Development of Transoral Thyroid Surgery: Past, Present and Future

Pornpeera Jitpratoom ； Pakpoom Tirawattanakul ； Isariya Jongekkasit ； Angkoon Anuwong ； Tsung-Lin Yang

《International Journal of Head and Neck Science》 3卷3期 (2019/09) Pp. 152-158

https://doi.org/10.6696/IJHNS.201909_3(3).0004

摘要

Background: Open thyroidectomy has been developed and safely practiced for one century. Although an incision created through the anterior neck offers adequate surgical exposure and access, it unavoidably leaves a scar that may hamper the esthetic outcome of thyroidectomy. Many surgical methods have been developed to avoid the scars over the anterior neck by designing remote-access approaches. Methods: A literature review Results: Transoral thyroidectomy has been one of the widely used surgical technique worldwide. No matter using endoscopic instruments or robotic surgical systems, transoral thyroidectomy can be successfully performed with surgical safety, excellent esthetical outcomes, low complication rates, and oncologically sound results. Development of transoral thyroidectomy has evolved from several fundamental surgical approaches and techniques, and is shaped into the current setting based on the contribution of experienced surgeons and evidence from clinical studies. Conclusions: Transoral thyroid surgery is popularized worldwide during these years, with increased number of patients treated. Further clinical trials will be conducted to verify the comprehensive utility of applying transoral approach for treating thyroid diseases.

關鍵字

Thyroidectomy ； transoral ； robotic surgery ； transoral endoscopic thyroidectomy vestibular approach ； natural orifice transluminal endoscopic surgery