Indications and technique for transoral thyroid gland and parathyroid gland surgery

被引:0
作者
Schopf, S. [1 ]
Umschlag, C. [1 ]
Mechera, R. [3 ]
Karakas, E. [2 ]
机构
[1] InnKlinikum Altotting & Muhldorf, Krankenhausstr 1, D-84453 Muhldorf, Germany
[2] Univ Klin Chirurg, Landeskrankenhaus, Salzburg, Austria
[3] Spital Mannedorf, Mannedorf, Switzerland
来源
CHIRURGIE | 2024年 / 95卷 / 10期
关键词
NOTES; Transoral endoscopic thyroid surgery; Vestibular approach; Retroauricular access; Complications; VESTIBULAR APPROACH;
D O I
10.1007/s00104-024-02118-6
中图分类号
R61 [外科手术学];
学科分类号
摘要
The conventional Kocher collar incision is the standard access to the thyroid and parathyroid glands. Although the incision length has been significantly shortened in recent years with this approach, there is increasing interest among patients in a surgical technique without visible scars in the d & eacute;collet & eacute;. Transoral endoscopic thyroid gland surgery via the vestibular approach (TOETVA) is a modern technique that can be learned relatively quickly and leaves no visible scars because it is carried out exclusively through a natural orifice (natural orifice transluminal endoscopic surgery, NOTES). For retrieval of larger specimens, the transoral approach can be combined with a retroauricular access and thus covers a larger range of indications. The indications must be strictly followed, analogous to conventional surgery. Once the transoral access has been established, the operation is carried out as in open surgery but strictly from cranial to caudal. The classical complications are comparable to the results of conventional surgery. Specific complications include perioral, mandibular or cervical dysesthesia and hypesthesia.
引用
收藏
页码:801 / 809
页数:9
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