Russell Jonathon O, Noureldine Salem I, Al Khadem Mai G, Tufano Ralph P
Division of Head and Neck Endocrine Surgery, Department of Otolaryngology-Head and Neck Surgery Johns Hopkins University School of Medicine Baltimore Maryland U.S.A.
Laryngoscope Investig Otolaryngol. 2016 Nov 14;1(6):175-179. doi: 10.1002/lio2.36. eCollection 2016 Dec.
Thyroid surgery has evolved throughout the years from being one of the most dangerous surgeries to becoming one of the safest surgical procedures performed today. Recent technologic innovations have allowed surgeons to remove the thyroid gland from a remote site while avoiding visible neck scars. There are many endoscopic approaches for thyroidectomy. The most common cervical approach is the minimally invasive video-assisted technique developed by Miccoli et al. The robotic transaxillary and axillary breast approaches avoid a neck scar and have been demonstrated to be safe and effective in international populations. Novel approaches under investigation include face-lift robotic thyroidectomy and the transoral approach. This article aims to provide the reader with an overview of the current minimally invasive and alternate-site approaches used and their capability to assist the surgeons in accomplishing remote-access thyroid surgery under the scope of the 2015 American Thyroid Association Guidelines.
多年来，甲状腺手术已从最危险的手术之一演变为如今最安全的手术操作之一。最近的技术创新使外科医生能够从远处部位切除甲状腺，同时避免颈部留下可见疤痕。甲状腺切除术有多种内镜手术方法。最常见的颈部手术方法是由米科利等人开发的微创视频辅助技术。机器人经腋窝和腋窝乳房入路可避免颈部疤痕，并且在国际人群中已被证明是安全有效的。正在研究的新方法包括面部提升机器人甲状腺切除术和经口入路。本文旨在为读者概述当前使用的微创和替代部位手术方法，以及它们在2015年美国甲状腺协会指南范围内协助外科医生完成远程入路甲状腺手术的能力。
