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Transoral endoscopic thyroid surgery via the tri‐vestibular approach with a hybrid space‐maintaining method: A preliminary report

2018; Wiley; Volume: 40; Issue: 8 Linguagem: Inglês

10.1002/hed.25157

1097-0347

Yong Wang, Ziyi Zhang, Qunzi Zhao, Qiuping Xie, Haichao Yan, Xing Yu, Cheng Xiang, Maolin Zhang, Ping Wang,

Head and Neck Anomalies

Abstract Background Transoral endoscopic thyroid surgery has been introduced in a few institutions. The purpose of this study was to present an innovative hybrid space‐maintaining method for the tri‐vestibular approach. Methods Eighteen consecutive patients underwent transoral endoscopic thyroidectomy. Three incisions were made in the vestibule. The surgical space was maintained with CO 2 insufflation along with a suspension device. Thyroidectomy and central neck dissection (CND) were performed safely and effectively. Results The mean operation time was 124 minutes for a simple lobectomy, subtotal thyroidectomy, and isthmectomy in 8 patients, 172 minutes for hemithyroidectomy with ipsilateral CND in 8 patients, and 205 minutes for total thyroidectomy with ipsilateral CND in 7 patients. Transient superior laryngeal nerve (SLN) injury occurred in 3 patients and transient mental nerve injury was found in 1 patient. No evidence of recurrence or metastasis was found at follow‐up. Conclusion This approach brings satisfactory cosmetic effect along with minimal invasion. Further study is needed to verify its validity.