scholarly journals Endoscopic Thyroid Surgery through Breast and Axillary Approach

2013 ◽  
Vol 5 (3) ◽  
pp. 85-88
Author(s):  
Gyan Chand ◽  
Amit Agarwal

ABSTRACT Thyroid surgery was introduced since ages; it was initially started with large incision in the neck. Due to advancement in technology the minimally invasive surgery has been introduced for all organs. This technology is introduced in the thyroid surgery too. Different approaches have been established including minimally invasive video assisted, endoscopic, robotic and natural orifice thyroid surgery. Among these different approaches of endoscopic thyroid surgery, the breast and axillary approach is most acceptable and easy to perform. Here I am going to describe this technique of endoscopic thyroid surgery. How to cite this article Chand G, Agarwal A. Endoscopic Thyroid Surgery through Breast and Axillary Approach. World J Endoc Surg 2013;5(3):85-88.

2016 ◽  
Vol 133 (4) ◽  
pp. 247-251 ◽  
Author(s):  
R. Garrel ◽  
M. Bartolomeo ◽  
M. Makeieff ◽  
L. Crampette ◽  
B. Guerrier ◽  
...  

2020 ◽  

A video-assisted right pneumonectomy is a challenging but feasible procedure in expert hands. This video tutorial presents in detail the indications for and the individual surgical steps needed to safely perform a biportal video-assisted right pneumonectomy. In selected patients, this technique guarantees the same oncological results in terms of the perioperative outcome as those achieved by minimally invasive surgery.


2018 ◽  
Vol 26 (1) ◽  
pp. 46-49 ◽  
Author(s):  
Mitsuhiro Asakuma ◽  
Koji Komeda ◽  
Masashi Yamamoto ◽  
Tetsunosuke Shimizu ◽  
Ryo Iida ◽  
...  

Introduction. A recent development in minimally invasive surgery (MIS) is single-port surgery, where a single large multiport trocar is placed in the umbilicus. All medical schools require that students complete an anatomy course as part of the medical curriculum. However, there is limited instruction regarding the detailed parts of the “umbilicus.” In several famous anatomy atlases, the umbilicus is not dissected at all and is merely represented as a button. Until now, the true nature of the umbilicus has not been anatomically demonstrated. Methods. Five cadavers were obtained from the Osaka Medical College medical student anatomy class. The umbilicus was dissected in the anatomy laboratory, to demonstrate all the layers. A detailed dissection was performed, focusing on the exact center of the umbilicus, in order to ascertain whether there exists a “natural orifice” or a fascial defect. Results. In all cadavers, a small defect of fascia was identified just below the center of the umbilicus. Yellow fatty tissue was present just below the skin in the exact center of the umbilicus. A probe placed exactly in the middle of this defect passes easily through into the abdominal cavity. Conclusions. With the widespread use of MIS, umbilical incision is commonly used to reduce pain and improve cosmetic results. This study consistently revealed a natural defect of fascia in the center of the umbilicus. Therefore, the umbilicus can be called a concealed “natural orifice.” It is important to recognize and utilize this defect effectively to minimize unnecessary tissue trauma during MIS.


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