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Natural Orifice Total Transtracheal Endoscopic Thyroidectomy Surgery: First Reported Experiment
Enyu Liu1, Abdul Qadir Khan2, Jun Niu1
11 Department of Hepatobiliary Surgery, Qilu Hospital of Shandong University , Shandong, China .
Summary
This study introduces a novel transtracheal endoscopic thyroidectomy technique, demonstrating its feasibility in animal models for thyroid surgery. The innovative approach shows potential as an alternative surgical method.
Area of Science:
- Minimally Invasive Surgery
- Endoscopic Techniques
- Surgical Innovation
Background:
- Natural orifice translumenal endoscopic surgery (NOTES) represents an advancement in surgical procedures.
- This research focuses on developing and evaluating a new transtracheal endoscopic thyroidectomy method.
Purpose of the Study:
- To develop an innovative transtracheal endoscopic thyroidectomy technique.
- To explore the feasibility of this technique in animal models.
Main Methods:
- The procedure involved advancing an endoscope into the pretracheal space through a tracheal incision.
- Hemithyroidectomies and partial lobectomies were performed using specialized equipment in dogs and pigs.
- Tracheal incisions were closed with absorbable sutures, and animals were observed for 5 days post-surgery.
Main Results:
- Successful hemithyroidectomy and partial thyroidectomy were achieved in both canine and porcine models.
- The average operative time was 69.4 minutes.
- No significant intraoperative complications were reported.
Conclusions:
- The transtracheal endoscopic thyroidectomy technique is feasible.
- This method holds promise as an alternative approach for various thyroid surgeries.