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The length of the incision will vary depending on the thickness of the neck and the size of the gland or nodule, although it should be noted that virtually always the benign gland or nodule can be bigger than the incision itself, as these structures are compressible and can be manipulated through an incision smaller than the gland. While the conventional collar incision is widely used, endoscopic thyroidectomy is gradually becoming accepted for thyroid nodule patients with cosmetic needs [2,3,4].Under the premise of oncological effectiveness, endoscopic thyroidectomy can provide a . Meanwhile, prospective clinical studies are needed to investigate and validate surgical and oncological outcomes. Moreno Llorente P, E AGL, Alberich Prats M, Francos Martnez JM, Garca Barrasa A. Surgical approaches to thyroid. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. MIVAT combines the small incision with use of endoscopes to help provide illumination and visualization of the tumor. Transoral thyroidectomy. He was able to demonstrate efficacy and efficiency through a low cervical collar incision that bears his name. %%EOF The VRSs in a short time (1 week) were significantly higher in the first 25 cases than in the last 25 cases (the patient whose operation was converted to open surgery was excluded). Seromas happen rarely and usually disappear within a few weeks. With the transformation of thyroid and parathyroid surgery since the late 1990s, there are now a variety of methods for accessing the thyroid and central neck. The total mean operative time of working space make was 44 12.8 min (range 20120 min). Fifty-one patients (42 PTC patients and 9 thyroid adenoma patients) were included in this study. Thyroid cancer often spreads to lymph nodes in the neck. This nonobese gentleman who has a 26-inch neck circumference and a large goiter would not be a candidate for any minimally invasive approach. However, despite careful technique, it is not uncommon to observe skin edges at the end of a procedure (particularly minimally invasive surgery) that are ischemic and traumatized. However, COT normally requires a long collar incision (usually 5-8 cm in length) on the anterior neck [1]. If any of these symptoms happen, the patient should call 911 first and then their surgeon. Surg Today. In this study, we reported our initial experiences with 51 patients who underwent gasless endoscopic trans-axillary thyroid surgery performed by a single experienced surgeon.