Development and choice of endoscopic thyroid surgery_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

LU Man , SUN Jinzhong ,  SUN Shengrong

Department of Breast and Thyroid Surgery, Renmin Hospital of Wuhan University, Wuhan 430060, P. R. China;

Corresponding?author：

SUN Shengrong, Email: sun137@sina.com

Keywords：

endoscope; thyroid surgery; surgical approach

DOI：

10.7507/1007-9424.202107097

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To summarize the development of endoscopic thyroid surgery and expound the advantages and disadvantages. Method Reviewed the domestic and foreign literatures on different ways of endoscopic thyroid surgery. Results Gagner tried accomplish subtotal parathyroidectomy with endoscope at the first time in 1996. And then, Hüscher improved the endoscope technology and applied on thyroidectomy in 1997. Henceforth, endoscopic thyroid surgery had developed rapidly, from small neck incision surgery, such as endoscopic assisted small neck incision thyroidectomy, to traceless neck surgery, such as thoraco mammary approach, areola approach, axillary approach, retroauricular approach, combined approach, etc., to traceless body surface skin surgery in recent years, such as natural cavity oral approach. Completed endoscopic surgery makes the incision scar hide or even disappear, which had attracted the attention and learning of thyroid specialist clinicians all over the world. The choice of patients was more and more broad and diverse, and all kinds of approaches had different advantages and disadvantages.Conclusions The advantages, disadvantages, indications and contraindications of various endoscopic approaches are different. According to the location differences of individual thyroid masses and the requirements for aesthetics, the most appropriate endoscopic thyroid approach is selected to achieve the optimal solution of manual approach.

Citation： LU Man, SUN Jinzhong, SUN Shengrong. Development and choice of endoscopic thyroid surgery. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2022, 29(6): 816-822. doi: 10.7507/1007-9424.202107097 Copy

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1. Gagner M. Endoscopic subtotal parathyroidectomy in patients with primary hyperparathyroidism. Br J Surg, 1996, 83(6): 875. doi: 10.1002/bjs.1800830656.
2. Hüscher CS, Chiodini S, Napolitano C, et al. Endoscopic right thyroid lobectomy. Surg Endosc, 1997, 11(8): 877. doi: 10.1007/s004649900476.
3. 李景鏵. 腔鏡輔助甲狀腺切除手術在分化型甲狀腺癌患者治療中的應用及對心理狀況的影響. 心理月刊, 2021, 16(12): 66-67.
4. Miccoli P, Pinchera A, Cecchini G, et al. Minimally invasive, video-assisted parathyroid surgery for primary hyperparathyroidism. J Endocrinol Invest, 1997, 20(7): 429-430.
5. Ohgami M, Ishii S, Arisawa Y, et al. Scarless endoscopic thyroidectomy: breast approach for better cosmesis. Surg Laparosc Endosc Percutan Tech, 2000, 10(1): 1-4.
6. 王存川, 胡友主, 楊景哥, 等. 完全乳暈入路內鏡甲狀腺切除術1例報告. 中國內鏡雜志, 2009, 15(6): 670-671.
7. Ikeda Y, Takami H, Sasaki Y, et al. Endoscopic neck surgery by the axillary approach. J Am Coll Surg, 2000, 191(3): 336-340.
8. Schardey HM, Schopf S, Kammal M, et al. Invisible scar endoscopic thyroidectomy by the dorsal approach: experimental development of a new technique with human cadavers and preliminary clinical results. Surg Endosc, 2008, 22(4): 813-820.
9. Shimazu K, Shiba E, Tamaki Y, et al. Endoscopic thyroid surgery through the axillo-bilateral-breast approach. Surg Laparosc Endosc Percutan Tech, 2003, 13(3): 196-201.
10. Choe JH, Kim SW, Chung KW, et al. Endoscopic thyroidectomy using a new bilateral axillo-breast approach. World J Surg, 2007, 31(3): 601-606.
11. Lee KE, Kim HY, Park WS, et al. Postauricular and axillary approach endoscopic neck surgery: a new technique. World J Surg, 2009, 33(4): 767-772.
12. Witzel K, von Rahden BH, Kaminski C, et al. Transoral access for endoscopic thyroid resection. Surg Endosc, 2008, 22(8): 1871-1875.
13. O’Connell DA, Diamond C, Seikaly H, et al. Objective and subjective scar aesthetics in minimal access vs conventional access parathyroidectomy and thyroidectomy surgical procedures: a paired cohort study. Arch Otolaryngol Head Neck Surg, 2008, 134(1): 85-93.
14. 高力, 謝磊, 李華, 等. 應用高頻超聲刀實施小切口無氣腔室內鏡下甲狀腺手術. 中華外科雜志, 2003, 41(10): 733-737.
15. 石剛, 董明, 任宇鵬, 等. 改良Miccoli術式與完全內鏡術式治療良性甲狀腺結節的臨床分析. 中國普通外科雜志, 2014, 23(5): 643-646.
16. 章德廣. 改良Miccoli腔鏡輔助頸側區清掃術. 中國普通外科雜志, 2017, 26(12): 1529-1535.
17. 章德廣, 高力, 謝磊, 等. 改良Miccoli手術頸側區淋巴結清掃術治療甲狀腺乳頭狀癌130例臨床分析. 中華外科雜志, 2016, 54(11): 864-869.
18. 章德廣, 陳劍, 何高飛, 等. 腔鏡上縱隔淋巴結清掃術在甲狀腺乳頭狀癌治療中的運用. 中國普通外科雜志, 2018, 27(12): 1583-1588.
19. 章德廣, 張虎. 腔鏡下甲狀腺癌上縱隔淋巴結清掃技術要點. 中國實用外科雜志, 2020, 40(9): 1100-1103.
20. Shimizu K, Akira S, Tanaka S. Video-assisted neck surgery: endoscopic resection of benign thyroid tumor aiming at scarless surgery on the neck. J Surg Oncol, 1998, 69(3): 178-180.
21. 仇明, 丁爾迅, 江道振, 等. 頸部無瘢痕內鏡甲狀腺腺瘤切除術一例. 中華普通外科雜志, 2002, 17(2): 127.
22. 中國醫師協會外科醫師分會甲狀腺外科醫師委員會, 中國研究型醫院學會甲狀腺疾病專業委員會, 海峽兩岸醫藥衛生交流協會海西甲狀腺微創美容外科專家委員會, 等. 經胸前入路腔鏡甲狀腺手術專家共識(2017版). 中國實用外科雜志, 2017, 37(12): 1369-1373.
23. 王松, 謝秋萍, 王平. 全腔鏡甲狀腺手術熱點與難點. 臨床外科雜志, 2020, 28(3): 224-226.
24. 田文, 張浩, 孫輝, 等. 甲狀腺手術切口入路、縫合技術與縫合材料選擇中國專家共識(2018版). 中國實用外科雜志, 2019, 39(1): 34-38.
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