Minimally invasive surgery of the thyroid gland

  Minimally invasive thyroid surgery can generally be classified as lumpectomy-assisted or total lumpectomy thyroidectomy. The former, mainly with the help of lumpectomy video magnification and fine instruments, can make the neck incision generally about 2-3 cm (traditional open surgery is generally 6-8 cm), greatly reducing the length of the neck wound. However, the downside is that this procedure still leaves scars in the neck, which sometimes does not meet the requirements of young aesthetic women. In full lumpectomy thyroidectomy, three tiny wounds are made in the chest (usually between the areola and the two breasts), and the neck is reached through the subcutaneous tunnel established in the chest, and the thyroidectomy is completed with high-tech instruments such as ultrasonic knife under the magnified illumination of the endoscope. It is especially suitable for young and middle-aged women who have high cosmetic requirements.  Some may question whether minimally invasive thyroid surgery is able to remove the thyroid mass “cleanly”. In fact, with the magnification of the lumpectomy and the good cooperation of the ultrasonic knife, it is easier to distinguish the thyroid blood vessels, nerves and parathyroid glands to prevent damage to these important structures, and minimally invasive surgery is still safe and effective.  Both types of laparoscopic surgery can be performed to remove thyroid nodules of appropriate size in patients with benign thyroid nodules. However, for patients with extraperitoneal invasion of thyroid cancer, conventional surgery is recommended to reduce the risk of implantation due to lumpectomy.