Cadaveric Evaluation of a Device Supporting Gasless Transoral Endoscopic Thyroidectomy

Camenzuli, Christian; Attard, Josef; Schembri-Wismayer, Pierre; Borg, Jonathan C.; Calleja‐Agius, Jean

doi:10.1177/1553350620944513

Cited by 3 publications

(5 citation statements)

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“…With respect to the demographic features of patients who undergo different types of surgery, RT and ET are mainly chosen by younger women, who may be more concerned with the cosmetic results. 3,5,13,14 Our comparison of the demographic characteristics of patients who undergo thyroidectomy by different methods yielded very interesting results (Figure 1). We present the patients who underwent thyroidectomy due to PTMC.…”

Section: Postsurgical Complicationsmentioning

confidence: 95%

“…30 The surgeon may use the floor of the mouth for primary access or a completely vestibular approach; i.e., the TOET vestibular approach (TOETVA). 5 Additionally, TOET seems to be the only procedure that can be called a "true scarless surgery." The degree of cosmetic satisfaction after these procedures in many patients is high, but it might differ slightly according to the approach.…”

Section: From Ot To Etmentioning

confidence: 99%

“…16,17,34 Thus, several studies have demonstrated the superiority of scarless procedures over open surgery. 3,5,7,8,17,[29][30][31][32]34,35 However, the most certain advantage is the lack of a neck scar; the other clinical outcomes remain debatable. For example, the oncological safety of EBABA or TOETVA for patients with PTC is still unknown, and there is no worldwide consensus on this type of surgery for the treatment of this malignancy.…”

Section: From Ot To Etmentioning

confidence: 99%

“…During the past several decades, the occurrence of thyroid cancer (TC) has increased dramatically, and it is now the fastest growing cancer in women, [2][3][4] especially young women. 5 However, the incidence of TC is also increasing in men. 6 In this review, we discuss the current knowledge regarding surgical interventions for TC, including scarless surgery, and address the oncological aspects and future perspectives of endoscopic and robotic procedures in the surgical treatment of TC.…”

Section: Introductionmentioning

confidence: 99%

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Thyroid cancer surgery – in what direction are we going? A mini-review

et al. 2020

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The prevalence of thyroid cancer, especially in women, is increasing dramatically. Therefore, patients often undergo thyroidectomy upon diagnosis. However, the cosmetic outcome after surgery is of particular concern for many patients. Thus, minimally invasive procedures for treating thyroid disease have been established in recent decades. Total endoscopic and robotic procedures have been slowly and successively introduced while meeting all oncological criteria. Our analysis of the advantages and disadvantages of scarless surgical procedures suggests that the cosmetic aspects of these surgeries will continue to become more important. This review assesses the recent findings regarding the roles of endoscopic and robotic procedures in thyroid cancer surgery.

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Section: Postsurgical Complicationsmentioning

confidence: 95%

Section: From Ot To Etmentioning

confidence: 99%

Section: From Ot To Etmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Thyroid cancer surgery – in what direction are we going? A mini-review

et al. 2020

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“…Moreover, traditional CO 2 inflatable endoscopic surgery has several complications, including CO 2 embolism, which make the surgery ineffective and life-threatening (18-21). To avoid this situation, domestic and foreign scholars have explored gasless endoscopic thyroid surgery (22)(23)(24)(25)(26)(27). No studies have been conducted on en bloc resection of the total thyroid and bilateral central lymph nodes via a gasless transoral approach in papillary thyroid carcinoma.…”

Section: Introductionmentioning

confidence: 99%

En bloc resection of total thyroid and bilateral central compartment lymph nodes via a gasless transoral approach in papillary thyroid carcinoma

Sheng

Li²,

Fang³

et al. 2023

Front. Endocrinol.

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IntroductionThe current study presents a preliminary exploration of en bloc resection via a gasless transoral approach in papillary thyroid carcinoma.ObjectiveThis study aimed to summarize and explore the efficacy and safety of en bloc resection of total thyroid and bilateral central compartment lymph nodes via a gasless transoral approach in patients with papillary thyroid carcinoma.MethodsThis study was conducted between January 2021 and December 2021. It involved 30 patients with bilateral papillary thyroid carcinoma who had undergone en bloc resection of the total thyroid and bilateral central compartment lymph nodes via a gasless transoral approach using a three-trocar and four-instrument technique at The First Affiliated Hospital of the University of Science and Technology of China. The key steps and difficulties of the operation were summarized, and the clinicopathological characteristics and surgical complications of patients were analyzed.ResultsAll operations were successful without conversion to open surgery. The pathological diagnosis was bilateral papillary thyroid carcinoma. The mean maximum tumor diameter was 0.85 ± 0.51 cm (range 0.3–2.5 cm). There was no case of gross capsular invasion. The mean number of harvested central compartment lymph nodes was 11.36 ± 5.36. Central compartment lymph node metastases were found in 16 patients (53.3%) with a mean of 1.53 ± 2.39. On the other hand, lymphocytic thyroiditis was observed in 12 cases (40%), and microscopic capsular invasion was observed in five cases (16.6%). All patients had normal parathyroid hormone levels after the operation. However, one patient developed hoarseness after the operation due to injury of the recurrent laryngeal nerve branch, but there was no numbness of the mandible and lower lip or infection of the oral incision.ConclusionThe study revealed that the three-trocar and four-instrument technique can be used in the en bloc resection of total thyroid and bilateral central compartment lymph nodes via a gasless transoral approach without disconnecting the thyroid isthmus. As a result, the operation is considered effective and safe. Therefore, this technique may be a better surgical method for patients with bilateral thyroid cancer and cosmetic needs.

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