Endoscopic Minimally Invasive Thyroidectomy (eMIT): A Prospective Proof‐of‐Concept Study in Humans

Wilhelm, Thomas; Metzig, Andreas

doi:10.1007/s00268-010-0846-0

Cited by 182 publications

(129 citation statements)

References 43 publications

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“…The patient had no complications except for minimal neck swelling and hematoma. Given the initial positive experience with eMIT, a prospective clinical study was conducted in eight patients undergoing total and subtotal thyroidectomies (17). Three cases were converted to open due to large tumor size.…”

Section: Review Of the Literaturementioning

confidence: 99%

“…These incisions can all be placed in the oral vestibule (14) or a combination of oral vestibular and mouth floor incisions can be used (15,16). The procedure can be performed endoscopically (17) or robotically (18) depending on surgeon preference and expertise. Two recent clinical studies have indicated that transoral thyroidectomy can be safe and feasible (19,20).…”

Section: Introductionmentioning

confidence: 99%

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Robotic and endoscopic transoral thyroidectomy: feasibility and description of the technique in the cadaveric model

et al. 2017

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Background: Numerous new approaches have been described over the years to improve the cosmetic outcomes of thyroid surgery. Transoral approach is a new technique that aims to achieve superior cosmetic outcomes by concealing the incision in the oral cavity.Methods: Transoral thyroidectomy through vestibular approach was performed in two institutions on cadaveric models. Procedure was performed endoscopically in one institution, while the robotic technique was utilized at the other.Results: Transoral thyroidectomy was successfully performed at both institutions with robotic and endoscopic techniques. All vital structures were identified and preserved.Conclusions: Transoral thyroidectomy has been performed in animal and cadaveric models, as well as in some clinical studies. Our initial experience indicates the feasibility of this approach. More clinical studies are required to elucidate its full utility.

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Section: Review Of the Literaturementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Robotic and endoscopic transoral thyroidectomy: feasibility and description of the technique in the cadaveric model

et al. 2017

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“…We, therefore, intended to develop a new surgical approach allowing a scarless access for mediastinal lymph node biopsies. Evidence for such a procedure came from head and neck surgeons who evolved a transoral endoscopic access route for resection of the thyroid some years ago (10)(11)(12). Based on these finding we established this access route for mediastinal lymph node biopsies.…”

Section: Introductionmentioning

confidence: 99%

Transoral endoscopic mediastinal surgery (TOEMS)—results of a first clinical study for scarless mediastinal lymph node biopsies

et al. 2016

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Background: Video-assisted mediastinoscopy (VAM) represents the standard procedure for mediastinal lymph node biopsies. This operation results in a scar at prominent position at the anterior neck. Since there is a trend to less invasive procedures, natural orifice transluminal endoscopic surgery (NOTES) was introduced to different fields of surgery. Based on NOTES we developed a new approach for mediastinoscopy: transoral endoscopic mediastinal surgery (TOEMS). In previous studies using human cadavers and living pigs the feasibility of TOEMS was shown. It was unclear whether TOEMS could be safely applied in patients requiring mediastinal lymph node biopsies.Methods: We conducted a clinical phase I study recruiting ten patients with unclear mediastinal lymphadenopathy not resolved by prior bronchoscopy. All patients underwent TOEMS for mediastinal lymph node biopsy. The duration of the procedure and complications were monitored. In addition, all patients were examined for pain, swallowing dysfunction and sensation disturbance.Results: TOEMS was accomplished in eight patients. In two patients operation was converted to VAM due to technical problems. Mediastinal lymph nodes were dissected in all patients who finished with TOEMS. On average, two separate lymph stations were reached by TOEMS. Duration of the procedure was 159±22 min.Permanent palsy of the right recurrent laryngeal nerve was noticed in one patient postoperatively.Conclusions: This is the first report for a human application of NOTES in thoracic surgery. In fact, transoral endoscopic surgery seems to be a feasible approach for mediastinal lymph node biopsies.Further studies are needed to show whether this procedure has an advantage over VAM in terms of pain, complications and accessibility of mediastinal lymph node stations.

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“…As per my knowledge, the vestibular approach has only been implemented to resect the thyroid gland , with the clinical application of transoral transvestibular endoscopic approach in the surgical removal of the thyroid gland being reported for the first time by Wilhelm et al 1 Transoral endoscopic thyroidectomy vestibular approach (TOETVA) is currently in use in various institutions. TOETVA has been proposed, introduced and clinically performed in various countries including South Korea, Thailand, India, China, Taiwan, Singapore, USA, Mexico, Japan, Ecuador and Italy.…”

mentioning

confidence: 99%

“…TOETVA has been proposed, introduced and clinically performed in various countries including South Korea, Thailand, India, China, Taiwan, Singapore, USA, Mexico, Japan, Ecuador and Italy. [1][2][3][4] We present our opinion on the clinical procedure of TOETVA. The surgical procedure is carried out using a three-port technique at the oral vestibule, by placing one 10-mm port for a 30° endoscope and two additional 5-mm ports for the dissecting and coagulating instruments.…”

mentioning

confidence: 99%

Assisted-Endoscopic Submandibular Gland Resection Using Lateral Oral Vestibule Approach

Ramadan¹,

Registrar²

2017

Otolaryngol Open J

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Transoral approach using the floor of the mouth to resect submandibular gland has been in practice since a long time; however, the clinical application of the vestibular approach is a relatively novel approach. As per my knowledge, the vestibular approach has only been implemented to resect the thyroid gland , with the clinical application of transoral transvestibular endoscopic approach in the surgical removal of the thyroid gland being reported for the first time by Wilhelm et al.1 Transoral endoscopic thyroidectomy vestibular approach (TOETVA) is currently in use in various institutions. TOETVA has been proposed, introduced and clinically performed in various countries including South Korea,

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Endoscopic Minimally Invasive Thyroidectomy (eMIT): A Prospective Proof‐of‐Concept Study in Humans

Cited by 182 publications

References 43 publications

Robotic and endoscopic transoral thyroidectomy: feasibility and description of the technique in the cadaveric model

Robotic and endoscopic transoral thyroidectomy: feasibility and description of the technique in the cadaveric model

Transoral endoscopic mediastinal surgery (TOEMS)—results of a first clinical study for scarless mediastinal lymph node biopsies

Assisted-Endoscopic Submandibular Gland Resection Using Lateral Oral Vestibule Approach

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