scholarly journals ENDOSCOPIC TECHNOLOGIES IN THYROID SURGERY: INTERNATIONAL AND OWN EXPERIENCE

2021 ◽  
Vol 19 (5) ◽  
pp. 557-563
Author(s):  
I. L. Radievski ◽  
◽  
L. I. Danilova ◽  
Keyword(s):  
Thyroid Gland ◽  
Minimally Invasive ◽  
Thyroid Surgery ◽  
Surgical Intervention ◽  
Development Economic ◽  
Surgical Trauma ◽  
Main Task ◽  
Recurrent Nerve ◽  
Advantages And Disadvantages ◽  
Minimally Invasive Thyroid Surgery

Topicality. With the development of endoscopic technology, minimally invasive interventions on the thyroid gland have been widely developed. The introduction of minimally invasive techniques into practice is associated with the desire to improve the cosmetic effect and reduce surgical trauma for patients. The aim: to study the most popular techniques used in minimally invasive thyroid surgery, to show the advantages and disadvantages of each technique, the likelihood of one or another postoperative complication depending on the method of surgical intervention on the thyroid gland. Material and methods: Among minimally invasive interventions, mini-approaches have become widespread: axillary, anterior thoracic, paraareolar, posterior, transoral. When performing video-assisted surgical interventions, an endoscopic stand, a standard set of instruments (clamps and scissors for endoscopic operations), retractors for creating an operating space are used. Results: Criteria for a differentiated approach to the choice of the method of minimally invasive surgical intervention on the thyroid gland have been substantiated. The main task when choosing a method of surgical intervention is its simplicity, the possibility of rapid development, economic efficiency, and safety. Conclusions: Ensuring the safety and correct technique of performing surgery with mandatory monitoring of the recurrent nerve, visualization of the parathyroid glands made it possible to obtain good clinical results in patients with this pathology.

scholarly journals Minimally Invasive Video-Assisted versus Minimally Invasive Nonendoscopic Thyroidectomy

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Zdeněk Fík ◽  
Jaromír Astl ◽  
Michal Zábrodský ◽  
Petr Lukeš ◽  
Ilja Merunka ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Prospective Study ◽  
Surgical Procedures ◽  
Thyroid Surgery ◽  
Laryngeal Nerve ◽  
Postoperative Course ◽  
Advantages And Disadvantages ◽  
Video Assisted ◽  
Minimally Invasive Thyroid Surgery ◽  
Feasible Alternative

Minimally invasive video-assisted thyroidectomy (MIVAT) and minimally invasive nonendoscopic thyroidectomy (MINET) represent well accepted and reproducible techniques developed with the main goal to improve cosmetic outcome, accelerate healing, and increase patient’s comfort following thyroid surgery. Between 2007 and 2011, a prospective nonrandomized study of patients undergoing minimally invasive thyroid surgery was performed to compare advantages and disadvantages of the two different techniques. There were no significant differences in the length of incision to perform surgical procedures. Mean duration of hemithyroidectomy was comparable in both groups, but it was more time consuming to perform total thyroidectomy by MIVAT. There were more patients undergoing MIVAT procedures without active drainage in the postoperative course and we also could see a trend for less pain in the same group. This was paralleled by statistically significant decreased administration of both opiates and nonopiate analgesics. We encountered two cases of recurrent laryngeal nerve palsies in the MIVAT group only. MIVAT and MINET represent safe and feasible alternative to conventional thyroid surgery in selected cases and this prospective study has shown minimal differences between these two techniques.

Minimally Invasive Thyroid Surgery for Single Nodules: An Evidence-based Review of the Lateral Mini-incision Technique

2008 ◽  
Vol 32 (7) ◽  
pp. 1341-1348 ◽  
Author(s):  
Raul Alvarado ◽  
Todd McMullen ◽  
Stan B. Sidhu ◽  
Leigh W. Delbridge ◽  
Mark S. Sywak
Keyword(s):  
Minimally Invasive ◽  
Thyroid Surgery ◽  
Evidence Based ◽  
Minimally Invasive Thyroid Surgery ◽  
Incision Technique ◽  
Mini Incision

Surgical approaches for minimally invasive thyroid surgery: review of the literature.

2020 ◽  
Vol 31 (3) ◽  
pp. 248-255
Author(s):  
E Gonzales Laguado ◽  
JM Francos Martínez ◽  
A García Barrasa ◽  
P Moreno Llorente
Keyword(s):  
Minimally Invasive ◽  
Thyroid Surgery ◽  
Surgical Approaches ◽  
Review Of The Literature ◽  
Minimally Invasive Thyroid Surgery

Resumen La tiroidectomía convencional es el procedimiento estándar y más frecuente para el tratamiento quirúrgico de la glándula tiroides. Con el afán de minimizar o eliminar la cicatriz cervical han surgido diferentes abordajes que han evolucionado con el avance de la tecnología. En las últimas décadas nuevos abordajes quirúrgicos se han desarrollado rápidamente, estos abordajes tienen buenos resultados estéticos, endocrinológicos y oncológicos. El objetivo de este artículo es realizar una revisión de la literatura acerca de los diferentes abordajes y accesos remotos para cirugía tiroidea mínimamente invasiva. Realizamos una búsqueda bibliográfica en la base de datos PubMed en junio del 2020 y se recuperaron todas las publicaciones en inglés sobre tiroidectomía mínimamente invasiva desde el año 1996. Se identificaron todos los artículos originales potenciales que se centraron principalmente en la tiroidectomía mínimamente invasiva y se revisaron los textos completos. Conclusión: la cirugía de tiroides ha tenido grandes cambios desde que se describió inicialmente hace casi un siglo. Las nuevas técnicas endoscópicas y robóticas mínimamente invasivas han aportado resultados cosméticos, disminución de dolor post operatorio y una morbimortalidad comparable a la tiroidectomía abierta. A pesar de estos avances, creemos que hay que mantener una actitud crítica, cuestionando y evaluando las indicaciones y contraindicaciones actuales para mejorar, desarrollar y obtener excelentes resultados en el futuro.

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