The Feasibility of a Prototype Thyroidoscope for Gasless Transoral Endoscopic Thyroidectomy: A Preclinical Cadaver Study

Park, Jun‐Ook; Wang, Soo-Geun; Park, Dahee; Bae, In-Ho; Lee, Jin‐Choon; Lee, Byung‐Joo; Shin, Sung‐Chan

doi:10.1089/lap.2019.0107

Cited by 6 publications

(4 citation statements)

References 7 publications

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“…However, due to the special characteristics of the oral vestibule, traditional laparoscopic surgical instruments are not suitable for gasless TOETVA, one of the difficult imports is instrument interference (17). In fact, only a few studies with small samples supported the safety and efficacy of gasless TOETVA (5,18,19).…”

mentioning

confidence: 99%

Novel Trocars and Suspension System Application in Gasless Transoral Endoscopic Thyroidectomy Vestibular Approach Oral Endoscopic Surgery

et al. 2021

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In the current study, we reported our initial experience of gasless transoral endoscopic thyroidectomy vestibular approach (TOETVA) by novel trocars and a suspension system. Between February 2019 to September 2020, thyroid cancer patients with indicated central lymph node metastasis by imaging examination who had received gasless TOETVA by our designed trocars and suspension system in The First Affiliated Hospital of University of Science and Technology of China were reviewed. A total of 95 thyroid cancer patients that received gasless TOETVA were included in this analysis. Of note, 73 cases underwent one-sided lobectomy and the remaining 22 cases underwent total thyroidectomy. All thyroid cancer patients underwent central lymph node dissection (CND). The average total examined lymph nodes number was 8.55 ± 5.67 per individual. No serious complications occurred during or after the operation besides one patient who had a short-term recurrent laryngeal nerve (RLN) deficit and one patient who had delayed postoperative bleeding. In conclusion, the use of novel trocars and a suspension system can effectively improve the safety and efficacy of TOETVA.

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confidence: 99%

Novel Trocars and Suspension System Application in Gasless Transoral Endoscopic Thyroidectomy Vestibular Approach Oral Endoscopic Surgery

et al. 2021

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“…Previously, ET mostly applies to benign thyroid lesions, yet remains controversial due to problems in protecting RLN and parathyroid gland in procedure, and few reports are available on the curative effects by this technique in malignant thyroid condition ( 4 , 11 , 12 ). In this study, we tentatively collected the clinical reports on endoscopic dissection of thyroid carcinomas published between January of 2005 and 2019 for a meta-analysis.…”

Section: Discussionmentioning

confidence: 99%

“…With extensive research on and maturity of endoscopy, endoscopic thyroid surgery has been applied to the treatment of practically all benign thyroid conditions including Graves’ disease, and even thyroid malignancy ( 8 - 10 ). As compared with conventional open thyroidectomy (COT), endoscopic thyroidectomy (ET) has remained controversial due to its inability in protecting recurrent laryngeal nerve (RLN) and parathyroid gland, though this procedure can lead to both treatment purpose and optimal cosmetic results ( 4 , 11 , 12 ). Although some meta-analyses have been done on the safety and possibility of endoscopic resection of thyroid tumors, yet cases included in previous studies are mostly limited to benign tumors.…”

Section: Introductionmentioning

confidence: 99%

Comparison of safety and efficacy between total endoscopic resection and conventional open surgery for malignant thyroid tumors: a meta-analysis

Mo¹,

Meng²,

Yang³

et al. 2020

Transl Cancer Res TCR

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Background Endoscopic thyroidectomy (ET) has been widely accepted as a surgical option for benign thyroid lesions, yet remains controversial in the treatment of malignant thyroid because of concerns with the safety and efficacies. This paper aims at systematically evaluating the advantages and disadvantages of ET in malignant thyroid tumors through meta-analyses. Methods Meta-analysis was conducted by retrieving all studies on the treatment of malignant thyroid carcinomas released in database, including PubMed, Web of Science, Cochrane and Google scholar, from January 2005 to January 2019. Then the safety and efficacies were compared between the two surgical modalities based on current reports. Results Totally, 3,482 cases were included in 11 related studies. Most adverse outcomes by ET were involved in transient or permanent recurrent laryngeal nerve paralysis (RLN) and hypocalcemia, postoperative total complications, hemorrhage, hematoma at the incision, and total relapse rate following surgery. Besides, ET led to higher incidence of transient RLN palsy, yet significantly lower transient hypocalcemia than conventional open thyroidectomy (COT). The difference was insignificant regarding transient or permanent RLN and hypocalcemia, total postoperative complications, postoperative hemorrhage, incisional hematoma and total recurrent rate between the two procedures. Secondary outcomes consisted of operative time, hospital stay and cosmetic results, by which COT was superior to ET, yet cosmetic incision was better by ET than by COT. There was no significant difference in hospital stay. Conclusions ET can be feasible and safe surgical option for malignant thyroid lesions, with better cosmetic effect.

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“…Gasless TOETVA has been only sparsely investigated. The gasless techniques published involve engaging and retracting the skin of the neck with Kirschner wires 4 or using bulky devices 5 that offer an additional challenge to the operating surgeon in the limited space available.…”

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confidence: 99%

Cadaveric Evaluation of a Device Supporting Gasless Transoral Endoscopic Thyroidectomy

et al. 2020

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The Feasibility of a Prototype Thyroidoscope for Gasless Transoral Endoscopic Thyroidectomy: A Preclinical Cadaver Study

Cited by 6 publications

References 7 publications

Novel Trocars and Suspension System Application in Gasless Transoral Endoscopic Thyroidectomy Vestibular Approach Oral Endoscopic Surgery

Novel Trocars and Suspension System Application in Gasless Transoral Endoscopic Thyroidectomy Vestibular Approach Oral Endoscopic Surgery

Comparison of safety and efficacy between total endoscopic resection and conventional open surgery for malignant thyroid tumors: a meta-analysis

Cadaveric Evaluation of a Device Supporting Gasless Transoral Endoscopic Thyroidectomy

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