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Updated: Apr 16, 2026

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
Published on: May 12, 2023
[Preliminary report on meticulous operation of thyroid lobectomy]
Shanchun Gong1, Haidong Zhang1, Yaqun Liu1
1Department of Otolaryngology Head and Neck Surgery, Southeast University Medical College, Affiliated Nanjing Tongren Hospital, Nanjing 211102, China.
Objective:
Thyroid lobectomy can be programmed to operate as "step by step". Each step must be performed meticulously with quality control, so as to minimize the complications of surgery.
Methods:
From May 2013 to Auguest 2014, the meticulous thyroid operation was conducted in 72 cases (144 lobectomies). Pre- and post-operative evaluations by strobe laryngoscopy, parathyroid hormone (PTH), and blood calcium examinations were conducted in all cases.
Results:
Four cases (5.6%) had transient recurrent laryngeal nerve paralysis after surgery, but no permanent recurrent laryngeal nerve paralysis. There was no transient or permanent superior laryngeal nerve paralysis. Transient hypoparathyroidism occurred in 10 cases, with no permanent hypoparathyroidism. No case presented with postoperative bleeding or infection.
Conclusions:
"Meticulous operation of thyroid lobectomy" may minimize effectively the complication of surgery.

