HELIOS Klinikum Berlin Buch Natural Orifice Surgery, 1st Meeting Berlin, June 23, 2006 Total video-endoscopic thyroidectomy via Axillo- Bilateral-Breast-Approach (ABBA) T. Benhidjeb, M.W. Strik Department of General and Visceral Surgery Center of Minimally Invasive Surgery HELIOS Klinikum Berlin
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HELIOS Klinikum Berlin Buch
Natural Orifice Surgery, 1st Meeting
Berlin, June 23, 2006
Total video-endoscopicthyroidectomy via Axillo-Bilateral-Breast-Approach
(ABBA)
T. Benhidjeb, M.W. Strik
Department of General and VisceralSurgery
Center of Minimally Invasive SurgeryHELIOS Klinikum Berlin
HELIOS Klinikum Berlin Buch
Total video-endoscopic thyroidectomy via Axillo-Bilateral-Breast-Approach (ABBA)
Innovation
1890Billroth, Kocher, Halsted, v. Mikulicz
Safety!
Survival!
Cosmetics!
1990 1998NeuromonitoringHarmonic scalpel
MISMIVAT
HELIOS Klinikum Berlin Buch
Total video-endoscopic thyroidectomy via Axillo-Bilateral-Breast-Approach (ABBA)
conventional (> 3cm)
cervical (< 3cm)(MIVAT)
extracervical(AA, BA, ABBA)
minimally invasive
Thyroid surgery
HELIOS Klinikum Berlin Buch
Total video-endoscopic thyroidectomy via Axillo-Bilateral-Breast-Approach (ABBA)
cervical approach (MIVAT)
HELIOS Klinikum Berlin Buch
Total video-endoscopic thyroidectomy via Axillo-Bilateral-Breast-Approach (ABBA)
HELIOS Klinikum Berlin Buch
Total video-endoscopic thyroidectomy via Axillo-Bilateral-Breast-Approach (ABBA)
• Feasibility?
• Efficacy?
HELIOS Klinikum Berlin Buch
Total video-endoscopic thyroidectomy via Axillo-Bilateral-Breast-Approach (ABBA)
HELIOS Klinikum Berlin Buch
Total video-endoscopic thyroidectomy via Axillo-Bilateral-Breast-Approach (ABBA)
Endotrachealtube surfaceelectrodes
HELIOS Klinikum Berlin Buch
Total video-endoscopic thyroidectomy via Axillo-Bilateral-Breast-Approach (ABBA)
Patients data02/2005 – 02/2006
Patients N = 25Sex all femalesAge 43 (25 - 62) yearsBMI 23.6 (19 - 30) kg/m2
Thyroid volume 24.6 (6 – 69.4) ml
HELIOS Klinikum Berlin Buch
Total video-endoscopic thyroidectomy via Axillo-Bilateral-Breast-Approach (ABBA)
Patients data02/2005 – 02/2006
Type of resection N = 25Unilateral subtotal resection 18Bilateral subtotal resection 6Node extirpation 1
HELIOS Klinikum Berlin Buch
Total video-endoscopic thyroidectomy via Axillo-Bilateral-Breast-Approach (ABBA)