Alternate incision-site thyroidectomy

Mohamed, Salah Eldin; Noureldine, Salem I.; Kandil, Emad

doi:10.1097/cco.0000000000000031

Cited by 26 publications

(31 citation statements)

References 44 publications

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“…Several different remote approaches for thyroid surgery were described and studied in the last decades (28)(29)(30). The main objective has been to develop alternative approaches to achieve better aesthetic outcome avoiding a visible neck scar.…”

Section: Discussionmentioning

confidence: 99%

Variations and results of retroauricular robotic thyroid surgery associated or not with neck dissection

Lira¹,

Chulam²,

Kowalski³

2018

Gland Surg.

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Section: Discussionmentioning

confidence: 99%

Variations and results of retroauricular robotic thyroid surgery associated or not with neck dissection

Lira¹,

Chulam²,

Kowalski³

2018

Gland Surg.

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“…The aims of minimally invasive surgery include better cosmesis and earlier recovery without compromising the excellent results achieved with open surgery. 5 The approaches taken in thyroid surgery include mainly a transaxillary approach with later additions of areolar, anterior chest wall, and mixed approaches. 6 – 10 The extent of dissection and difficulty of these procedures despite robotic help has limited the uptake of these techniques.…”

Section: Introductionmentioning

confidence: 99%

Transoral Endoscopic Thyroidectomy: A Systematic Review of the Practice So Far

Camenzuli

Schembri-Wismayer

Calleja‐Agius

2018

JSLS

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Background and Objectives:Thyroid disease largely affects young females, but the incidence is also increasing among males. In an effort to avoid the scarring of the neck that is synonymous with conventional thyroidectomy, endoscopic techniques have been developed over the years. The transoral endoscopic approach is the latest of these innovations that promises a scarless surgical outcome. This review evaluates whether this technique is safe and feasible in live patients and outlines the outcomes in published literature so far.Database:PubMed, Medline, BioMed Central, Cochrane Library, OVID and Web of Science were systematically searched by using a Medical Subject Heading (MeSH)–optimized search strategy. The selection of papers followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines after setting strict inclusion and exclusion criteria. Sixteen studies were included in the final analysis.Discussion:This systematic review presents cases of 785 patients. Surgeons in 15 of the studies used a completely vestibular approach, whereas those in the remaining 2 used the floor of the mouth for primary access. Conversion to open surgery took place in 1.3%. In total, 4.3% of patients experienced transient laryngeal nerve palsy, whereas 0.1% had permanent recurrent incidences of the condition. Transient hypocalcemia occurred in 7.4% of cases, with no recorded permanent cases. Carbon dioxide embolism occurred in 0.6% of cases, and another 0.6% had a deep-seated neck infection. The complication rates within the review were deemed acceptable and the overall technique feasible. A prospective randomized controlled trial was proposed to compare this technique with conventional thyroidectomy.

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“…In some Asian cultures, aversion to neck incisions has led to alternative approaches to thyroidectomy, most notably transaxillary robotic thyroidectomy. Alternatively, Benhidjeb and colleagues demonstrated the feasibility of a totally transoral NOTES thyroidectomy in five cadavers.…”

Section: Novel Applicationsmentioning

confidence: 99%

Natural-orifice transluminal endoscopic surgery

Atallah

Martin‐Perez

Keller

et al. 2015

British Journal of Surgery

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NOTES experimentation in the preclinical setting has increased substantially. There has also been a significant increase in the application of NOTES in humans in the past decade. Enthusiasm for NOTES should be tempered by the risk of incurring NOTES-specific morbidity. Surgeons should carefully consider patient preferences regarding this new minimally invasive option, as opinions are not unanimously supportive of NOTES. As technical limitations are overcome, the clinical application of NOTES is predicted to increase. It is paramount that, when this complex technique is performed on humans, it is applied judiciously by appropriately trained experts with outcomes recorded in a registry.

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Alternate incision-site thyroidectomy

Cited by 26 publications

References 44 publications

Variations and results of retroauricular robotic thyroid surgery associated or not with neck dissection

Variations and results of retroauricular robotic thyroid surgery associated or not with neck dissection

Transoral Endoscopic Thyroidectomy: A Systematic Review of the Practice So Far

Natural-orifice transluminal endoscopic surgery

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