Abstract:

Objective To evaluate the cosmetic effect,application and safety of no-insufflation endoscopic thyroidectomy by a small incision upon the sternum. Methods  Based on the miccoli style, with the suspensory instrum ents designed by us and high frequency ultracision to incise and stanch, no-insufflation endoscopic  thyroidectomy by a small incision upon the sternum was performed in 51 patients of nodular goiter and 1 patient of Papillary thyroid carcinoma. ResultsAll operations were successfully carried out. No incision was widened for hemostasis duringor after the operation. The patient of Papillary thyroid carcinoma had temporary paralysis and no other complication happened in the recurrent laryngeal nerves. Conclusion No-insufflation endoscopic thyroidectomy by a small incision upon the sternum has the major advantages of small incision, less injury and quicker recovery,and it also has obvious postoperative cosmetic effect and creditable  safety. It is an ideal operation for thyroid patients.

Key words: Thyroid diseases; Thyroidectomy; Endoscopy