Advances in Endoscopic Thyroid Surgery

Wei WANG; Ruimei SUN

doi:10.12259/j.issn.2095-610X.S20240427

Volume 45 Issue 4

Apr. 2024

Turn off MathJax

Article Contents

Article Navigation > Journal of Kunming Medical University > 2024 > 45(4): 184-191

Wei WANG, Ruimei SUN. Advances in Endoscopic Thyroid Surgery[J]. Journal of Kunming Medical University, 2024, 45(4): 184-191. doi: 10.12259/j.issn.2095-610X.S20240427

Citation:

Wei WANG, Ruimei SUN. Advances in Endoscopic Thyroid Surgery[J]. Journal of Kunming Medical University, 2024, 45(4): 184-191. doi: 10.12259/j.issn.2095-610X.S20240427

Wei WANG, Ruimei SUN. Advances in Endoscopic Thyroid Surgery[J]. Journal of Kunming Medical University, 2024, 45(4): 184-191. doi: 10.12259/j.issn.2095-610X.S20240427

Citation:

Wei WANG, Ruimei SUN. Advances in Endoscopic Thyroid Surgery[J]. Journal of Kunming Medical University, 2024, 45(4): 184-191. doi: 10.12259/j.issn.2095-610X.S20240427

PDF( 627 KB)

Advances in Endoscopic Thyroid Surgery

doi: 10.12259/j.issn.2095-610X.S20240427

Wei WANG,
Ruimei SUN^,

Dept. Head and Neck Surgery，Yunnan Cancer Hospital/The 3rd Affiliated Hospital of Kunming Medical University，Kunming Yunnan 650118，China

Received Date: 2023-09-28
Publish Date: 2024-04-25

Abstract

Abstract

Surgery is the main treatment for thyroid cancer, with features good postoperative prognosis, high survival rate, and long life expectancy. With the development of society and medical level, patients not only seek to cure the disease but also have higher requirements for postoperative quality of life. The development of endoscopic thyroid surgery has brought more choices to thyroid cancer patients. However, there are various ways of surgical approaches, each with its own advantages and disadvantages. This article provides a comprehensive review of endoscopic thyroid surgery approaches based on relevant literature at home and abroad.
- Endoscope,
- Thyroid surgery,
- Surgical approach,
- Robotic surgery

FullText(HTML)

References(61)

