusion criteria were age 18-45 years, solitary nodule less than 4 cm and benign FNAC. Exclusion criteria were multiple nodules, solitary nodule more than 4 cm, age more than 45years, malignant FNAC, recurrent goiter and co-morbidity like DM, HTN, IHD, COPD. The parameters studied were the conversion rate, operative time, hospital stay, complications, cosmetic outcome and patient satisfaction. The results were analyzed to draw rational conclusion.
Results: Successful endoscopic lobectomy was performed in almost all cases with conversion to open in only one case. The mean operative time was 90 minutes. No peroperative injury was inflicted. One case sustained minor skin burns which healed without any residual scar. No postoperative complication developed. All patients were discharged after 24 hours. Excellent cosmetic outcome achieved in all patients leading to their optimum satisfaction.
Conclusion: Endoscopic thyroid lobectomy is a safe and feasible procedure with satisfactory cosmetic outcome for benign solitary thyroid nodules in selected patients.
Key Words: Endoscopic, lobectomy, technique, axillary-breast-shoulder, thyroid surgery.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 87970
Program Number: P708
Presentation Session: iPoster Session (Non CME)
Presentation Type: Poster