Single‐port endoscopic thyroidectomy via a submental approach: Report of an initial experience

Ding, Zheng; Deng, Xianzhao; Fan, Yu; Wu, Bo

doi:10.1002/hed.23213

Cited by 12 publications

(10 citation statements)

References 22 publications

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“…The surgical methods of radical surgery of thyroid cancer contained the traditional open surgery with Kocher's incision and the cosmetic surgery. Cosmetic surgery for thyroid tumor surgeries include ultrasound-guided ablation ( 8 ), minimally invasive video-assisted thyroidectomy ( 9 , 10 ), endoscopic surgery with incision far from the neck ( 11 – 13 ) and endoscopic surgery via natural orifices ( 12 , 13 ). In terms of cosmetics and minimally invasive effects, ultrasound-guided ablation has the most ideal qualities.…”

Section: Discussionmentioning

confidence: 99%

Complete endoscopic radical resection of thyroid cancer via an oral vestibule approach

et al. 2018

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The aim of the present study was to explore the feasibility, safety and effectiveness of complete endoscopic radical resection of thyroid cancer via an oral vestibule approach. A total of 60 patients with unilateral thyroid papillary carcinoma were divided into two groups. Half of them underwent complete endoscopic surgeries via an oral vestibule approach at the Department of Head and Neck Surgery of Fujian Cancer Hospital between November 2014 and December 2016. The other 30 patients underwent traditional open surgeries. All the patients underwent unilateral lobectomy and central neck dissection. Tumor diameter, surgery duration, intraoperative inflation pressure and end-tidal CO2 flow rate, intraoperative peak value of the partial pressure of end-tidal CO2, postoperative extubation time, the number of lymph nodes in the specimens of central neck dissection and postoperative complications were noted. From this data, tumor diameter (T stage of tumor), surgery duration, postoperative extubation time, the number of lymph nodes in the specimens of central neck dissection and postoperative complications were compared between the two groups. In the endoscopic group, 1 patient had a tracheal injury, and 1 patient had a submental skin perforation. Furthermore, 17 patients experienced transient numbness of the lower lip, 5 patients experienced an abnormal increase in the partial pressure of end-tidal CO2, and 2 patients experienced postoperative headache. No recurrent laryngeal nerve injury, postoperative bleeding, or infection was determined. There were no significant differences in all items of the indexes, compared with those patients who underwent open radical surgery. The lymph nodes from region VI may be well exposed and completely removed through this novel procedure with no visible scars, which not only ensured the surgery criterion was met, but also met the cosmetic requirements of the patients. The present study conducted procedures safely by surgeons highly skilled in performing laparoscopic surgery.

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Section: Discussionmentioning

confidence: 99%

Complete endoscopic radical resection of thyroid cancer via an oral vestibule approach

et al. 2018

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“…In 1997, Hüscher et al first performed endoscopic thyroidectomy (ET) 5. Since then, various ET approaches have evolved, such as breast,6 axillary,7 axillobreast,8 submental9 and oral cavity approaches 10. However, endoscopic techniques present some difficulties in obtaining adequate surgical views because of the small working space and two-dimensional operative views 11.…”

Section: Introductionmentioning

confidence: 99%

Total endoscopic thyroidectomy versus conventional open thyroidectomy in thyroid cancer: a systematic review and meta-analysis

Chen¹,

Huang²,

Jia³

et al. 2018

TCRM

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BackgroundDespite the considerable experience gained thus far using endoscopic technologies, the role of total endoscopic thyroidectomy (ET) for papillary thyroid cancer (PTC) remains controversial. We conducted a systematic review and meta-analysis to investigate the safety and effectiveness of total ET compared with conventional open thyroidectomy (OT) in PTC.MethodsA systematic search was conducted using the PubMed, Embase and Cochrane Library electronic databases up to March 2018. The quality of included studies was evaluated using the Newcastle–Ottawa Scale. Review Manager software version 5.3 was used for the meta-analysis.ResultsTwelve studies including 2,672 patients were ultimately included in the systematic review and meta-analysis. ET was associated with longer operative time (P<0.00001), drainage time (P<0.00001) and hospital stay (P=0.03), higher transient recurrent laryngeal nerve (RLN) palsy rate (P=0.004) and a greater amount of drainage fluid (P<0.0001) compared with OT. Furthermore, no significant differences were detected between ET and OT in terms of retrieved lymph nodes (P=0.17), blood loss (P=0.22), transient hypocalcemia (P=0.84), permanent hypocalcemia (P=0.58), permanent RLN palsy (P=0.14), hematoma or bleeding (P=0.15) and seroma (P=0.54). In addition, the rates of tumor recurrence were comparable (P=0.18), whereas the proportions of stimulated thyroglobulin levels <1 ng/mL measured after completion of thyroidectomy and radioactive iodine therapy were less (P=0.02) in the ET than in the OT group.ConclusionET is not superior to OT in terms of operation and drainage time, amount of drainage fluid, hospital stay or transient RLN palsy, but is comparable to OT in terms of retrieved lymph nodes and permanent complications. Despite the similar tumor recurrence rates between the two approaches, the level of surgical completeness in ET may not be as good as that for OT.

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“…Trans‐submental single‐port endoscopic thyroidectomy (TSSPET) was studied in a porcine model. The major advantages are the avoidance of both extensive dissection in extracervical area and a conspicuous scar in the natural neck position . However, there was no human study for this approach.…”

Section: Discussionmentioning

confidence: 99%

Postauricular–submental approach endoscopic thyroidectomy

Piromchai

Wijakkanalan

Teeramatwanich

et al. 2016

Clinical Otolaryngology

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Single‐port endoscopic thyroidectomy via a submental approach: Report of an initial experience

Abstract: Our initial experience demonstrates that the TSSPET is feasible and safe for selected patients. Nevertheless, large series and comparative studies could be necessary to further confirm its effectiveness.

Cited by 12 publications

References 22 publications

Complete endoscopic radical resection of thyroid cancer via an oral vestibule approach

Complete endoscopic radical resection of thyroid cancer via an oral vestibule approach

Total endoscopic thyroidectomy versus conventional open thyroidectomy in thyroid cancer: a systematic review and meta-analysis

Postauricular–submental approach endoscopic thyroidectomy

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