References

[1]	王军,赵新燕,任杰,等. 甲状腺结节常规超声及超声引导下细针穿刺抽吸活检应用的研究进展[J]. 中国药物与临床,2021,21(22):3682-3684.
[2]	Zheng R,Zhang S,Zeng H,et al. Cancer incidence and mortality in China,2016[J]. Journal of the National Cancer Center,2022,2(1):1-9. doi: 10.1016/j.jncc.2022.02.002
[3]	郑传铭,王佳峰,吕恬,等. “中国肿瘤整合诊治指南(CACA)—甲状腺癌诊治指南”解读[J]. 肿瘤学杂志,2022,28(8):627-630.
[4]	Cheng F, Xiao J, Shao C , et al. Burden of thyroid cancer from 1990 to 2019 and projections of incidence and mortality until 2039 in China: Findings from global burden of disease study[J]. Front Endocrinol （Lausanne）, 2021, 12: 738213.
[5]	田文,张浩,孙辉. 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)[J]. 中国实用外科杂志,2019,39(1):34-38.
[6]	邬一军,朱峰. 重视甲状腺手术颈前区功能的保护[J]. 中华内分泌外科杂志,2020,14(4):265-268.
[7]	Lombardi C P,Raffaelli M,De Crea C,et al. Long-term outcome of functional post-thyroidectomy voice and swallowing symptoms[J]. Surgery,2009,146(6):1174-1181. doi: 10.1016/j.surg.2009.09.010
[8]	Lombardi C P,Raffaelli M,D'Alatri L,et al. Voice and swallowing changes after thyroidectomy in patients without inferior laryngeal nerve injuries[J]. Surgery,2006,140(6):1026-1032,1032-1034. doi: 10.1016/j.surg.2006.08.008
[9]	田文,张浩. 甲状腺外科能量器械应用专家共识(2017版)[J]. 中国实用外科杂志,2017,37(9):992-997.
[10]	郑好望,任文辉,肖胜利. 超声效应与超声刀[J]. 现代物理知识,2007,19(5):30-31.
[11]	丛风云,甘雨,谢闵仲,等. 腔镜甲状腺手术CO₂气腹对颈内静脉压力及中心静脉压的影响[J]. 腹腔镜外科杂志,2017,22(3):201-203.
[12]	Rubino F,Pamoukian V N,Zhu J F,et al. Endoscopic endocrine neck surgery with carbon dioxide insufflation: The effect on intracranial pressure in a large animal model[J]. Surgery,2000,128(6):1035-1042. doi: 10.1067/msy.2000.110238
[13]	Zhang D,Li S,Dionigi G,et al. Animal study to evaluate the effect of carbon dioxide insufflation on recurrent laryngeal nerve function in transoral endoscopic thyroidectomy[J]. Sci Rep,2019,9(1):9365. doi: 10.1038/s41598-019-45779-8
[14]	Yu W,Li F,Wang Z,et al. Effects of CO2 insufflation on cerebrum during endoscopic thyroidectomy in a porcine model[J]. Surg Endosc,2011,25(5):1495-1504. doi: 10.1007/s00464-010-1425-z
[15]	徐加杰,张李卓,张启弘,等. 无充气经腋窝腔镜甲状腺手术的临床应用[J]. 中华耳鼻咽喉头颈外科杂志,2020,55(10):913-920.
[16]	张浩,陈延松,张晓静,等. 双孔与单孔免充气经腋窝入路腔镜甲状腺手术的应用对比[J]. 腹腔镜外科杂志,2020,25(9):669-672.
[17]	Fang J,Liu J,Zheng X,et al. Novel trocars and suspension system application in gasless transoral endoscopic thyroidectomy vestibular approach oral endoscopic surgery[J]. Front Oncol,2021,11:694133. doi: 10.3389/fonc.2021.694133
[18]	李昱均,刘招娣,王勇,等. 腔镜甲状腺手术空间维持法研究进展[J]. 中华耳鼻咽喉头颈外科杂志,2023,58(1):85-90.
[19]	Miccoli P,Materazzi G,Berti P. Minimally invasive video-assisted lateral lymphadenectomy: A proposal[J]. Surg Endosc,2008,22(4):1131-1134. doi: 10.1007/s00464-007-9564-6
[20]	Timon C,Miller I S. Minimally invasive video-assisted thyroidectomy: Indications and technique[J]. Laryngoscope,2006,116(6):1046-1049. doi: 10.1097/01.mlg.0000216821.26391.f0
