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Related Experiment Video

Updated: Jan 2, 2026

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
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[Transoral endoscopic thyroid surgery].

S E Gryaznov1, A M Shulutko2, G G Melkonyan3

  • 1Municipal Clinical Hospital #4 of the Moscow Department of Health, Moscow, Russia.

Khirurgiia
|December 12, 2019
PubMed
Summary
This summary is machine-generated.

Transoral thyroid surgery using endoscopic instruments is a feasible and safe technique for thyroid nodules. This minimally invasive approach offers precision and favorable aesthetic outcomes with no reported complications.

Keywords:
first clinical experiencethyroid surgerytransoral approachtransoral endoscopic thyroidectomy

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Area of Science:

  • Endocrine Surgery
  • Minimally Invasive Surgery
  • Head and Neck Surgery

Background:

  • Transoral thyroid surgery is an emerging minimally invasive technique.
  • It aims to improve aesthetic outcomes compared to conventional neck incisions.

Purpose of the Study:

  • To evaluate the initial experience and feasibility of transoral endoscopic thyroid surgery.
  • To assess the safety and outcomes of this novel surgical approach.

Main Methods:

  • Seven female patients with thyroid nodules underwent transoral surgery between March 2018 and May 2019.
  • The procedure utilized a transoral endoscopic approach with gas insufflation.
  • Surgical procedures included thyroidectomy (2 cases) and hemithyroidectomy (5 cases).

Main Results:

  • Mean operative time for hemithyroidectomy and thyroidectomy was 206.4 and 232 minutes, respectively.
  • No recurrent laryngeal nerve injuries, hypocalcemia, or local complications were observed.
  • The average postoperative hospital stay was 3.7 days, with no drainage required.

Conclusions:

  • Transoral thyroid surgery is technically feasible with standard endoscopic instruments.
  • The approach is safe for critical anatomical structures and offers enhanced precision.
  • Favorable aesthetic results and the possibility of performing various thyroid procedures make it a promising option.