Transoral endoscopic thyroidectomy using vestibular approach: updates and evidences

被引:58
作者
Anuwong, Angkoon [1 ]
Kim, Hoon Yub [2 ]
Dionigi, Gianlorenzo [3 ]
机构
[1] Police Gen Hosp, Minimally Invas & Endocrine Surg Div, Dept Surg, 492-1 RamaI Rd, Bangkok 10330, Thailand
[2] Korea Univ, Dept Surg, KUMC Thyroid Ctr, Coll Med, Seoul, South Korea
[3] Univ Insubria Como Varese, Div Surg 1, Dept Surg Sci & Human Morphol, Res Ctr Endocrine Surg, Varese, Italy
关键词
Transoral endoscopic thyroidectomy; thyroidectomy; transoral endoscopic thyroidectomy vestibular approach (TOETVA); transoral; endoscopic thyroidectomy; natural orifice transluminal endoscopic surgery (NOTES); VIDEO-ASSISTED THYROIDECTOMY; INDOCYANINE GREEN FLUORESCENCE; NATURAL ORIFICE SURGERY; CENTRAL NECK DISSECTION; AXILLO-BREAST APPROACH; PARATHYROID SURGERY; SURGICAL METHOD; IMPLEMENTATION; PERFUSION; COSMESIS;
D O I
10.21037/gs.2017.03.16
中图分类号
R61 [外科手术学];
学科分类号
摘要
Recently, natural orifice transluminal endoscopic surgery (NOTES) has been applied in thyroid surgery with transoral access. The benefit of transoral endoscopic thyroidectomy is the potential for scar-free surgery. However, there are many concerns over some aspects, such as infection, recurrent laryngeal nerve injury, and oncological outcome. In this paper, we have reviewed the development history and the current clinical evidence of this innovative surgery. We conclude that the transoral endoscopic thyroidectomy vestibular approach (TOETVA) is feasible and can be considered no longer an experimental operation.
引用
收藏
页码:277 / 284
页数:8
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