Upgraded Bidirectional Approach Video-assisted Neck Surgery (BAVANS) Using a Rigid Endoscope with Variable Viewing Direction for Advanced Endoscopic Lymph Node Dissection in Thyroid Cancer Patients

Overview

Journal Surg Today

Specialty General Surgery

Date 2019 Nov 7

PMID 31691138

Citations 2

Authors

Akihiro Nakajo

Koji Minami

Yoshiaki Shinden

Hiroko Toda

Tadahiro Hirashima

Ayako Nagata

Yuki Nomoto

Kosei Maemura

Shoji Natsugoe

Affiliations

Soon will be listed here.

Abstract

In 2011, we developed bidirectional approach video-assisted neck surgery (BAVANS) for endoscopic thyroid cancer surgery. BAVANS combines two different approach pathways at 180 degrees to the cervical lesion for endoscopic thyroidectomy and complete cervical lymphadenectomy. We reported previously that the cranio-caudal approach is extremely useful for endoscopic complete lymph node dissection around the trachea. In 2014, we upgraded the initial BAVANS for better maneuverability and quality of lymph node dissection. A new high-tech rigid endoscope with a variable viewing direction (EndoCAMeleon™), has enabled us to reduce the camera port in the anterior neck while keeping the easy maneuverability and the same quality of central lymph node dissection (LND) as with the initial BAVANS. Endoscopic thyroid cancer surgery is now evolving concurrently with new visual technology.

Citing Articles

Optimal surgical population for cervical lymph node dissection in PTC.

Wang Y, Wu Z, Yan J, Yao Y, Han L Front Oncol. 2024; 14:1280607.

PMID: 38646429 PMC: 11026636. DOI: 10.3389/fonc.2024.1280607.

The usefulness and utilization of a detachable steel wire-rimmed retractor (KN retractor) for endoscopic thyroid and parathyroid surgery.

Nakajo A, Minami K, Shinden Y, Hirashima T, Saho H, Nomoto Y Surg Today. 2020; 51(1):159-164.

PMID: 32880061 DOI: 10.1007/s00595-020-02124-1.

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