Development and choice of endoscopic thyroid surgery_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

LU Man , SUN Jinzhong ,  SUN Shengrong

Department of Breast and Thyroid Surgery, Renmin Hospital of Wuhan University, Wuhan 430060, P. R. China;

Corresponding author：

SUN Shengrong, Email: sun137@sina.com

Keywords：

endoscope; thyroid surgery; surgical approach

DOI：

10.7507/1007-9424.202107097

Video：

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Objective To summarize the development of endoscopic thyroid surgery and expound the advantages and disadvantages. Method Reviewed the domestic and foreign literatures on different ways of endoscopic thyroid surgery. Results Gagner tried accomplish subtotal parathyroidectomy with endoscope at the first time in 1996. And then, Hüscher improved the endoscope technology and applied on thyroidectomy in 1997. Henceforth, endoscopic thyroid surgery had developed rapidly, from small neck incision surgery, such as endoscopic assisted small neck incision thyroidectomy, to traceless neck surgery, such as thoraco mammary approach, areola approach, axillary approach, retroauricular approach, combined approach, etc., to traceless body surface skin surgery in recent years, such as natural cavity oral approach. Completed endoscopic surgery makes the incision scar hide or even disappear, which had attracted the attention and learning of thyroid specialist clinicians all over the world. The choice of patients was more and more broad and diverse, and all kinds of approaches had different advantages and disadvantages.Conclusions The advantages, disadvantages, indications and contraindications of various endoscopic approaches are different. According to the location differences of individual thyroid masses and the requirements for aesthetics, the most appropriate endoscopic thyroid approach is selected to achieve the optimal solution of manual approach.

Citation： LU Man, SUN Jinzhong, SUN Shengrong. Development and choice of endoscopic thyroid surgery. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2022, 29(6): 816-822. doi: 10.7507/1007-9424.202107097 Copy

