Trans-oral glasses-free three-dimensional endoscopic thyroidectomy—preliminary single center experiences

Abstract

Glass-free three-dimensional (3D) endoscopic provide excellent depth perception without decreasing light quality and fog formation. Herein we report our first case-serial of trans-oral endoscopic thyroidectomy by means of our newly developed glasses-free 3D endoscopic system. Four patients with thyroid goiter undergone trans-oral glasses-free 3D endosocpic thyroidectomy were reviewed. Mean BMI of these patients was 20.98±2.91 kg/m. The dominate nodule of the thyroid was no more than 5 cm in diameter in all patients. Operation duration was 189.00±39.14 min, and mean Intraoperative blood loss was 7.50±2.89 mL. No postoperative complications were observed. All patients were satisfied with the cosmetic result. The use of a glasses-free 3D system in trans-oral endoscopic thyroidectomy is safe and effective. The clear image casted to the surgeon can greatly facilitate precise surgical movement and reduce eye fatigue. Further comparative studies should be conducted to confirm our conclusions.

Transoral Endoscopic Thyroidectomy: A Systematic Review of the Practice So Far

“…The studies reviewed sum to a total of 785 patients of which 713 (91%) were female and 68 (8%) were male. Zeng et al 23 did not specify the gender of the 4 participants in their study. The weighted mean age of the patients in the included studies was 35 years.…”

“…Altogether there were 396 hemithyroidectomies, 249 total thyroidectomies, 10 isthmusectomies, and 31 subtotal thyroidectomies. Zeng and his colleagues 23 did not indicate what type of thyroidectomy their 4 participants underwent ( Table 1 ).…”

“… 24 – 37 The other 2 lacked detail and focus and were therefore considered to be of fair quality. 23 , 38 …”

“…This approach involves a central 10-mm port that is used to accommodate the endoscope and two 5-mm ports inserted at the junction between the incisors and canine bilaterally; these ports are used as routes of access for the working instruments. 24 – 29 , 31 – 36 , 38 Zeng et al 23 modified this technique by using a central 12-mm port. The only exceptions to this approach are presented by Wilhelm et al and Fu et al 30 , 37 Both of these groups used the floor of mouth as the access point for the 10-mm port that received the endoscope.…”

Three‐dimensional laparoscopy‐assisted bowel resection for cavernous hemangioma of the rectum: Report of two cases

“…There may be so few 2-D studies because the 2-D imaging systems currently in use restrict depth perception (8), and this limitation can increase the risk of surgery. Moreover, high-definition 3-D imaging systems offer a maximum of four times the magnification effect of 3-D systems and can maximize the accuracy of the surgical operation (10). However, the emergence of 3-D laparoscopy has played an important role in promoting change in how colorectal surgery is approached.…”