The Minimally Invasive Effect of Breast Approach Endoscopic Thyroidectomy: An Expert's Experience

• Published in: Journal of immunology research Vol. 2010; no. 2010; pp. 1 - 5
• Main Authors: Qiu, Ming, Shan, Cheng-xiang, Shen, Hong-liang, Zheng, Xiang-min, Jiang, Dao-zhen, Jiang, Zhi-guo, Zhang, Wei, Liu, Sheng
• Format: Journal Article
• Language: English
• Published: Cairo, Egypt Hindawi Publishing Corporation 2010
• ISSN: 2314-8861; 2314-7156
• DOI: 10.1155/2010/459143

We evaluated the invasiveness of breast approach endoscopic thyroidectomy (BAET) carried out by surgeon very experienced in this procedure. Twenty-four patients who underwent BAET and 19 patients who underwent conventional thyroidectomy were the study population. Postoperative pain was assessed by a visual analog scale (VAS). The values 2, 12, and 24 h after surgery were significantly lower in the BAET group than those in the conventional group. Serum IL-6 and CRP levels were measured by an ELISA preoperatively and at 2, 12, 24 and 48 h after operation. Their values increased significantly after both procedures when compared to preoperative levels with significant differences between the two groups detected at the 24-hour and 48-hour time points. Subjective and objective evidence supported the notion that BAET could become a minimally invasive procedure if the surgeon gained sufficient experience.