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2016 ; 5
(3
): 336-41
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Endoscopic thyroidectomy: the transoral approach
#MMPMID27294042
Witzel K
; Hellinger A
; Kaminski C
; Benhidjeb T
Gland Surg
2016[Jun]; 5
(3
): 336-41
PMID27294042
show ga
Transoral endoscopic thyroid surgery seems to be the logical consequence in the
evolution of thyroid surgery. Animal and cadaver studies have shown that
different endoscopic techniques can be performed in a safe and successful way.
Presently, the minimally invasive aspect and cosmetic advantage seem to be the
most important factor for the patients. However, even if these procedures are
feasible in patients, the transoral access must still be considered as
experimental. In this study then we aim at comparing the available literature on
transoral thyroid surgery with our own experience in this field. The access
itself needs to be further refined, and even more suitable and better adapted
instruments need to be developed so that optimal and safe results that meet all
requirements on endocrine surgery can be achieved and all requirements for
endocrine surgery are met. The transoral thyroidectomy should only be performed
in highly specialized centres for endocrine and endoscopic surgery. As an
alternative, a combination with endoscopic non-transoral techniques-so called
hybrid techniques-might be useful for our patients.
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