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Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
Published on: May 12, 2023
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Transoral thyroidectomy implemented by a novice surgeon: Efforts for safe implementation
Dong Won Lee1, Jeong Kyu Kim1, Seung Heon Shin1
1Department of Otorhinolaryngology-Head and Neck Surgery, School of Medicine Daegu Catholic University Daegu Republic of Korea.
Laryngoscope Investigative Otolaryngology
|February 27, 2023
Summary
Transoral robotic and endoscopic thyroidectomy are feasible for novice surgeons. A study of 27 patients showed reasonable early outcomes, with high patient satisfaction regarding cosmetic results.
Area of Science:
- Endocrine Surgery
- Minimally Invasive Surgery
- Surgical Innovation
Background:
- Transoral thyroidectomy offers a scarless approach to thyroid gland removal.
- Evaluating novel surgical techniques requires assessing feasibility and safety in early adoption phases.
Purpose of the Study:
- To assess the feasibility, safety, and early surgical outcomes of transoral robotic and endoscopic thyroidectomy.
- To determine if a novice surgeon can achieve satisfactory results with these minimally invasive techniques.
Main Methods:
- Retrospective analysis of 27 patients undergoing transoral thyroidectomy.
- Surgeries performed by a single surgeon with no prior robotic or endoscopic experience, but with prior transcervical thyroidectomy experience.
Main Results:
- One conversion to transcervical approach due to bleeding.
- Transient recurrent laryngeal nerve palsy in 4 cases and transient hypoparathyroidism in 3 cases.
- High patient satisfaction with postoperative cosmetic outcomes.
Conclusions:
- Transoral robotic and endoscopic thyroidectomy are feasible for novice surgeons.
- Reasonable early outcomes can be achieved with proper preparation and a structured approach.
- These minimally invasive techniques show promise for thyroid surgery, prioritizing cosmetic results.
