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Updated: Jan 23, 2026
05:12
Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
Published on: May 12, 2023
4.8K
Current status of endoscopic thyroid surgery in China
Wei Zhang1, Dao-zhen Jiang, Sheng Liu
118F Minimally Invasive Surgical Center of Changzheng Hospital affiliated to Second Military Medical University, Shanghai, China.
Summary
Breast approach endoscopic thyroidectomy (BAET) is a popular thyroid surgery in China, offering a safe cosmetic option. While technically demanding, training can overcome the learning curve for this effective procedure.
Area of Science:
- Endocrinology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Video-assisted thyroidectomy and scarless endoscopic thyroidectomy emerged in China in the early 2000s.
- Breast approach endoscopic thyroidectomy (BAET) is now a prevalent thyroid surgery technique in China.
Purpose of the Study:
- To evaluate the safety, efficacy, and technical advancements of BAET in Chinese patients.
- To assess the feasibility of BAET for thyroid malignancy treatment.
Main Methods:
- Review of large case series on BAET procedures performed in China.
- Analysis of technical improvements in incision selection, workspace creation, and bleeding control.
- Assessment of surgical stress and outcomes for benign and malignant thyroid conditions.
Main Results:
- BAET is confirmed as a safe procedure for thyroid disease management.
- Significant technical contributions have refined BAET, including incision techniques and bleeding control.
- While feasible for malignancy, BAET requires further large-scale studies and extended follow-up.
Conclusions:
- BAET is a safe and increasingly refined endoscopic surgical option for thyroid disease in China.
- The procedure has a notable learning curve, manageable through dedicated training.
- Further research is necessary to establish BAET as a standard for treating thyroid cancer.
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