Abstract
For the purpose of minimization of operative scar on the neck from a cosmetic viewpoint, we performed an endoscopic resection for 21 thyroid tumors and a parathyroid tumor out of 20 cases using an anterior neck-lift method which we exploited and named Video-Assisted Neck Surgery (VANS). The approach to the thyroid is made mainly through the chest wall 1.5cm below the clavicle where is completely covered by neck-opened cloths. A prophylactic lymph node dissection of the pre- and paratracheal lymph nodes was added to the patients whose preoperative cytology revealed class 3b. The resected tumors were 17-53mm (mean: 34.7mm) in size and. 2.5-32.6g (mean: 14.3g) in weight. The amount of operative bleeding ranged from 5 to 360ml (mean: 111.3ml), the operating time from 1 hours and 2 minutes to 3 hours and 54 minutes (mean: 2 hours 14 minutes), and postoperative hospital stay from 3 to 8 days (mean: 5.1 days). The operating time and amount of bleeding in VANS varied from case to case depending upon location, size of tumor and operative procedure. Those disadvantages, however, are considered to be improved in accordance with further experience. We are convinced that VANS will become a surgical procedure which is preferably selected by patient in terms of both cosmetic advantages and excellent result.
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Schedule a callMore From: Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
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