Abstract
Video-assisted neck surgery （VANS） has a cosmetic advantage because of an extracervical approach avoiding a cervical incision. We have been performing VANS with a gasless anterior neck skin-lifting method using an approach from the chest wall since 2016. As for hemithyroidectomy, we compared the outcomes of these patients （VANS group：35 cases） with those of patients treated by conventional open surgery （conventional surgery group：35 cases） from November 2016 to November 2018. The VANS group had 33 women （94.3％）, and the mean patient age was 47.3 years. The VANS method tended to be chosen by younger women and those with a small tumor size. VANS has less bleeding, a longer operation time, and more postoperative drainage compared with conventional surgery. However, the complications associated with surgery were postoperative bleeding in one case, wound infection in one case, and transient paralysis of the recurrent laryngeal nerve in five cases.
