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Right thyroidectomy assisted by transaxillary-areolar approach

Torroella A

Hospital Clínic, Barcelona, Spain

E-mail : aa

Muniesa-Gallardo C

Hospital de La Fe, Valencia, Spain

Vogel V

Universitäsklinkum Gießen, Marburg, Germany

Vidal O

Hospital Clínic, Barcelona, Spain

DOI: 10.15761/CRIS.1000119

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A 58-years-old woman diagnosed of right toxic thyroid nodule, measuring 21x17x30mm, compatible with Bethesda IV in cytological results. She is proposed for right thyroidectomy by right transaxyloareolar approach. A 12mm trocar is placed at the lateral mammary sulcus, for 0º optics. Next, a 5mm trocar is placed under direct vision at the superior periareolar level and another 5mm trocar in the anterior axillary line. Attached images show trocars disposition, as well as the transluminescence secondary to the dissection of the cervical subcutaneous space (Figure 1). Aesthetic result on the 7th postoperative day [1-3] (Figure 2).

Figure 1. Transluminescence secondary to the dissection of the cervical subcutaneous space

Figure 2. Aesthetic result on the 7th postoperative day

References

  1. Bhargav PR, Amar V (2013) Operative technique of endoscopic thyroidectomy: a narration of general principles. Indian J Surg 75: 216-219. [Crossref]
  2. Russell JO, Noureldine SI, Al Khadem MG, Tufano RP (2016) Minimally invasive and remote-access thyroid surgery in the era of the 2015 American Thyroid Association guidelines.  Laryngoscope Investig Otolaryngol 1: 175-179. [Crossref]
  3. Huang JK, Ma L, Song WH, Lu BY, Huang YB, et al. (2016) Quality of life and cosmetic result of single-port access endoscopic thyroidectomy via axillary approach in patients with papillary thyroid carcinoma. Onco Targets Ther 9: 4053-4059. [Crossref]

Editorial Information

Editor-in-Chief

Article Type

Case Report

Publication history

Received date: December 03, 2018
Accepted date: December 12, 2018
Published date: December 14, 2018

Copyright

©2018 Torroella A. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Citation

Torroella A, Muniesa-Gallardo C, Vogel V, Vidal O (2018) Right thyroidectomy assisted by transaxillary-areolar approach. Case Rep Imag Surg 2: DOI:10.15761/CRIS.1000119

Corresponding author

Alba Torroella

Hospital Clínic, Barcelona, Spain

Figure 1. Transluminescence secondary to the dissection of the cervical subcutaneous space

Figure 2. Aesthetic result on the 7th postoperative day