Department of Otolaryngology Head and Neck Surgery and Maxillofacial Surgery, Tel Aviv Sourasky Medical Center, Sackler School of Medicine, Tel-Aviv University, 6 Weizman Street, 6423906, Tel Aviv, Israel.
Department of Plastic and Reconstructive Surgery, Rambam Health Care Campus, Rappaport Faculty of Medicine, Technion - Israel, Haifa, Israel.
Curr Oncol Rep. 2020 Jun 29;22(8):77. doi: 10.1007/s11912-020-00939-2.
To provide an overview of the feasibility and safety of current minimally invasive remote-access approaches for thyroid surgery, in view of the amounting new challenges and paradigm shifts in the management of thyroid pathologies.
Over the past two decades, several remote-access approaches for thyroid surgery have been developed to improve cosmesis; however, none has been widely adopted extensively in the Western world. The recently emerged transoral endoscopic thyroidectomy via vestibular approach (TOETVA) is the only true minimally invasive approach, completely avoiding skin incisions. It has a relatively short learning curve, midline surgical view, accessible surgical equipment, and relatively broad inclusion criteria with promising surgical outcomes as reported to date. TOETVA has proven to be safe and feasible for carefully selected patients. Further experience and long-term follow-up are needed to define the added value of TOETVA except for improved cosmetic outcome.
鉴于甲状腺疾病的管理中出现了越来越多的新挑战和范式转变，本文旨在概述当前微创远程入路甲状腺手术的可行性和安全性。
在过去的二十年中，已经开发出几种用于甲状腺手术的远程入路方法，以改善美容效果；然而，在西方世界，没有一种方法被广泛采用。最近出现的经前庭入路的经口内镜甲状腺切除术（TOETVA）是唯一真正的微创方法，完全避免了皮肤切口。它具有相对较短的学习曲线、中线手术视野、可及的手术设备以及相对广泛的纳入标准，迄今为止报告的手术结果有很大的前景。TOETVA 已被证明对精心挑选的患者是安全和可行的。需要进一步的经验和长期随访来确定除了改善美容效果之外，TOETVA 的附加价值。
