Endocrine Abstracts

Background: Videoassisted resection of the thyroid gland with unilateral nodular lesions of the thyroid gland, as compared to the conventional method is a safe and effective method.

Materials and methods: Patient M, a woman 30 years old, BMI 30.37. Admitted with complaints of discomfort and a feeling of constriction in the neck, mild shortness of breath on exertion. The cervical lymph nodes were not enlarged. According to the USI are found nodes in the right lobe of the thyroid gland sizes up to 2.5×2.5 cm. According to the needle biopsy, the conclusion: cancer cells are not found. Thyroid hormones are normal.

Performed videoassisted right gemithyroidectomy sided with the removal of the isthmus. Intraoperative: under endotracheal anesthesia, skin incision is made 3.0 cm parallel to the right clavicle, which is set wound protector, on the left side below the clavicle has two 5 mm ports.

Then ‘Lifting system’ is installed for skin traction. Has been accessed and the mobilization of the right lobe of the thyroid gland with the isthmus. Histological conclusion: cystic nodular colloid goiter.

Results: The operative time was 150 min. Blood loss was <10 ml. In the postoperative period we observed no palsy of the recurrent laryngeal nerve, hematoma as well as no pain. The patient’s condition on the second day after the operation is satisfactory.

Conclusion: Videoassist minimal-invasive thyroidectomy has distinct advantages over traditional open resection, as a small trauma, better visualization of the thyroid gland and its surrounding structures, reducing the volume of intraoperative blood loss. As well as the lack of the need for a large number of ligatures which are alien and impair healing of tissue. Reduces length of hospital stay, significantly reduced pain in the postoperative period and good cosmetic effect.