Video Consultation Book Appointment

Endoscopic Thyroidectomy – Scarless Thyroid Surgery

Endoscopic Thyroidectomy - Scarless Thyroid Surgery

Endoscopic thyroidectomy is also called Minimally Invasive Video-Assisted Thyroidectomy. It is a new surgical technique which allows the surgeon to perform thyroid surgery through a small skin incision. In endoscopic thyroidectomy, very small incisions are made in the axilla. A video camera helps in providing magnified vision of the structures and comfortable dissection. This technique via the axilla helps even removing large thyroid nodules and even helps perform total thyroidectomy.

What Patients Have to Say

The benefit of this procedure is that this is a minimally invasive approach (ie., the surgery is performed through a keyhole incision). Other benefits include safety and precision. That is the video camera inserted through the keyhole incision provides a magnified view of the internal structures. Thus the surgeon can perform the surgery by viewing a magnified view of the internal structures on a computer monitor. This increases safety and the surgeon performs the surgery with precision. The greatest benefit is that the neck remains free of scar as the thyroidectomy is performed endoscopically via incisions made at the axilla. The smallest of scars produced are hidden beneath the inner clothes at the axilla. This is a great cosmetic advantage.

Endoscopic Thyroidectomy through axilla
Endoscopic Thyroidectomy via Axilla

Thyroid abnormalities are common among women. As per American Thyroid Association , approximately 90% of all thyroid nodules are benign. Ultrasound of the neck or if needed FNAC (fine-needle aspiration cytology) is used in patients diagnosed with single or multiple thyroid nodules. If malignancy is suspected as per the ultrasound report or the FNAC, then surgery is the advised solution regardless of the size of the swelling. Thyroidectomy is recommended for nodules larger than 4 cm even if the USG and FNAC suggest benign swelling. Depending on the patient history, physical examination as well as the USG and FNAC findings, the surgeon may decide to offer a hemithyroidectomy or total thyroidectomy in consultation with the patient.

Endoscopic Thyroidectomy – procedure explained

  • Using a keyhole ( laparoscopic surgery techniques), a scope is inserted with instruments at the axilla to remove all or part of your thyroid gland.
  • The operation is carried out with special instruments using a camera to guide the surgeon. The camera allows the surgeron to visualize the internal structures with magnification, precision and clarity on a monitor.
  • After the thyroid gland is detached from the trachea, the specimen is placed in a specimen bag.
  • You will have a small drain in the wound which will be removed after a few days.
  • At the end, thyroid gland, part or whole, is removed through one of the incisions.
  • The incisions are then closed.
Endoscopic Thyroidectomy Kochi at VPS Lakeshore Hospital

Image Showing Endoscopic Thyroidectomy 
Incision made near the axilla

Endoscopic Thyroidectomy Kochi at VPS Lakeshore Hospital by Dr. R. Padmakumar

In Endoscopic Thyroidectomy a video camera is inserted via the axilla and visualized on the screen

Dr. R. Padmakumar performing Surgery endoscopically

Endoscopic Thyroidectomy – Image Showing Video Camera with Light to visualize internal structures

Endoscopic View of Internal Structures

Endoscopic Thyroidectomy – Internal Structures visualized through video camera

Open Thyroidectomy or Conventional Thyroidectomy – The Disadvantage

When thyroidectomy is done through the open method, a transverse incision measuring 12–15 cm in length is made on the neck. A large cut is made across the neck or a full cut is required even to remove a small part of the thyroid, even for one side removal leaving behind an ugly scar in the neck with pain, discomfort and delayed recovery. Women find these scars uncomfortable and cosmetically unacceptable. Thyroid disorders and found common in women. Minimal access approaches to thyroid surgery result in a reduction in size or elimination of the scar of the neck.

Scar on performing open thyroidectomy at the neck
Cuts on the neck while performing open thyroidectomy
Open Thyroidectomy - For removal of a large Thyroid

Open Thyroidectomy – For removal of a large Thyroid

Large Thyroid Removed by Open Thyroidectomy

Large Thyroid Removed by Open Thyroidectomy

Endoscopic Thyroidectomy – The Advantages

  • Scarless Thyroid Surgery – No Scar on Neck
  • Minimally invasive – No need for a large cut on the neck
  •  Short Hospital Stay – Recovery Time 2 days

Endoscopic Thyroidectomy at Kochi is performed regularly at VPS Lakeshore Hospital by minimally invasive surgery team headed by Dr. R. Padmakumar.

