Journal of Minimal Access Surgery (Aug 2024)

Gasless transoral endoscopic thyroidectomy in a primary substernal goitre patient: First case

  • Jing Fang,
  • Shengying Wang,
  • Jianjun Liu

DOI
https://doi.org/10.4103/jmas.jmas_30_23
Journal volume & issue
Vol. 20, no. 3
pp. 349 – 352

Abstract

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For most primary substernal goitre (SG) surgeries, sternotomy is required because the blood supply vessels of tumours come from the mediastinum. However, sternal dehiscence may lead to several surgical complications. We reported an older patient who underwent simultaneous removal of a primary SG and parathyroid adenoma through a gasless transoral endoscopic approach. The patient recovered well with no hoarseness, post-operative bleeding or other complications after the operation. To the best of our knowledge, this is the first reported case of gasless transoral endoscopic parathyroid adenoma and primary SG resection in the real world. We found that gasless transoral endoscopic surgery is feasible in patients with small primary SG and parathyroid adenoma.

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