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1. Gagner M. Endoscopic subtotal parathyroidectomy in patients with primary hyperparathyroidism. Br J Surg, 1996, 83(6): 875. doi: 10.1002/bjs.1800830656.
2. Hüscher CS, Chiodini S, Napolitano C, et al. Endoscopic right thyroid lobectomy. Surg Endosc, 1997, 11(8): 877. doi: 10.1007/s004649900476.
3. 李景铧. 腔镜辅助甲状腺切除手术在分化型甲状腺癌患者治疗中的应用及对心理状况的影响. 心理月刊, 2021, 16(12): 66-67.
4. Miccoli P, Pinchera A, Cecchini G, et al. Minimally invasive, video-assisted parathyroid surgery for primary hyperparathyroidism. J Endocrinol Invest, 1997, 20(7): 429-430.
5. Ohgami M, Ishii S, Arisawa Y, et al. Scarless endoscopic thyroidectomy: breast approach for better cosmesis. Surg Laparosc Endosc Percutan Tech, 2000, 10(1): 1-4.
6. 王存川, 胡友主, 杨景哥, 等. 完全乳晕入路内镜甲状腺切除术1例报告. 中国内镜杂志, 2009, 15(6): 670-671.
7. Ikeda Y, Takami H, Sasaki Y, et al. Endoscopic neck surgery by the axillary approach. J Am Coll Surg, 2000, 191(3): 336-340.
8. Schardey HM, Schopf S, Kammal M, et al. Invisible scar endoscopic thyroidectomy by the dorsal approach: experimental development of a new technique with human cadavers and preliminary clinical results. Surg Endosc, 2008, 22(4): 813-820.
9. Shimazu K, Shiba E, Tamaki Y, et al. Endoscopic thyroid surgery through the axillo-bilateral-breast approach. Surg Laparosc Endosc Percutan Tech, 2003, 13(3): 196-201.
10. Choe JH, Kim SW, Chung KW, et al. Endoscopic thyroidectomy using a new bilateral axillo-breast approach. World J Surg, 2007, 31(3): 601-606.
11. Lee KE, Kim HY, Park WS, et al. Postauricular and axillary approach endoscopic neck surgery: a new technique. World J Surg, 2009, 33(4): 767-772.
12. Witzel K, von Rahden BH, Kaminski C, et al. Transoral access for endoscopic thyroid resection. Surg Endosc, 2008, 22(8): 1871-1875.
13. O’Connell DA, Diamond C, Seikaly H, et al. Objective and subjective scar aesthetics in minimal access vs conventional access parathyroidectomy and thyroidectomy surgical procedures: a paired cohort study. Arch Otolaryngol Head Neck Surg, 2008, 134(1): 85-93.
14. 高力, 谢磊, 李华, 等. 应用高频超声刀实施小切口无气腔室内镜下甲状腺手术. 中华外科杂志, 2003, 41(10): 733-737.
15. 石刚, 董明, 任宇鹏, 等. 改良Miccoli术式与完全内镜术式治疗良性甲状腺结节的临床分析. 中国普通外科杂志, 2014, 23(5): 643-646.
16. 章德广. 改良Miccoli腔镜辅助颈侧区清扫术. 中国普通外科杂志, 2017, 26(12): 1529-1535.
17. 章德广, 高力, 谢磊, 等. 改良Miccoli手术颈侧区淋巴结清扫术治疗甲状腺乳头状癌130例临床分析. 中华外科杂志, 2016, 54(11): 864-869.
18. 章德广, 陈剑, 何高飞, 等. 腔镜上纵隔淋巴结清扫术在甲状腺乳头状癌治疗中的运用. 中国普通外科杂志, 2018, 27(12): 1583-1588.
19. 章德广, 张虎. 腔镜下甲状腺癌上纵隔淋巴结清扫技术要点. 中国实用外科杂志, 2020, 40(9): 1100-1103.
20. Shimizu K, Akira S, Tanaka S. Video-assisted neck surgery: endoscopic resection of benign thyroid tumor aiming at scarless surgery on the neck. J Surg Oncol, 1998, 69(3): 178-180.
21. 仇明, 丁尔迅, 江道振, 等. 颈部无瘢痕内镜甲状腺腺瘤切除术一例. 中华普通外科杂志, 2002, 17(2): 127.
22. 中国医师协会外科医师分会甲状腺外科医师委员会, 中国研究型医院学会甲状腺疾病专业委员会, 海峡两岸医药卫生交流协会海西甲状腺微创美容外科专家委员会, 等. 经胸前入路腔镜甲状腺手术专家共识(2017版). 中国实用外科杂志, 2017, 37(12): 1369-1373.
23. 王松, 谢秋萍, 王平. 全腔镜甲状腺手术热点与难点. 临床外科杂志, 2020, 28(3): 224-226.
24. 田文, 张浩, 孙辉, 等. 甲状腺手术切口入路、缝合技术与缝合材料选择中国专家共识(2018版). 中国实用外科杂志, 2019, 39(1): 34-38.
25. 叶卫东, 郭伯敏, 樊友本. 腔镜甲状腺手术多种入路的探索和未来发展. 外科理论与实践, 2019, 24(6): 498-502.
26. 黄锐洪, 王华曦, 王存川, 等. 192例经乳腔镜困难甲状腺大部切除术的技巧探讨. 中国内镜杂志, 2019, 25(4): 88-92.
27. 杨琼, 黄鹏, 陈佩, 等. 经胸乳入路腔镜下甲状腺大病灶切除经验分享. 中国内镜杂志, 2021-01-21, 网络首发. https://kns.cnki.net/kcms/detail/43.1256.R.20210121.1332.002.html.
28. Tan CT, Cheah WK, Delbridge L. “Scarless”(in the neck) endoscopic thyroidectomy (SET): an evidence-based review of published techniques. World J Surg, 2008, 32(7): 1349-1357.
29. 吴庆华, 张伟, 单成祥, 等. 皮下不同分离面积对胸乳径路内镜甲状腺手术影响的前瞻性随机对照研究. 中国微创外科杂志, 2014, 14(3): 196-200.
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