Transoral endoscopic thyroid surgery

• Published in: Hirurgija (Moskva) no. 12; p. 18
• Main Authors: Gryaznov, S E, Shulutko, A M, Melkonyan, G G, Semikov, V I, Tolstykh, M P, Madoyan, M R
• Format: Journal Article
• Language: Russian
• Published: Russia (Federation) 2019
• Subjects: Adult; Carcinoma, Papillary - surgery; Feasibility Studies; Female; Humans; Middle Aged; Mouth - surgery; Natural Orifice Endoscopic Surgery - adverse effects; Natural Orifice Endoscopic Surgery - methods; Thyroid Neoplasms - surgery; Thyroid Nodule - surgery; Thyroidectomy - methods; first clinical experience; transoral approach; thyroid surgery; transoral endoscopic thyroidectomy
• ISSN: 0023-1207
• DOI: 10.17116/hirurgia201912118

To analyze own initial experience of transoral thyroid surgery. There were 7 patients thyroid nodules who underwent surgery for the period from March 2018 to May 2019. All patients signed an informed consent to be included in the study. Surgical approach was performed through three incisions in the lower arch of the vestibule of the mouth with deployment of 10 mm endoscope and two 5 mm tools. Gas insufflation was used. All patients were females aged 43.3±11.8 years. Thyroidectomy was performed in 2 cases, hemithyroidectomy - in 5 patients. Dimensions of nodules varied from 10 to 42 mm. Mean time of hemithyroidectomy and thyroidectomy was 206.4±63.8 and 232±37.5 min, respectively. Papillary carcinoma was histologically verified in 1 case. Injuries of recurrent laryngeal nerve, postoperative hypocalcemia and local complications were absent. Drainage was not applied. Postoperative hospital-stay was 3.7±1.1 days. Transoral approach to the thyroid gland is technically feasible with standard endoscopic instruments, safe for important anatomical structures and more precise due to the optical capabilities of endoscopic equipment. Any types of procedures are possible. Undoubtedly, aesthetic outcome is also favorable.