Can J Surg, Vol. 52, No. 6, December 2009 523 S urgical assistance is imperative for the smooth conduct of various types of surgery that require steady retraction throughout the procedure. However, prolonged surgery will cause fatigue among the assistant surgeons who might not be able to sustain the optimal retraction for the chief surgeon. To overcome this problem, different types of self-reta...

BACKGROUND Gasless transaxillary approach (TA) and the bilateral axillo-breast approach (BABA) are 2 distinctive approaches for endoscopic thyroidectomy. The purpose of this study was to evaluate and compare these 2 procedures. METHODS From May 2008 to July 2011, we performed endoscopic hemithyroidectomy via gasless TA (83 cases) and BABA (45 cases). The following variables were evaluated: op...

BACKGROUND Robotic thyroidectomy and conventional endoscopic thyroidectomy have not been thoroughly compared. In this study, we compared the potential advantages of robotic versus endoscopic thyroidectomy. METHODS We analyzed 218 consecutive patients who underwent endoscopic (105 cases) or robotic (113 cases) thyroidectomy using a gasless unilateral axillo-breast or gasless unilateral axillar...

One of the earliest references to a successful surgical attempt for the treatment of goitre can be found in the medical writings of the Moorish physician Ali Ibn Abbas. In 952 A.D., he recorded his experience with the removal of a large goitre under opium sedation using simple ligatures and hot cautery irons as the patient sat with a bag around his neck to catch the blood. The first accounts of...

Thyroidectomy is a routinely common practiced surgery. Morbidity and mortality from thyroid surgery are disregarded nowadays and undervalued in the literature. Perioperative risks and complications still exist for large goiters and can be life-threatening. These complications may occur during the anesthesia and intubation, intra-, or postoperatively. We set out through a case of a large cervica...

The extralaryngeal bifurcation point of the recurrent laryngeal nerve (RLN) is typically located in a mean distance of 0-2 cm from the cricothyroid joint (CTJ). In the presented case though, the left RLN was unexpectedly identified bifurcating in a mean distance of 7 cm from the left CTJ in a young woman with multinodular goiter during total thyroidectomy. The RLN was carefully exposed througho...

BACKGROUND To assess the diagnostic value of decreased parathyroid hormone (PTH) in hypoparathyroidism after unilateral operation. METHODS A study was conducted on patients with PTC undergoing total or near-total thyroidectomy plus central neck dissection (CND). RESULTS Postoperative hypocalcemia was found in 42 patients (51.2%). For patients undergoing bilateral CND, those whose tumor inva...

Relapse and exacerbation of Graves' disease during pregnancy is rare, and thionamide induced agranulocytosis is an uncommon side effect. We report a case of a pregnant woman in her 24th week of gestation that experienced a relapse of Graves' disease that was complicated by propylthiouracil induced agranulocytosis. Following the discontinuation of propylthiouracil and administration of a broad-s...

Objective: To compare the outcome of clamp-and-tie with Ligasure technique in total thyroidectomy patients. Material and Methods: A 60 (30 each group) patients undergoing near for benign goiter were included this study. After taking informed consent, demographic data (age, gender, duration goitre, place living BMI) noted. All selected cases be divided into group & B by lottery method. In wa...