Users Online : 435 About us |  Subscribe |  e-Alerts  | Feedback | Login   |   
Journal of Minimal Access Surgery Current Issue | Archives | Ahead Of Print Journal of Minimal Access Surgery
           Print this page Email this page   Small font sizeDefault font sizeIncrease font size 
 ¤   Next article
 ¤   Previous article
 ¤   Table of Contents

 ¤   Similar in PUBMED
 ¤  Search Pubmed for
 ¤  Search in Google Scholar for
 ¤Related articles
 ¤   Citation Manager
 ¤   Access Statistics
 ¤   Reader Comments
 ¤   Email Alert *
 ¤   Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded187    
    Comments [Add]    

Recommend this journal


Year : 2013  |  Volume : 9  |  Issue : 3  |  Page : 116-121

Gasless single incision trans-axillary thyroidectomy: The feasibility and safety of a hypo-morbid endoscopic thyroidectomy technique

1 Department of Endocrine and Metabolic Surgery, Mamata Medical College and Hospital, Khammam, Andhra Pradesh, India
2 Department of General Surgery, Mamata Medical College and Hospital, Khammam, Andhra Pradesh, India
3 Department of Gynaecology and Obstetrics, Mamata Medical College and Hospital, Khammam, Andhra Pradesh, India

Correspondence Address:
Panchangam R K Bhargav
Associate Professor, Endocrine and Metabolic Surgery, Mamata Medical College and Super speciality Hospital, Khammam, Andhra Pradesh
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0972-9941.115370

Rights and Permissions

Introduction: A range of minimally invasive endoscopic techniques (gas dependent and gasless) have been attempted for thyroidectomy in the past two decades. In this context, we evaluated the feasibility and safety of our technique of a gasless trans-axillary thyroidectomy. Material and Methods: This retrospective study from the Department of Endocrine and metabolic surgery in Southern India included 15 cases. The details of operative technique, intra and postoperative data were documented in all the cases. Only cases with benign thyroid nodules were included. Exclusion criteria were diffuse toxic goiters (Graves' disease), thyroid cancer, > 6 cm nodules, recurrent goitres and patients with shoulder joint pathology. Statistical analysis was done with SPSS software 12.0 version. Results: F:M -14:2. Mean age of the patient group was 26.4 years (15-52). Mean operative time was 123.4 (82-206) minutes. The only specific complications were induration in the infraclavicular area between axillary incision and thyroid region, prolonged wound drainage and stiffness in lower 3 rd of sternocleidomastoid. Wound drainage lasted for 5.4 days (4 -8). There was no significant operative morbidity. Conclusion: This gasless trans-axillary technique for nodular goitres is safe and effective in the hands of an experienced thyroid surgeon.


Print this article     Email this article

© 2004 Journal of Minimal Access Surgery
Published by Wolters Kluwer - Medknow
Online since 15th August '04