Abstract
Introduction: Conventional open thyroid surgery has been the standard approach for thyroidectomy and normally requires a long incision of 4 to 8 cm.1 The aim of this video is to describe single-port video-assisted thyroidectomy through anterior cervical approach (also called Huang procedure). Materials and Methods: This video presentation illustrates the technical points of the Huang procedure, which I developed in February 2021. Besides general introduction of the Huang procedure, a case of this procedure is presented in detail. A 36-year-old female patient with a body mass index of 24.6 had a solid nodule of about 1.5 cm in the right lobe, cytologically suspicious for a follicular neoplasm (Bethesda category IV). She underwent right thyroid lobectomy. The patient was positioned supine with neck mildly extended. A mini-incision ~3.0 cm long at about two finger breadths above the sternal notch on the anterior neck was made, and a working space under the strap muscles was created with a single multichannel port and CO2 insufflation. Under endoscopy the superior and inferior poles were dissected with laparoscopic instruments and the recurrent laryngeal nerve was exposed. Then the thyroid lobe was delivered out of the wound, and finally the thyroid lobectomy was completed under direct vision. Postoperative pathology report confirmed a follicular tumor of uncertain malignant potential. The patient recovered well with no complication. She was satisfied with the cosmetic result of the incision at the follow-up 2 months after operation. Results: The technical aspect of the Huang procedure with a step-by-step description is demonstrated in this video. The Huang procedure is able to provide shorter incision and better cosmetic results while maintaining adequate exposure. Conclusions: Thyroidectomy can be done by the Huang procedure with a mini-incision to obtain minimally invasive and cosmetic effects. No competing financial interests exist. Author has received and archived patient consent for video recording/publication in advance of video recording of procedure. Runtime of video: 10 mins 43 secs
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
