Indications, benefits and risks of transoral thyroidectomy

Daqi Zhang¹, Dawon Park², Hui Sun¹, Angkoon Anuwong³, Ralph Tufano⁴, Hoon Yub Kim⁵, Gianlorenzo Dionigi⁶

Affiliations

¹ Division of Thyroid Surgery, China-Japan Union Hospital Of Jilin University, Jilin Provincial Key Laboratory Of Surgical Translational Medicine, Jilin Provincial Precision Medicine Laboratory of Molecular Biology and Translational Medicine on Differentiated Thyroid Carcinoma, 126 Xiantai Blvd, Changchun City, Jilin Province, PR China.
² Department of Surgery, Division of Breast and Endocrine Surgery, Minimally Invasive Surgery and Robotic Surgery Center, KUMC Thyroid Center Korea University, Anam Hospital, Seoul, Republic of Korea. Electronic address: dawon.park@gmail.com.
³ Minimally Invasive and Endocrine Surgery Division, Department of Surgery, Police General Hospital, Bangkok, Thailand.
⁴ Division of Head and Neck Endocrine Surgery, Department of Otolaryngology - Head & Neck Surgery, Johns Hopkins University School of Medicine.
⁵ Department of Surgery, Division of Breast and Endocrine Surgery, Minimally Invasive Surgery and Robotic Surgery Center, KUMC Thyroid Center Korea University, Anam Hospital, Seoul, Republic of Korea.
⁶ Division for Endocrine and Mininvasive Surgery, Department of Human Pathology in Adulthood and Childhood ''G. Barresi'', University Hospital G. Martino, University of Messina, Via C. Valeria 1, 98125, Messina, Italy.

PMID: 31204296
DOI: 10.1016/j.beem.2019.05.004

Review

Indications, benefits and risks of transoral thyroidectomy

Daqi Zhang et al. Best Pract Res Clin Endocrinol Metab. 2019 Aug.

. 2019 Aug;33(4):101280.

doi: 10.1016/j.beem.2019.05.004. Epub 2019 Jun 4.

Authors

Daqi Zhang¹, Dawon Park², Hui Sun¹, Angkoon Anuwong³, Ralph Tufano⁴, Hoon Yub Kim⁵, Gianlorenzo Dionigi⁶

Affiliations

¹ Division of Thyroid Surgery, China-Japan Union Hospital Of Jilin University, Jilin Provincial Key Laboratory Of Surgical Translational Medicine, Jilin Provincial Precision Medicine Laboratory of Molecular Biology and Translational Medicine on Differentiated Thyroid Carcinoma, 126 Xiantai Blvd, Changchun City, Jilin Province, PR China.
² Department of Surgery, Division of Breast and Endocrine Surgery, Minimally Invasive Surgery and Robotic Surgery Center, KUMC Thyroid Center Korea University, Anam Hospital, Seoul, Republic of Korea. Electronic address: dawon.park@gmail.com.
³ Minimally Invasive and Endocrine Surgery Division, Department of Surgery, Police General Hospital, Bangkok, Thailand.
⁴ Division of Head and Neck Endocrine Surgery, Department of Otolaryngology - Head & Neck Surgery, Johns Hopkins University School of Medicine.
⁵ Department of Surgery, Division of Breast and Endocrine Surgery, Minimally Invasive Surgery and Robotic Surgery Center, KUMC Thyroid Center Korea University, Anam Hospital, Seoul, Republic of Korea.
⁶ Division for Endocrine and Mininvasive Surgery, Department of Human Pathology in Adulthood and Childhood ''G. Barresi'', University Hospital G. Martino, University of Messina, Via C. Valeria 1, 98125, Messina, Italy.

PMID: 31204296
DOI: 10.1016/j.beem.2019.05.004

Abstract

The advancement of minimally invasive surgery in the field of endocrine surgery over the last 2 decades has fostered the attempt of natural orifice transluminal endoscopic surgery (NOTES) for thyroidectomy and parathyroidectomy via oral incisions. This technically demanding surgery is currently being evaluated in a number of specialised centres. The procedure has gained popularity worldwide and is performed in more than 50 centres. By retrieving information from published or presented articles and direct personal communications, this study reports several issues to enable and optimise correct patient and surgeon candidacy, present the advantages and prevent novel complications under the standards of open thyroid surgery. Not all patients are eligible for the transoral approach. Transoral endoscopic and robotic procedures were described and critically analysed in this study.

Keywords: TOETVA; indications; morbidity; results; thyroidectomy; transoral endoscopic thyroidectomy vestibular approach.

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Indications, benefits and risks of transoral thyroidectomy

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Indications, benefits and risks of transoral thyroidectomy

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