Thyroidectomy using the open method is effective, well-tolerated and safe but involves transverse incision on the neck measuring 12-15 cm in length. Thyroid disorders are more common in women and they find these scars uncomfortable and cosmetically unacceptable. Hence, minimal access approaches are playing an ever-increasing role in neck surgery as they result in an elimination of the scar in the neck.
Our Endoscopic technique using the axillary 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.
In Endoscopic Thyroidectomy, very small incisions are made in the axilla, neck or chest. A video camera helps in providing magnified decision of the structures and comfortable dissection
- Aims to achieve an optimal cosmetic result much better than any other approach.
- Easy for dissection
- Avoid unnecessary mobilisation of opposite side while performing hemithyroidectomy.
Steps of Sunrise Endoscopic Thyroidectomy
- Subplatysmal dissection
- Retraction of strap muscle
- Magnified vision of recurrent laryngeal nerves & Superior laryngeal nerves
- Lymph node dissection Possible
- Specimen removed in specimen bag
- Retaction of sternocleidomastoid
- Lateral View of the gland
- Indentify and preserver parathyroid gland
- Used Hormonic scalpel to divide pedicles
- Closure of strap Muscles