Transoral endoscopic thyroidectomy via vestibular approach: operative steps and video

Dionigi, Gianlorenzo; Bacuzzi, Alessandro; Lavazza, Matteo; Inversini, Davide; Pappalardo, Vincenzo; Boni, Luigi; Rausei, Stefano; Barczyński, Marcin; Tufano, Ralph P.; Kim, Hoon Yub; Anuwong, Angkoon

doi:10.21037/gs.2016.12.05

Cited by 50 publications

(24 citation statements)

References 9 publications

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“…A slender drainage tube made by a 6# tube specialized for drainage of pancreatic fluid is placed in the bed of the thyroid gland through the retractor hole to drain blood and fluid, followed by excluding gas and 5-0 absorbable sutures for the oral mucosa incisions. After that, the mouth was rinsed with chlorhexidine (6). P o s t o p e r a t i v e m a n a g e m e n t .…”

Section: Central Lymph Node Dissectionmentioning

confidence: 99%

Modified transoral endoscopic thyroid surgery for treatment of thyroid cancer: operative steps and video

Peng

et al. 2017

Gland Surg.

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In this video we describe a kind of modified transoral endoscopic thyroid surgery involving meticulous dissection of mental nerve. Inclusion criteria are: the diameter of benign tumors such as thyroid cyst, nodular goiter were limited less than 50 mm; the malignant thyroid tumors including follicular and papillary microcarcinoma were defined as a papillary carcinoma <2 cm in diameter and endoscopic surgery required for the patient. A 6 cm arc-shaped incision was designed at oral vestibule. The branches of mental nerves at both sides were identified and exposed carefully. A 10 mm trocar was placed at the midpoint of the vestibule. Two 5 mm trocars were separately inserted into the vestibule at lateral or medial of the medial branches of the mental nerve. Thyroidectomy and central lymph node dissection was done fully endoscopically using conventional endoscopic instruments.

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Section: Central Lymph Node Dissectionmentioning

confidence: 99%

Modified transoral endoscopic thyroid surgery for treatment of thyroid cancer: operative steps and video

Peng

et al. 2017

Gland Surg.

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“…10 With the ad-vent of transoral vestibular approach, robotic surgery has come up with surprising remarkable results. [11][12][13][14][15] Among those various approaches, transoral robotic technique has opened a novel generation of minimally invasive thyroid surgery and concomitant expansion of new instrumentation, and technology. 16 The development includes the effort to overcome the proximity of the endoscopic instruments, elimination of triangulation, tremor, internal and external crashes among instruments, restriction of movement and access to the structures.…”

Section: Introductionmentioning

confidence: 99%

Transoral Robotic Thyroidectomy: The Overview and Suggestions for Future Research in New Minimally Invasive Thyroid Surgery

Choo

You

Kim

2019

J Minim Invasive Surg

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Purpose of review: This journal introduces a overview in depth about the evolution of transoral robotic thyroidectomy, which has been encountering major confrontations in expanding its indications. Recent findings: Transoral robotic thyroidectomy (TORT) is one of the newest approaches and draws attention because of its cosmetic excellence. The major advantage of TORT is comparatively smaller flap dissection area than other remote-access methods. The other advantage of TORT is that the wounds of lips fades out over time, and leaves concealed scar near axilla. Summary: TORT can be done safely to the appropriately selected patients by surgeon expertise in robotic thyroidectomy. It might be a potential alternative surgical approach for thyroidectomy to surgeons who are experienced in remote-access robotic surgery.

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“…Among the other approaches, the transoral approach has recently become popular, and robotic systems have also been adapted accordingly . Transoral robotic thyroidectomy (TORT) uses 3 ports on the lower lip and an additional right axillary port.…”

Section: Introductionmentioning

confidence: 99%

“…8 On the other hand, BABA robotic thyroidectomy requires extensive flap dissection on the anterior chest and is difficult to perform in male patients. 9 Among the other approaches, the transoral approach has recently become popular, [10][11][12][13] and robotic systems have also been adapted accordingly. 14,15 Transoral robotic thyroidectomy (TORT) uses 3 ports on the lower lip and an additional right axillary port.…”

Section: Introductionmentioning

confidence: 99%

Comparative analysis of 2 robotic thyroidectomy procedures: Transoral versus bilateral axillo‐breast approach

Chai

Kim

Jun³

et al. 2017

Head & Neck

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Transoral endoscopic thyroidectomy via vestibular approach: operative steps and video

Cited by 50 publications

References 9 publications

Modified transoral endoscopic thyroid surgery for treatment of thyroid cancer: operative steps and video

Modified transoral endoscopic thyroid surgery for treatment of thyroid cancer: operative steps and video

Transoral Robotic Thyroidectomy: The Overview and Suggestions for Future Research in New Minimally Invasive Thyroid Surgery

Comparative analysis of 2 robotic thyroidectomy procedures: Transoral versus bilateral axillo‐breast approach

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