Complete Endoscopic Thyroidectomy via Oral Vestibular Approach Versus Areola Approach for Treatment of Thyroid Diseases

Yang, Jingge; Wang, Cunchuan; Li, Jinyi; Yang, Wah; Guo, Chunmei; Wong, Hong-Meng; Zhai, Hening; Liu, Weijun

doi:10.1089/lap.2015.0026

Cited by 78 publications

(71 citation statements)

References 26 publications

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“…Yang et al (18) compared in 2015 the complete endoscopic thyroidectomy via oral vestibular approach versus areola approach for treatment of thyroid diseases in patients. Aim of this study was to evaluate the feasibility, safety, and cosmetic results of 41 endoscopic thyroidectomies via the oral vestibular approach (ETOVA) compared with 41 endoscopic thyroidectomies via the areola approach (ETAA) in patients with thyroid diseases.…”

Section: Reported Techniques For Transoral Thyroid Surgerymentioning

confidence: 99%

Endoscopic thyroidectomy: the transoral approach

Witzel¹,

Hellinger

Kaminski³

et al. 2016

Gland Surg.

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Transoral endoscopic thyroid surgery seems to be the logical consequence in the evolution of thyroid surgery. Animal and cadaver studies have shown that different endoscopic techniques can be performed in a safe and successful way. Presently, the minimally invasive aspect and cosmetic advantage seem to be the most important factor for the patients. However, even if these procedures are feasible in patients, the transoral access must still be considered as experimental. In this study then we aim at comparing the available literature on transoral thyroid surgery with our own experience in this field. The access itself needs to be further refined, and even more suitable and better adapted instruments need to be developed so that optimal and safe results that meet all requirements on endocrine surgery can be achieved and all requirements for endocrine surgery are met. The transoral thyroidectomy should only be performed in highly specialized centres for endocrine and endoscopic surgery. As an alternative, a combination with endoscopic non-transoral techniques-so called hybrid techniques-might be useful for our patients.

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Section: Reported Techniques For Transoral Thyroid Surgerymentioning

confidence: 99%

Endoscopic thyroidectomy: the transoral approach

Witzel¹,

Hellinger

Kaminski³

et al. 2016

Gland Surg.

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“…If the bleeding is already difficult to control, or the substernal thyroid undergoes breakage, then, an intraoperative conversion to open surgery should be performed as early as possible so as to ensure hemostasis, surgical safety and complete resection of the substernal portion to avoid postoperative recurrence. We have reported laparoscopic thyroidectomy via the oral vestibular approach [15,16], and we believed such surgery would have unique advantages in substernal thyroidectomy.…”

Section: Surgical Difficulties and Strategiesmentioning

confidence: 99%

Strategies of laparoscopic thyroidectomy for treatment of substernal goiter via areola approach

Wang

Sun

et al. 2016

Surg Endosc

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“…Furthermore, TONS provides excellent visualization of the bilateral RLN’s near their insertion into the larynx. This view is familiar to most experienced endocrine surgeons, and provides a favorable angle of dissection along the plane of the nerve (Figure 3), and allows for optimal visualization when transposing the nerve on the right, thus facilitating a true comprehensive CND (19–26,34,35,37). Finally, we have found that there is enhanced visualization and magnification of the parathyroid glands with TONS, aiding in their preservations and prevention of hypoparathyroidism, which is of particular concern, given the reported incidence of temporary hypoparathyroidism of 14–40% after CND (38–40).…”

Section: Technical Advantagesmentioning

confidence: 99%

“…When utilized for other procedures, transoral neck surgery (TONS) offers direct access to the bilateral thyroid beds as opposed to the lateral or inferior entry point of other remote access approaches. TONS has been utilized successfully in the performance of thyroidectomy, parathyroidectomy, and central neck dissection (CND) via both the endoscopic and robotic techniques (19–26). In this review, we highlight the indications, operative technique, and technical advantages of CND via TONS in comparison to other minimally invasive and remote access approaches to the central neck.…”

Section: Introductionmentioning

confidence: 99%

Central neck dissection via the transoral approach

et al. 2017

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There has been a strong impetus for the development of remote access approaches to the central neck. The primary motivation for this has been to alleviate the negative impact that some patients may perceive from a central neck scar. Numerous approaches have been described; however the only approach that provides midline access and equivalent visualization of the bilateral thyroid lobes and paratracheal basins is transoral neck surgery (TONS). TONS has been shown to be safe and effective in performing thyroidectomy, parathyroidectomy, and central neck dissection (CND) via both the endoscopic and robotic techniques. In contrast with other remote access techniques, it provides the surgeon with familiar views of the bilateral recurrent laryngeal nerves (RLN) at their insertion site in concert with equivalent access to both paratracheal basins, thus uniquely facilitating safe and comprehensive CND. Though feasible and safe, CND via TONS is not appropriate in all cases. CND via TONS should only be performed with concomitant transoral total thyroidectomy, either prophylactically if the surgeon routinely performs prophylactic CND, or therapeutically if there is newly found evidence of nodal metastasis in the central compartment at the time of surgery. We base these recommendations on both the recent American Head and Neck Society (AHNS) consensus statement for indications for transcervical CND and the baseline indications for TONS.

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Complete Endoscopic Thyroidectomy via Oral Vestibular Approach Versus Areola Approach for Treatment of Thyroid Diseases

Cited by 78 publications

References 26 publications

Endoscopic thyroidectomy: the transoral approach

Endoscopic thyroidectomy: the transoral approach

Strategies of laparoscopic thyroidectomy for treatment of substernal goiter via areola approach

Central neck dissection via the transoral approach

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