Research Article

Feasibility of Endoscopic Thyroidectomy via Axilla and Breast Approaches for Larger Goiters: Widening the Horizons

Table 2

Details of operative procedure, operation time, and perioperative outcomes.

S. No. Parameter Group I (n=61)Group II (n=40)P value

1Approach - ABA30 (49.2%)9 (22.5%)0.07
     - BABA31 (50.8%)31 (77.5%)

2Surgery performed
TT1219
HT4320
CT31
TT+CCND20
TT+CCND+SLND10

3Conversion to open130.13

4Mean gland weight (grams)21.5 ± 15.362.3 ± 51.30.001
Range (grams)6-6018-253

5Mean Operation time
Hemithyroidectomy (mins)152.0 ± 38.6184.3 ± 85.50.15
Total Thyroidectomy (mins)206.4 ± 62.0243 ± 57.920.22
TT+CCND220 + 28.3-
Completion Thyroidectomy (mins)96.5 ± 23.31450.33

6Mean hospital stay (days)3.4 ± 1.44.1 ± 1.20.01

7Complications
Transient RLN palsy4 (6.5%)2 (5%)0.11
Transient hypocalcaemia¥ (Biochemical/Clinical)7/18(38.9%)11/20(55.0%)0.51
Permanent RLN palsy1(1.6%)01.0
Permanent hypoparathyroidism¥00
Seroma2.1 ± 0.12.01.0
Skin bruising/hematoma2.3 ± 2.62.0 ±1.0
Paraesthesia2.1 ± 0.22.0 ±0.51

: p value <0.05 was considered significant.
¥: transient hypocalcaemia and permanent hypoparathyroidism were calculated only for patients who underwent CT, TT, or TT+CCND±SLND.