Open Access, Peer-reviewed
pISSN 2508-8149
eISSN 2508-8459
    Korean J Endocr Surg. 2015 Jun;15(2):47-51. Korean.
    Published online Jun 24, 2015.
    https://doi.org/10.16956/kjes.2015.15.2.47
    Copyright © 2015 Korean Association of Thyroid and Endocrine Surgeons; KATES. All Rights Reserved.
    Original Article

    Preliminary Study on Safety of Robotic or Endoscopic Thyroidectomy via Bilateral Axillo-breast Approach (BABA) without Drainage Procedure: Multicenter Trial

    So Hyang Moon, Young San Jeon,1 Wan Wook Kim,2 Su Hwan Kang,3 Young Ju Jeong,4 Jung Eun Choi,3 and Jihyoung Cho
      • Department of Surgery, Keimyung University School of Medicine, Daegu, Korea.
      • 1Goo Hospital, Daegu, Korea.
      • 2Kyungpook National University School of Medicine, Daegu, Korea.
      • 3Yeungnam University College of Medicine, Daegu, Korea.
      • 4Catholic University of Daegu College of Medicine, Daegu, Korea.
    • Correspondence: Jihyoung Cho. Department of Surgery, Keimyung University School of Medicine, 56 Dalseong-ro, Jung-gu, Daegu 700-712, Korea. Tel: +82-53-250-7063, Fax: +82-53-250-7322, Email: chojh0404@dsmc.or.kr
    Received March 05, 2015; Revised April 15, 2015; Accepted May 14, 2015.

    This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

    Abstract

    Purpose

    The aim of this study was to evaluate the safety of robotic or endoscopic thyroidectomy via bilateral axillo-breast approach (BABA) without a drainage procedure.

    Methods

    A total of 64 patients who underwent robotic or endoscopic thyroidectomy via BABA without a close suction drain between February and March 2012 were enrolled. We checked postoperative symptoms or signs including change of vital signs, dyspnea, swelling or fluctuation of anterior chest and neck and compression symptoms at 1, 6, 24, and 48 hours and 1 month after surgery. Postoperative ultrasonography was performed in patients with at least one or more postoperative symptoms or signs in order to confirm hematoma or fluid collection.

    Results

    None of the enrolled patients had dyspnea or change of vital signs. Two of 64 patients had swelling, 1 of 64 patients had fluctuation on the anterior chest, and 1 of 64 patients had compression symptoms. Fluid collection was confirmed in 2 of 4 of the above mentioned patients and the collected fluid was aspirated. The amounts of aspirated fluid were 25 mL and 8 mL. Thereafter, the follow up ultrasonography showed no more fluid collection in all patients. In addition, we rechecked the above mentioned symptoms or signs at 1 month after surgery; none of the enrolled patients had symptoms or signs.

    Conclusion

    Robotic or endoscopic thyroidectomy via BABA without a closed suction drain shows no serious seroma or hematoma collection. Therefore, we expect that robotic or endoscopic thyroidectomy via BABA without a closed suction drain can reduce the pain, discomfort or longer hospital stay as a result of closed suction drain using this method.

    Keywords
    Drain; Endoscopic thyroidectomy; Robotic thyroidectomy; Bilateral axillo-breast approach

    Figures

    Fig. 1
    Case 1. (A) In USG, there was minimal fluid collection on sterna notch. (B) After 8 mL fluid aspiration, there was no more fluid collection.

    Fig. 2
    Case 2. (A, B) In USG, there was minimal fluid collection above SCM. (C) After 25 mL fluid aspiration, there was no more fluid collection.

    Tables

    Table 1
    Clinical characteristics of the patients

    Table 2
    Incidence and management of abnormal sign and symptom

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    MeSH Terms
    Drainage*
    Dyspnea
    Follow-Up Studies
    Hematoma
    Humans
    Length of Stay
    Neck
    Seroma
    Suction
    Thorax
    Thyroidectomy*
    Ultrasonography
    Vital Signs
    Metrics
    Share
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