Comparison between Transareola Singlesite Endoscopic Thyroidectomy and Minimally Invasive Video-assisted Thyroidectomy

Abstract

Patients treated with TASSET had superior cosmetic results compared with those treated with MIVAT.

Transareola Single-Site Endoscopic Thyroidectomy: Clinical Study of 28 Cases with Thyroid Nodules

“…These results are in accordance with previous studies. 11,12 In conclusion, transareola single-site endoscopic thyroidectomy is safe and feasible and has the advantages of a covert incision, minor subcutaneous separation area, and high cosmetic satisfaction. With the increased number of patients undergoing such surgery, the duration of operation will be shortened.…”

“…10 Because of the presence of these disputes, transareola single-site endoscopic thyroidectomy was designed in 2012 and has been demonstrated to be associated with improved cosmetic results and minimal invasiveness. 11,12 In this study, we report a further 28 cases who underwent transareola single-site endoscopic thyroidectomy in Fengxian Central Hospital (Shanghai, China) from January 2010 to April 2012. Good therapeutic outcomes were achieved, and no one was converted to an open approach.…”

Transareola Single-Site Laparoendoscopic Bilateral Thyroidectomy

“…7, 8 We successfully performed transareola single-site endoscopic unilateral thyroidectomy in patients and established promising modality. 9 With an increase in experience, we gradually expanded surgical indications and performed transareola single-site endoscopic bilateral thyroidectomy in selected cases. Transareola single-site endoscopic thyroidectomy is performed in a unidirectional view and a single channel.…”

“…Several studies have reported advantages of transareola single-site endoscopic thyroidectomy for a unilateral thyroid nodule compared with open thyroidectomy or minimally invasive video-assisted thyroidectomy, including better cosmetic results, a lower rate of postoperative complications, and better completion rate for surgery. [7][8][9] However, transareola single-site endoscopic bilateral thyroidectomy remains a technically challenging procedure. Because dissection of the bilateral thyroid nodules needs to cross the trachea, the two-dimensional visual representation and use of nonflexible endoscopic instruments can make it difficult to visualize the surgical field adequately and to manipulate instruments.…”

Learning curve of trans‐areola single‐site endoscopic thyroidectomy in a high‐volume center: A CUSUM‐based assessment

“…On the basis of oncological radicality and safety, as proposed by the evidence‐based practices of enhanced recovery after surgery, 14 real minimal invasion also plays a critical part in enhanced recovery 15 . Trans‐areolar single‐site endoscopic thyroidectomy (TASSET) only leaves a tiny unilateral incision and minimizes the subcutaneous dissection area 11,13 . Nevertheless, due to technical challenges, this practice is rarely attempted, and only a limited number of cases have been reported 16 .…”