• Shigeto Maeda, Kazuo Shimizu, Shigeki Minami, Naomi Hayashida, Tamotsu Kuroki, Akira Furuichi, Nozomu Sugiyama, Katsu Ishigaki, Ryuichiro Suto, Junichiro Furui, and Takashi Kanematsu.
• Division of Endocrine Surgery, Department of Surgery, Nagasaki University, Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki 852-8102, Japan. maedas@net.nagasaki-u.ac.jp
• Biomed. Pharmacother. 2002 Jan 1; 56 Suppl 1: 92s-95s.

BackgroundEndoscopic surgery has now become a well-established modality for the treatment of various organ diseases. In the present study, we analyzed the surgical results achieved by video-assisted neck surgery (VANS) in thyroid and parathyroid diseases.MethodsFrom January 2000 to April 2002, 87 patients (eight males and 79 females) with a mean age of 49 years underwent VANS. The preoperative diagnoses of these patients included 37 benign thyroid tumors, 30 Graves' diseases, 17 parathyroid adenomas and three thyroid cancers.ResultsThe mean operative time of VANS was 165 min for a hemithyroidectomy, 287 min for a subtotal thyroidectomy, and 157 min for a parathyroidectomy. The mean intraoperative blood loss was 60, 183 and 23 g for a hemithyroidectomy, subtotal thyroidectomy and parathyroidectomy, respectively. No conversion from VANS to conventional surgery was experienced. Three patients (3.4%) had temporary palsy of the recurrent laryngeal nerve. Otherwise, the postoperative courses were uneventful.ConclusionsVANS for thyroid and parathyroid diseases was found to be safe and effective. From a cosmetic point of view, a high degree of patient satisfaction was obtained. VANS is thus considered to be an excellent option for selected patients with thyroid and parathyroid diseases.

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