Chand Gyan, Johri Goonj, Mishra S K
Department of Endocrine Surgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, 226014 U.P. India.
Indian J Otolaryngol Head Neck Surg. 2018 Mar;70(1):162-166. doi: 10.1007/s12070-017-1174-6. Epub 2017 Aug 10.
Endoscopic surgery is now standard of care for different Endocrine Disorders; the endoscopic thyroid surgery is becoming more popular and different approaches has been practice by many thyroid surgeon worldwide. Trans-orovestibular approach, based on the principle of natural orifice transluminal surgery is truly scar free thyroid surgery and has minimal dissection. We are presenting here three cases of benign solitary thyroid nodule operated endoscopically through trans-oro-vestibular approach in one male and two female patients. Described about the approach, challenges during surgery and outcome. These surgeries documented very few in literatures in live human patients. Transoral endoscopic thyroid surgery through vestibular approach is shortest and direct remote access approach. The need of limited dissection in this approach provides less complication and excellent cosmetic outcome in strictly selected patients.
内镜手术现已成为不同内分泌疾病的标准治疗方法；内镜甲状腺手术越来越受欢迎，世界各地的许多甲状腺外科医生都采用了不同的手术方法。经口前庭入路基于自然腔道内镜手术的原则，是真正无瘢痕的甲状腺手术，且解剖范围最小。我们在此展示三例通过经口前庭入路进行内镜手术的良性孤立性甲状腺结节病例，其中一例为男性患者，两例为女性患者。描述了手术入路、手术中的挑战及结果。此类手术在真实人类患者中的文献记载非常少。经口前庭入路的经口内镜甲状腺手术是最短且直接的远程入路方法。该入路所需的有限解剖在严格挑选的患者中并发症较少且美容效果极佳。
