Vidal Oscar, Saavedra-Perez David, Vilaça Jaime, Pantoja Juan Pablo, Delgado-Oliver Eduardo, Lopez-Boado Miguel Angel, Fondevila Constantino
Servicio de Cirugía General y del Aparato Digestivo, Instituto Clínic de Enfermedades Digestivas y Metabólicas (ICMDiM), Hospital Clínic de Barcelona, Universidad de Barcelona, IDIBAPS, Barcelona, España.
Servicio de Cirugía General y del Aparato Digestivo, Instituto Clínic de Enfermedades Digestivas y Metabólicas (ICMDiM), Hospital Clínic de Barcelona, Universidad de Barcelona, IDIBAPS, Barcelona, España.
Cir Esp (Engl Ed). 2019 Jun-Jul;97(6):305-313. doi: 10.1016/j.ciresp.2019.03.010.
Minimally invasive approaches for endocrine surgery of the neck are the result of efforts by several surgeons to extrapolate to neck surgery the proven benefits of minimally invasive techniques from other regions of the body, including less pain, morbidity and hospital stay. However, the main argument that led to the introduction of these techniques was the improvement of esthetic results. Endoscopic and robotic remote-access endocrine neck approaches through small incisions have been developed over the last 25 years and are constantly being refined. The objective of this review is to determine the current state of the literature through a systematic evaluation of the different techniques available in minimally invasive endocrine surgery of the neck, either with or without remote access, by describing their main characteristics and evaluating their advantages, disadvantages and controversies, while discussing their role and future in neck surgery.
颈部内分泌手术的微创方法是几位外科医生努力的结果，他们将微创技术在身体其他部位已被证实的益处（包括疼痛减轻、发病率降低和住院时间缩短）推广到颈部手术中。然而，引入这些技术的主要理由是改善美学效果。在过去25年中，已经开发出了通过小切口进行的内镜和机器人远程接入式颈部内分泌手术方法，并且这些方法也在不断完善。本综述的目的是通过系统评估颈部微创内分泌手术中可用的不同技术（无论有无远程接入）的当前文献状况，描述其主要特征，评估其优点、缺点和争议点，同时讨论它们在颈部手术中的作用和未来发展。
