Early Experience of Gasless Video-Assisted Neck Surgery (VANS) for Thyroid Nodules in Thailand
Prasert, W.
Journal of the Medical Association of Thailand 99(Suppl 4): S42-S47
2016
ISSN/ISBN: 0125-2208 PMID: 29916677 Document Number: 689277
Endoscopic thyroidectomy has increased in popularity because of the good cosmesis. In Thailand, most This study reports the outcome of the initial experience of using gasless endoscopic thyroidectomy (VANS technique) in Thailand. From July to October 2015, five patients underwent thyroidectomy with the VANS technique at Thammasat University Hospital. Patient selection criteria consisted of non-malignant nodule diagnosed by FNA, nodule size <4 cm, no previous neck surgery and no neck irradiation. All five patients successfully underwent endoscopic thyroid lobectomy with the VANS technique. The mean operating time was 152 minutes and mean blood loss was 34 ml. There were no serious complications, and the patients were satisfied with the cosmetic outcomes. Pathologic results were nodular goiter in four cases and adenomatous goiter with occult papillary microcarcinoma in one case (in this case, the margins were free of malignancy). The VANS technique is feasible and safe to be used in Thailand.
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