J. Vilaça, S. Graça, L. Lencastre, A. Boa, Hugo Louro
{"title":"Trans-axillary intra-operative ultrasound cystic drainage and thyroid lobectomy: a new endoscopic approach","authors":"J. Vilaça, S. Graça, L. Lencastre, A. Boa, Hugo Louro","doi":"10.21037/AOT.2019.03.01","DOIUrl":null,"url":null,"abstract":"Bulky complex cystic thyroid lesions are common, and an endoscopic approach can be a challenge due to technical limitations. Trans-axillary lobectomy is a current practice in our team. Big lobes can be very difficult to mobilize and remain still an indication for cervicotomy. Whenever there is a large cystic component, we manage these cases with trans-axillary intra-operative ultrasound (IOUS) and trans-axillary endoscopic drainage, in order to perform a safer thyroid lobectomy. As far as we are concern this issue has not yet been published in scientific papers. We describe the technique and the results of a series of three cases.","PeriodicalId":92168,"journal":{"name":"Annals of thyroid","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2019-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.21037/AOT.2019.03.01","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of thyroid","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.21037/AOT.2019.03.01","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Bulky complex cystic thyroid lesions are common, and an endoscopic approach can be a challenge due to technical limitations. Trans-axillary lobectomy is a current practice in our team. Big lobes can be very difficult to mobilize and remain still an indication for cervicotomy. Whenever there is a large cystic component, we manage these cases with trans-axillary intra-operative ultrasound (IOUS) and trans-axillary endoscopic drainage, in order to perform a safer thyroid lobectomy. As far as we are concern this issue has not yet been published in scientific papers. We describe the technique and the results of a series of three cases.