Abstract

Introduction: Endoscopic thyroidectomy is in high demand as a newer surgical technique in today’s era where dissection of the gland is totally performed with an endoscope. Thyroidectomies performed by open method are effective and safe, but it involves transverse incision on the neck measuring 9-10 cm in length. These thyroid disorders are quite common among women and the scars due to incision are cosmetically unacceptable. Also, it is a very invasive procedure, causing the serious traumas at times.

Aims & Objectives: 1) To assess the efficacy of endoscopic thyroidectomy in solitary and multiple thyroid nodules.2) To assess the feasibility and difficulty in endoscopic thyroidectomy.3)To assess the technical, cosmetic & safety benefits of this technique.4)To assess the efficacy of trans axillary and Trans sternal approach.5)To assess the complication of procedure.

Methodology: This study includes 30 cases of endoscopic thyroidectomy done for solitary thyroid nodules. All cases of thyroid nodules in dept. of surgery, M.G.M medical college and M.Y.H. Hospital, Indore were included.

Results: Endoscopic approach definitely scores well over open approach. It is Anatomically and biologically sound, Reproducible, Least complications, Short learning curve, Easy to teach, learn and practice, Cost effective, Best cosmetic and function results.

Conclusion: Endoscopic approach, due to its promising results, certainly scores well over open approach. Also, replicability is higher. This approach with its safe, effective and with excellent cosmetic results is certainly the field of interest of the upcoming surgical era.

Keywords: Endoscopic surgery, Thyroid, Cosmesis.