Untitled-1 []...Title Untitled-1 Author Eric Created Date 20161101174004Z
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Minimally Invasive Approaches
Mini-incision procedureSmall, 3cm incision with no flap creation and minimal dissection
Pre-tracheal and paratracheal dissectionVideo assistance
Totally endoscopic approachesSupraclavicular, anterior chest*, axillary*, and breast aproach*
*more invasive
Transoral robotic-assisted thyroidectomy Feasible
Endoscopic thyroidectomies are performed under a gerneral anesthesia.
Axillary approach:30mm skin incision 12mm and 5mm trocars Additional 5mm
Anterior chest approach: 12mm skin incision 3-5cm below the border of ipsilateral clavicle 2 additional 5mm toracrs CO2 4mmhg
Anterior border of sternocleidomastoid muscle is then separated
Expose sternothyroid muscle
Splitting the sternothyroid muscle Lower pole retracted upward-RLN Berry's ligament exposed and incised with 5mm clip Upper pole separated
Superior laryngeal nerve
Upper pole of the thyroid gland is dessected free