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Updated: Aug 26, 2025

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Thyroidectomy using a single-port cervico-mental angle approach.

Hua-Shui Li1, Qiang Lin1, Wen-Jun Xie1

  • 1Department of General Surgery, Fujian Provincial Hospital, Shengli Clinical Medical College of Fujian Medical University, Fuzhou, China.

Journal of Minimal Access Surgery
|October 7, 2022
PubMed
Summary
This summary is machine-generated.

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Trans-cervico-mental angle single-port endoscopic thyroidectomy (TCMASPET) is a safe and feasible surgical approach for thyroid cancer. This method offers excellent cosmetic outcomes and may broaden the applicability of endoscopic thyroid surgery.

Area of Science:

  • Endocrine Surgery
  • Minimally Invasive Surgery
  • Surgical Oncology

Background:

  • Endoscopic thyroidectomy methods have evolved over two decades but present limitations.
  • An optimal surgical approach for thyroid cancer remains under development.
  • This study evaluates a novel endoscopic technique for thyroid cancer treatment.

Purpose of the Study:

  • To report the surgical steps, clinical outcomes, and patient experience with trans-cervico-mental angle single-port endoscopic thyroidectomy (TCMASPET).
  • To assess the safety, feasibility, and cosmetic results of TCMASPET.
  • To explore the potential expansion of indications for endoscopic thyroidectomy.

Main Methods:

  • Thirty patients underwent TCMASPET with a cervico-mental angle incision (2.48 ± 0.31 cm).
Keywords:
Cervico-mental anglecosmetic resultsendoscopic thyroidectomyminimal invasivenesssingle-port

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  • Procedures included unilateral or bilateral thyroidectomy and central region lymph node dissection as indicated.
  • Surgical operation steps, clinical outcomes, and patient experience were documented.

    • Main Results:

    • All 30 surgeries were completed successfully.
    • Procedures varied from unilateral/bilateral thyroid resection to those including central lymph node dissection.
    • No permanent post-operative complications were observed.

    Conclusions:

    • TCMASPET is a safe and feasible endoscopic thyroidectomy approach.
    • The technique is relatively easy to perform.
    • TCMASPET may expand endoscopic thyroidectomy indications while preserving cosmetic results.