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Transoral endoscopic thyroid surgery via the tri‐vestibular approach with a hybrid space‐maintaining method: A preliminary report
Author(s) -
Wang Yong,
Zhang Ziyi,
Zhao Qunzi,
Xie Qiuping,
Yan Haichao,
Yu Xing,
Xiang Cheng,
Zhang Maolin,
Wang Ping
Publication year - 2018
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.25157
Subject(s) - medicine , surgery , thyroidectomy , insufflation , mental nerve , vestibular system , neck dissection , vestibule , thyroid , cancer , radiology , dentistry , molar
Background Transoral endoscopic thyroid surgery has been introduced in a few institutions. The purpose of this study was to present an innovative hybrid space‐maintaining method for the tri‐vestibular approach. Methods Eighteen consecutive patients underwent transoral endoscopic thyroidectomy. Three incisions were made in the vestibule. The surgical space was maintained with CO 2 insufflation along with a suspension device. Thyroidectomy and central neck dissection (CND) were performed safely and effectively. Results The mean operation time was 124 minutes for a simple lobectomy, subtotal thyroidectomy, and isthmectomy in 8 patients, 172 minutes for hemithyroidectomy with ipsilateral CND in 8 patients, and 205 minutes for total thyroidectomy with ipsilateral CND in 7 patients. Transient superior laryngeal nerve (SLN) injury occurred in 3 patients and transient mental nerve injury was found in 1 patient. No evidence of recurrence or metastasis was found at follow‐up. Conclusion This approach brings satisfactory cosmetic effect along with minimal invasion. Further study is needed to verify its validity.