[21]	蔡英鹏,谭健鹏,王林根. 改良小切口腔镜辅助手术治疗甲状腺肿瘤的疗效观察[J]. 实用中西医结合临床,2022,22(19):75-77.
[22]	Sahm M,Schwarz B,Schmidt S,et al. Long-term cosmetic results after minimally invasive video-assisted thyroidectomy[J]. Surg Endosc,2011,25(10):3202-3208. doi: 10.1007/s00464-011-1693-2
[23]	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[J]. 中国普通外科杂志,2014,23(5):643-646.
[24]	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[J]. Zhonghua Wai Ke Za Zhi,2016,54(11):864-869.
[25]	Zhang D,Xie L,He G,et al. A comparative study of the surgical outcomes between video-assisted and open lateral neck dissection for papillary thyroid carcinoma with lateral neck lymph node metastases[J]. Am J Otolaryngol,2017,38(2):115-120. doi: 10.1016/j.amjoto.2016.07.005
[26]	王平,项承. 经胸前入路腔镜甲状腺手术专家共识(2017版)[J]. 中国实用外科杂志,2017,37(12):1369-1373.
[27]	王平,吴国洋,田文等. 经口腔前庭入路腔镜甲状腺手术专家共识(2018版)[J]. 中国实用外科杂志,2018,38(10):1104-1107.
[28]	中国抗癌协会甲状腺癌专业委员会,中华医学会肿瘤学分会甲状腺肿瘤专业委员会,中国研究型医院学会甲状腺疾病专业委员会等. 无充气腋窝入路腔镜甲状腺手术专家共识(2022版)[J]. 中华内分泌外科杂志,2021,15(6):557-563.
[29]	田文,贺青卿,朱见等. 机器人手术系统辅助甲状腺和甲状旁腺手术专家共识[J]. 中国实用外科杂志,2016,36(11):1165-1170.
[30]	Ohgami M,Ishii S,Arisawa Y,et al. Scarless endoscopic thyroidectomy: Breast approach for better cosmesis[J]. Surg Laparosc Endosc Percutan Tech,2000,10(1):1-4. doi: 10.1097/00019509-200002000-00001
[31]	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[J]. 中华普通外科杂志,2002,17(2):127-127.
[32]	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[J]. 外科理论与实践,2019,24(6):498-502.
[33]	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[J]. 中国内镜杂志,2019,25(4):88-92.
[34]	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[J]. 中国内镜杂志,2009,15(6):670-671.
[35]	Wang J,Gao L,Song C,et al. Incidence of metastases from 524 patients with papillary thyroid carcinoma in cervical lymph nodes posterior to the sternoclavicular joint (level VIa): Relevance for endoscopic thyroidectomy[J]. Surgery,2016,159(6):1557-1564. doi: 10.1016/j.surg.2015.12.026
[36]	武振,周长鑫,王永坤,等. 完全乳晕入路腔镜甲状腺手术空间建立及并发症处理[J]. 中国现代医药杂志,2020,22(8):55-57.
[37]	Wilhelm T,Metzig A. Video. Endoscopic minimally invasive thyroidectomy: First clinical experience[J]. Surg Endosc,2010,24(7):1757-1758. doi: 10.1007/s00464-009-0820-9
[38]	Wang C,Zhai H,Liu W,et al. Thyroidectomy: A novel endoscopic oral vestibular approach[J]. Surgery,2014,155(1):33-38. doi: 10.1016/j.surg.2013.06.010
[39]	王勇,谢秋萍,俞星等. 经口腔前庭入路腔镜甲状腺手术150例临床分析[J]. 中华外科杂志,2017,55(8):372-375.
[40]	Anuwong A,Ketwong K,Jitpratoom P,et al. Safety and outcomes of the transoral endoscopic thyroidectomy vestibular approach[J]. JAMA Surg,2018,153(1):21-27. doi: 10.1001/jamasurg.2017.3366
[41]	欧阳辉,周迪,夏发达,等. 经口联合颌下腔镜入路甲状腺手术的临床效果: 附31例报告[J]. 中国普通外科杂志,2022,31(12):1666-1673. doi: 10.7659/j.issn.1005-6947.2022.12.015
[42]	唐志强,张海清,沈叶等. 经口联合颏下腔镜与开放甲状腺手术的对比研究[J]. 南昌大学学报(医学版),2022,62(1):52-55.
[43]	王平,王勇. 腔镜技术在甲状腺癌治疗中合理应用[J]. 中国实用外科杂志,2015,35(6):639-642.
