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(PDF) Comparison of Supraclavicular Oblique Incision - ResearchGate In the past, piecemeal or berry picking operations have been advocated, but currently, removal of all lymph nodes in all levels or compartments containing metastatic nodes is performed. While the conventional collar incision is widely used, endoscopic thyroidectomy is gradually becoming accepted for thyroid nodule patients with cosmetic needs [2,3,4]. Next, an endoscope with two cameras that produce three-dimensional viewing is inserted into the incision, and three robotic arms are inserted into the incision. Our data indicated that sensory changes around the anterior chest are relieved over time in most cases. Most patients (97%) will not notice any change in their voice after the operation. Thyroid cancer is an increasingly prevalent malignancy worldwide [].Surgery is the most commonly used technique in treating thyroid diseases. WBX and ZYZ edited the manuscript. The complications, including hypoparathyroidism, tracheal injury, esophageal injury, or surgical site infection did not occur. Duncan et al. The mean size of the benign tumors was 39 mm (range 3149 mm), and the mean size of malignant tumors was 10,0 mm (range 526 mm) (Table 1). Closure of skin incision after thyroidectomy through a supraclavicular Verbal response scores (VRSs) for sensory changes around the anterior chest and paralysis of the SCM (1-week, 1- and 3- month visits) were as follows: 0 = Never, 1 = Sometimes, 2 = Most of the time, 3 = All the time [14]. Patients should not be worried about hurting their voice by talking. Surgery is typically recommended for goiters that are causing symptoms. If one of these nerves is injured, the voice may become hoarse. MIVAT combines the small incision with use of endoscopes to help provide illumination and visualization of the tumor. Please see the Expert Consult website for more discussion of this topic. If you are dealing with a thyroid issue, our team at the Columbia Thyroid Center is here to help. A questionnaire regarding the sensory changes around the anterior chest, paralysis of the SCM, and satisfaction with cosmesis was used to evaluate the quality of life in enrolled patients. Due to this rare risk of bleeding, patients are observed for 4 hours by our highly trained recovery room staff. Compared with conventional approach, it holds the advantages of comparative extensive indications and similar complication rate but achieving a better cosmetic result. All cases of this complication reported to date have been temporarily, and is related to compression of the brachial plexus from arm positioning during surgery. This test is used in patients with hoarseness, a previous neck operation, or cases of advanced cancer. Our study suggested that the lateral supraclavicular incision is a safe and practical approach for thyroidectomy. In the absence of contraindications, substernal goiter should be treated with early surgery rather than having it run the risk of acute airway distress, especially in younger patients. Robotic thyroid surgery using a gasless, transaxillary approach and the da Vinci S system: the operative outcomes of 338 consecutive patients. This study was reviewed and approved by the Ethics Committee of Xiangya Hospital, Central South University (No. The median hospital stay was 1.67 0.74 (range 13) days. It seems no consensus has been reached on the clinical application of this technique considering the discrepant complications rate. A number of technological advances such as advanced energy devices for hemostasis, 1 high-resolution endoscopes for improved visualization, 2 and laryngeal nerve monitoring 3 have increased the focus on cosmetic outcomes and the pursuit of smaller, well-camouflaged incisions.