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SCARLESS THYROID SURGERY (THYROID SURGERY WITHOUT SCAR) / PEMBEDAHAN TIROID TANPA PARUT

September 19, 2018

Added By :
DR LAM RUEY SHYANG 蓝瑞祥医生

SCARLESS THYROID SURGERY (THYROID SURGERY WITHOUT SCAR) / PEMBEDAHAN TIROID TANPA PARUT

Conventional open thyroidectomy remains the treatment of choice for benign and malignant thyroid nodules, but the surgery requires a long incision line on the neck and leaves a long scar on the lower anterior neck. This incision may lead to prominent scarring that can develop into keloid or hypertrophic scars and lead to paraesthesia or hypaesthesia.

With the development of laparoscopic and endoscopic surgery, thyroid and parathyroid surgery has recently been attempted using an endoscopic approach. Since endoscopic parathyroidectomy and thyroidectomy were first introduced by Gagner and Huscher et al., various endoscopic thyroid surgery approaches have been devised, including cervical, axillary, breast, and anterior chest approaches.

Endoscopic thyroidectomy (scarless thyroid surgery / thyroid surgery without scar) was initially performed in patients with benign thyroid nodules. As surgical experience was accumulated, the application of endoscopic thyroidectomy was extended to patients with early cases of thyroid cancer.



Endoscopic Thyroidectomy (Scarless Thyroid Surgery)

Our endoscopic technique using the unilateral axillo-breast approach helps to remove large nodules of the thyroid as well as performing total thyroidectomies. It combines the benefits of the minimal access approach, instrumentation, magnification and precision. The scars produced are hidden beneath the smallest of clothes offering a great cosmetic advantage.


But only about 20% of total thyroid surgeries are suitable for this type of surgery.

Indications:

  1. Size of thyroid swelling is less than 4cm
  2. Total thyroid volume is less than 30cc
  3. Early stage of thyroid cancer, Stage 1 and 2 papillary thyroid cancer
  4. Follicular thyroid lesions
  5. Prophylactic total thyroidectomy in case of hereditary thyroid cancer (eg, medullary thyroid cancer)

Contra-indications:
  1. Stage 3 or 4 of thyroid cancer
  2. Large multinodular goiter
  3. History of neck radiation, eg radiotherapy on neck for other malignancies







PREPARED BY 
DR LAM RUEY SHYANG 
CONSULTANT GENERAL SURGEON & LAPAROSCOPIC SURGEON 
JOHOR

Contact Pasir Gudang Specialist Hospital Call: 07-257 3999
Email: pgsh@kpjpgsh.com