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Puntambekar S, Sharma V, Kumar S, et al. Management of Large Size MNGs and STNs Using 3D Endoscopic Technique: a Review of 10 Cases. Indian J Surg. 2015;78(2):117-20doi: 10.1007/s12262-015-1330-8.
Puntambekar, S., Sharma, V., Kumar, S., Mitkare, S., Joshi, G., Dokrimare, A., & Panse, M. (2016). Management of Large Size MNGs and STNs Using 3D Endoscopic Technique: a Review of 10 Cases. The Indian journal of surgery, 78(2), 117-20. https://doi.org/10.1007/s12262-015-1330-8
Puntambekar, Shailesh, et al. "Management of Large Size MNGs and STNs Using 3D Endoscopic Technique: a Review of 10 Cases." The Indian journal of surgery vol. 78,2 (2016): 117-20. doi: https://doi.org/10.1007/s12262-015-1330-8
Puntambekar S, Sharma V, Kumar S, Mitkare S, Joshi G, Dokrimare A, Panse M. Management of Large Size MNGs and STNs Using 3D Endoscopic Technique: a Review of 10 Cases. Indian J Surg. 2016 Apr;78(2):117-20. doi: 10.1007/s12262-015-1330-8. Epub 2015 Sep 01. PMID: 27303120; PMCID: PMC4875898.
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Indian J Surg. 2016 Apr;78(2):117-20. doi: 10.1007/s12262-015-1330-8. Epub 2015 Sep 01.

Management of Large Size MNGs and STNs Using 3D Endoscopic Technique: a Review of 10 Cases.

The Indian journal of surgery

Shailesh Puntambekar, Vikrant Sharma, Sanjay Kumar, Sainath Mitkare, Geetanjali Joshi, Atul Dokrimare, Mangesh Panse

Affiliations

  1. Galaxy Care Laparoscopy Institute, 25-A Erandwane, Karve Road, Pune, 411004 India.

PMID: 27303120 PMCID: PMC4875898 DOI: 10.1007/s12262-015-1330-8

Abstract

The role of endoscopic thyroidectomy has shown clear cosmetic benefits in the past. In this current study of 10 patients, we have tried to highlight the importance and benefits of 3D endoscopy in the management of large size multinodular goitres (MNGs) and solitary thyroid nodules (STNs). From March 2014 to July 2014, patients having a large volume of thyroid (>70 cc for one lobe) and nodule size (>6 cm) were enrolled for this study. A total of 10 patients underwent the procedure using the Karl Storz(TM) 3D endoscope system. Out of the 10 patients, 9 were females and 1 was male who underwent total, subtotal, and hemithyroidectomy. Three out of 10 turned out to be malignant for whom completion thyroidectomies were done endoscopically. The average blood loss was 29.5 cc and the mean operative time was 72 min. The average thyroid specimen volume was 115.4 cc with an average nodule size of 6.7 cm. Patients were discharged on the first post-operative day except one on the second post-op day. Post-operative scar was evaluated on the 14th day. 3D endoscopic thyroidectomy is definitely a step ahead in the management of large size MNGs and STNs. It gives excellent depth perception and magnification which helps in identification and preservation of important nerves and vessels which ensures safe removal of the thyroid from its bed.

Keywords: 3D endoscopy; Endoscopic thyroidectomy; Large size; MNGs

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