Abstract
Conventional open neck surgery requires a cervical collar incision on the anterior neck and leaves a scar in what is deemed to be a cosmetically undesirable location. In recent years, endoscopic neck surgery has been developed, first for parathyroidectomy by Gagner in 1996 and for thyroidectomy by Huscher and colleagues in 1997. These techniques reduce postoperative pain and the length of the hospital stay, and they provide an excellent cosmetic result. We developed a totally gasless endoscopic surgical treatment for thyroid and parathyroid tumors in 1998, and we have subsequently applied it to over 170 patients. We call this procedure the video-assisted neck surgery (VANS) method. Among these patients, almost all were given a diagnosis of benign thyroid nodule by fine-needle aspiration biopsy and underwent hemithyroidectomy without lymph node dissection. In eight patients, total hemithyroidectomy or subtotal thyroidectomy and lymph node dissection were performed for papillary carcinoma of the thyroid. The purpose of this study was to determine whether this surgical approach is feasible and safe for papillary carcinoma. In this article we report our experience applying endoscopic neck surgery to papillary carcinoma of the thyroid using a totally gasless anterior neck skin lifting method.
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