Sessa Luca, Lombardi Celestino Pio, De Crea Carmela, Raffaelli Marco, Bellantone Rocco
Istituto di Semeiotica Chirurgica, U.O. Chirurgia Endocrina e Metabolica, Università Cattolica del Sacro Cuore, Policlinico A. Gemelli, L.go A. Gemelli 8, 00168, Rome, Italy.
Updates Surg. 2017 Jun;69(2):199-204. doi: 10.1007/s13304-017-0467-3. Epub 2017 Jun 15.
During the last two decades, several minimally invasive approaches for endocrine neck surgery have been developed. Minimally invasive video-assisted approaches (minimally invasive video-assisted parathyroidectomy and minimally invasive video-assisted thyroidectomy) gained a quite large worldwide diffusion, maybe because these techniques combine the advantages related to the endoscopic magnification with those due to the close similarity with the conventional surgery that makes these surgical approaches reproducible and feasible in different surgical settings. Several comparative studies have demonstrated the advantages of minimally invasive video-assisted neck surgery in terms of reduced postoperative pain, better cosmetic result, and higher patients' satisfaction over the conventional endocrine neck surgery. An accurate patients' selection plays a key role to ensure the success of minimally invasive video-assisted approaches. To date, in selected cases and in experienced Center, minimally invasive video-assisted endocrine neck surgery could be considered the standard treatment or at least a safe and effective surgical option.
在过去二十年中，已经开发出几种用于颈部内分泌手术的微创方法。微创视频辅助方法（微创视频辅助甲状旁腺切除术和微创视频辅助甲状腺切除术）在全球范围内得到了广泛应用，这可能是因为这些技术将内镜放大的优势与与传统手术高度相似的优势相结合，使得这些手术方法在不同的手术环境中具有可重复性和可行性。多项比较研究表明，与传统的颈部内分泌手术相比，微创视频辅助颈部手术在减轻术后疼痛、改善美容效果和提高患者满意度方面具有优势。准确的患者选择对于确保微创视频辅助方法的成功起着关键作用。迄今为止，在特定病例和经验丰富的中心，微创视频辅助颈部内分泌手术可被视为标准治疗方法，或者至少是一种安全有效的手术选择。
