Pai Vishwanath M, Muthukumar Pari, Prathap Apoorva, Leo Jayanth, A Rekha
Department Of General Surgery, Sri Ramachandra Medical College, Chennai, India.
Int J Surg Case Rep. 2015;12:99-101. doi: 10.1016/j.ijscr.2015.04.010. Epub 2015 Apr 8.
Endoscopic thyroidectomy, initially an experimental procedure, is now being performed in increasing frequency. It aims to provide patients undergoing thyroidectomy with a 'scar-free' surgery. Transoral endoscopic thyroidectomy is one such novel procedure that is based on the principles of natural orifice translumenal surgery (NOTES) and allows for a truly scar-free surgery with minimal dissection.
A 21-year-old female presented with a swelling over the left side of her neck. Ultrasound revealed a solitary nodule and FNAC showed features suggestive of a follicular adenoma.
The patient underwent transoral endoscopic hemi-thyroidectomy. The procedure lasted for 2h and is one of the few documented cases of transoral endoscopic thyroidectomy performed on live patients.
Transoral endoscopic thyroidectomy is proving to be a feasible technique with little or no complications as compared to other endoscopic thyroid surgeries. It provides surgeons with easy access to the thyroid gland and patients with aesthetically pleasing results.
内镜甲状腺切除术最初是一种实验性手术，如今其实施频率日益增加。它旨在为接受甲状腺切除术的患者提供“无瘢痕”手术。经口内镜甲状腺切除术就是这样一种基于自然腔道内镜手术（NOTES）原则的新颖手术，可实现真正的无瘢痕手术且解剖操作最少。
一名21岁女性，颈部左侧出现肿胀。超声检查发现一个孤立结节，细针穿刺抽吸活检（FNAC）显示具有滤泡性腺瘤的特征。
该患者接受了经口内镜半甲状腺切除术。手术持续了2小时，是少数有记录的对活体患者实施经口内镜甲状腺切除术的病例之一。
与其他内镜甲状腺手术相比，经口内镜甲状腺切除术已被证明是一种可行的技术，并发症很少或没有。它为外科医生提供了易于进入甲状腺的途径，给患者带来美观的效果。