[44]	Kim H Y,Chai Y J,Dionigi G,et al. Transoral robotic thyroidectomy: Lessons learned from an initial consecutive series of 24 patients[J]. Surg Endosc,2018,32(2):688-694. doi: 10.1007/s00464-017-5724-5
[45]	Yoon J H,Park C H,Chung W Y. Gasless endoscopic thyroidectomy via an axillary approach: Experience of 30 cases[J]. Surg Laparosc Endosc Percutan Tech,2006,16(4):226-231. doi: 10.1097/00129689-200608000-00006
[46]	郑传铭,徐加杰,蒋烈浩,等. 无充气腋窝入路完全腔镜下甲状腺叶切除的方法——葛-郑氏七步法[J]. 中国普通外科杂志,2019,28(11):1336-1341.
[47]	Zhou Y,Cai Y,Sun R,et al. Gasless transaxillary endoscopic thyroidectomy for unilateral low-risk thyroid cancer: Li's six-step method[J]. Gland Surg,2021,10(5):1756-1766. doi: 10.21037/gs-21-257
[48]	朱峰,邬一军,沈亦斌,等. 经胸锁乳突肌肌间入路行甲状腺手术对颈前区功能保护研究[J]. 中国实用外科杂志,2020,40(7):847-850.
[49]	Shimizu K,Akira S,Tanaka S. Video-assisted neck surgery: Endoscopic resection of benign thyroid tumor aiming at scarless surgery on the neck[J]. J Surg Oncol,1998,69(3):178-180. doi: 10.1002/(SICI)1096-9098(199811)69:3<178::AID-JSO11>3.0.CO;2-9
[50]	刘跃武,李小毅,高维生,等. 经锁骨下途径行腔镜甲状腺手术[J]. 中国普通外科杂志,2006,15(4):319-320.
[51]	卢曼,孙金中,孙圣荣. 腔镜甲状腺手术发展与选择[J]. 中国普外基础与临床杂志,2022,29(6):816-822.
[52]	Bothra S,Mayilvaganan S. Yonsei experience of 5000 gasless transaxillary robotic thyroidectomies[J]. World J Surg,2018,42(7):2280. doi: 10.1007/s00268-017-4367-y
[53]	Kang S W,Jeong J J,Yun J S,et al. Robot-assisted endoscopic surgery for thyroid cancer: Experience with the first 100 patients[J]. Surg Endosc,2009,23(11):2399-2406. doi: 10.1007/s00464-009-0366-x
[54]	Kang S W,Park J H,Jeong J S,et al. Prospects of robotic thyroidectomy using a gasless,transaxillary approach for the management of thyroid carcinoma[J]. Surg Laparosc Endosc Percutan Tech,2011,21(4):223-229. doi: 10.1097/SLE.0b013e3182266f31
[55]	Lee H Y,You J Y,Woo S U,et al. Transoral periosteal thyroidectomy: Cadaver to human[J]. Surg Endosc,2015,29(4):898-904. doi: 10.1007/s00464-014-3749-6
[56]	Singer M C,Seybt M W,Terris D J. Robotic facelift thyroidectomy: I. Preclinical simulation and morphometric assessment[J]. Laryngoscope,2011,121(8):1631-1635. doi: 10.1002/lary.21831
[57]	Lee D Y,Baek S K,Jung K Y. Endoscopic thyroidectomy: Retroauricular approach[J]. Gland Surg,2016,5(3):327-335. doi: 10.21037/gs.2015.10.01
[58]	Byeon H K,Holsinger F C,Tufano R P,et al. Robotic total thyroidectomy with modified radical neck dissection via unilateral retroauricular approach[J]. Ann Surg Oncol,2014,21(12):3872-3875. doi: 10.1245/s10434-014-3896-y
[59]	Tae K,Ji Y B,Song C M,et al. Robotic and endoscopic thyroid surgery: Evolution and advances[J]. Clin Exp Otorhinolaryngol,2019,12(1):1-11. doi: 10.21053/ceo.2018.00766
[60]	张超,王岩岩,李玉龙,等. 不同甲状腺手术方式对机体应激的影响[J]. 蚌埠医学院学报,2022,47(8):1048-1051.
[61]	林建华,吴千富,温济斌,等. 口腔前庭入路腔镜甲状腺手术治疗甲状腺良性肿瘤的效果[J]. 中国医药导报,2022,19(8):104-108.