Related Videos

TopicWatch
Animation of Endoscopic ThyroidectomyWatch Video
Laparoscopic Surgery for Thyroid Watch Video
Thyroid Nodules and Keyhole Thyroid Surgery - Malayalam
October 4, 2019
Watch Video
Keyhole Surgery for Thyroid NodulesWatch Video
Review from a PatientWatch Video
Thyroid and Endoscopic SurgeryWatch Video
Thyroid NodulesWatch Video
Video Talk in MalayalamWatch Video
Video Talk on ThyroidectomyWatch Video
A talk about Thyroid by Dr.R.PadmaKumar on Asianet NewsWatch Video

Related Topics

Thyroid Surgeon India – VPS Lakeshore Hospital, Kochi

October 29, 2019

Thyroid Surgeon India- Dr R Padmakumar is an expert Thyroid Surgeon India at VPS Lakeshore Hospital, Kochi, and one of the few surgeons who is highly skilled in performing Endoscopic Thyroidectomy He has got the World record – Branchial Cyst...

Read More

Thyroid Surgery – Scarless Solutions | Endoscopic Thyroidectomy

July 22, 2019

Thyroid Surgery: The thyroid gland is situated in the neck and secretes thyroxine which is very essential for all organ function Thyroid disorders are common in women and it is of two types: Functional – Hypo (reduced function) and Hyperthyroidism...

Read More

Endoscopic Neck Surgeries

July 8, 2019

Various Scarless neck surgeries performed by Dr R Padmakumar and team: Endoscopic Total ThyroidetomyEndoscopic Hemi ThyroidectomyEndoscopic Parathyroid SurgeryEndoscopic Neck dissection / LymphadenectomyEndoscopic Thyroglossal Cyst...

Read More

Endoscopic Thyroidectomy Videos – Talks by Dr. R. Padmakumar

May 31, 2019

Reviews from Patients View Google Reviews Endoscopic Thyroidectomy Videos Endoscopic Thyroidectomy is a surgical procedure where thyroid surgery is carried out through a small incision at the axilla This avoid a large...

Read More
thyroglossal cyst

Thyroglossal Cyst – Endoscopic Excision – First of its kind in Kerala

February 18, 2019

A team of Surgeons in the Dept of Minimally Invasive Surgery at VPS Lakeshore Hospital, Kochi, has successfully removed a cyst from inside the upper neck without any cut on the neck This was a Thyroglossal cyst Its a very rare keyhole surgery of its...

Read More

Contact Details

Dr. R. Padmakumar
MBBS, DNB, MNAMS, DipALS, FAIS, FIMSA, FCLS, FRCS (GL)
Senior Consultant Laparoscopic and Metabolic Surgeon &
Director - Verwandeln Institute (Transforming Lives)
(Specialist in Laparoscopy, Hernia, Cancer, Obesity Surgery or Bariatric Surgery, Diabetes Surgery, Endoscopic Thyroid Surgery, Thoracoscopy, Intragastric Balloon)
Keyhole Clinic, Metro Pillar no. 448, Edappally, Kochi, Kerala, India
VPS Lakeshore Hospital, Maradu, Kochi, Kerala, India
Past Chairman - Association of Surgeons of India, Kerala Chapter, 2019-2020

Address

Keyhole Clinic - Center for Obesity and Laparoscopy

Metro Pillar no. 448, Edappally, Kochi, Kerala, India

VPS Lakeshore Hospital

Maradu, Kochi, Kerala


Mobile: +919447230370, +919846320370
Email: [email protected]

Website:
www.drrpadmakumar.com

Past Chairman, Association of Surgeons of India - Kerala Chapter
National President - Indian Hernia Society (2016)
GC Member, Association of Surgeons of India (2013 - 2018)
Vice President- Society of Endoscopic and Laparoscopic Surgeons of India
Jt. Secretary - Indian Association of Endocrine Surgeons (2016)
Founder Member, Obesity and Metabolic Surgery Society Of India
Founder Member, Association of Minimal Access Surgeons of India
International Faculty of IASGO on Hernia and Diabetic Surgery
International Faculty of IFSO on Diabetic Surgery
Associate Editor : Diabetes and Obesity International Journal