Relative Articles(20)

Relative Articles

[1]	Kun WANG, Jun PU, Tao YANG, Lu WANG, Dongbo LI. Comparison of Effect of Microscopic Surgery via Different Approaches in Treatment of Young Patients with Severe Hypertensivebasal Ganglia Hemorrhage. Journal of Kunming Medical University, 2024, 45(7): 56-61. doi: 10.12259/j.issn.2095-610X.S20240708
[2]	Chengmin SHI, Tong ZHANG, Zhizhong WU, Huayou LUO, Yujian ZENG. Comparative Analysis of the Anterior and Posterior Approaches of the Posterior Rectus Sheath in Single-port TEP Surgery. Journal of Kunming Medical University, 2023, 44(5): 107-110. doi: 10.12259/j.issn.2095-610X.S20230522
[3]	Kunlan GUO, Yanjun LI, Yixuan LI, Luanrui WEI, Xiangxiu TAN. Development of Perioperative Nursing Procedures List for Robot-assisted Thoracoscopic Surgery. Journal of Kunming Medical University, 2023, 44(4): 181-186. doi: 10.12259/j.issn.2095-610X.S20230418
[4]	Wei WANG, Qingxia YANG, Juanzhang LUO, Yahong WANG, Fuke WANG, Ruimei SUN. Efficacy of Transaxillary Approach Endoscopic Thyroid Surgery for the Treatment of Single-Sided Thyroid Cancer. Journal of Kunming Medical University, 2023, 44(12): 65-71. doi: 10.12259/j.issn.2095-610X.S20231211
[5]	Hangcheng TIAN, Ruochuan CHENG, Yingsheng BAO, Yuhua ZHANG, Jun HAN, Hongmei KUANG, Changwei ZHOU. Influence of Different Thyroid Surgery Methods on the Function of Parathyroid Glands. Journal of Kunming Medical University, 2022, 43(7): 92-96. doi: 10.12259/j.issn.2095-610X.S20220719
[6]	Yun-hai MA, Jun QIAN, Shu-ling LI, Ting-ting YAN, Ruo-chuan Cheng. Study on the Morphology and Function of a Single Parathyroid Gland in situ by Endoscopy and Parathyroid Hormone Determination in Drainage Fluid. Journal of Kunming Medical University, 2021, 42(10): 84-91. doi: 10.12259/j.issn.2095-610X.S20211045
[7]	Guo Bin , Li Yao , Li Jing Hui , Geng Xin , Zou Yang Hong , Wang Zhi Gang , Xu Yao Duan , Yu Hua Lin . . Journal of Kunming Medical University, 2019, 40(11): 83-86.
[8]	Feng Zi Hao . Clinical Efficacy of Laparoscopic Operation Combined with Dexamethasone Cavity Flushing in Endometriosis. Journal of Kunming Medical University,
[9]	Li Ming . Surgical Management of Sylvian Lateral Fissure Approach in the Treatment of Patients with Hypertensive Intracerebral Hemorrhage on Basal Ganglia. Journal of Kunming Medical University,
[10]	Li Ming , Yu Hua Lin , Bai Peng . The Clinical Analysis of Microsurgical Treatment for Anterior Communicating Artery Aneurysm Via Pterional Approach. Journal of Kunming Medical University, 2016, 37(11): 116-120.
[11]	Bai Peng . . Journal of Kunming Medical University,
[12]	Wang Lei . . Journal of Kunming Medical University,
[13]	Ma Jian Qiang . . Journal of Kunming Medical University,
[14]	Ma Gui Bin . . Journal of Kunming Medical University,
[15]	Ma Gui Bin . . Journal of Kunming Medical University,
[16]	Yuan Wei Cheng . . Journal of Kunming Medical University,
[17]	Liu Zhan Quan . . Journal of Kunming Medical University,
[18]	Li Ke Qin . . Journal of Kunming Medical University,
[19]	. . Journal of Kunming Medical University,
[20]	Sun Tao . . Journal of Kunming Medical University,