Abstract
Endoscopic surgery is now standard of care for different Endocrine Disorders; the endoscopic thyroid surgery is becoming more popular and different approaches has been practice by many thyroid surgeon worldwide. Trans-orovestibular approach, based on the principle of natural orifice transluminal surgery is truly scar free thyroid surgery and has minimal dissection. We are presenting here three cases of benign solitary thyroid nodule operated endoscopically through trans-oro-vestibular approach in one male and two female patients. Described about the approach, challenges during surgery and outcome. These surgeries documented very few in literatures in live human patients. Transoral endoscopic thyroid surgery through vestibular approach is shortest and direct remote access approach. The need of limited dissection in this approach provides less complication and excellent cosmetic outcome in strictly selected patients.
References
Gagner M (1996) Endoscopic subtotal parathyroidectomy in patients with primary hyperparathyroidism. Br J Surg 83(6):875
Hüscher CS, Chiodini S, Napolitano C, Recher A (1997) Endoscopic right thyroid lobectomy. Surg Endosc 11(8):877
Wong KP, Lang Brian HH (2013) Endoscopic thyroidectomy: a literature review and update. Curr Surg Rep 1:7–15
Gagner M, Inabent BW III, Biertho L (2013) Endoscopic thyroidectomy for solitary nodules. Ann Chir 128:696–701
Cougard P, Osmak L, Esquis P, Ognois P (2005) Endoscopic thyroidectomy: a preliminary report including 40 patients. Ann Chir 130:81–85
Inabent WB III, Jacob BP, Gagner M (2003) Minimally invasive endoscopic thyroidectomy by cervical approach. Surg Endosc 17:1808–1811
Henry JF, Sebag F (2006) Lateral endoscopic approach for thyroid and parathyroid surgery. Ann Chir 131:51–56
Shimizu K, Akira S, Jasmi AY, Kitamura Y, Kitagawa W, Akashu H (1999) Video assisted neck surgery: endoscopic resection of thyroid tumors with a very minimal neck wound. J Am Coll Surg 188:697–703
Shimizu K, Akira S, Tanaka S (1998) Video assisted neck surgery: endoscopic resection of benign thyroid tumor aiming at scar less surgery of the neck. J Surg Oncol 60:179–180
Ikeda Y, Takami H, Sasaki Y, Kan S, Nimi M (2000) Endoscopic neck surgery by the axillary approach. J Am Coll Surg 191:336–340
Ohgami M, Ishii S, Arisawa Y, Ohmori T, Noga K, Furukawa T (2000) Scar less endoscopic thyroidectomy: breast approach for better cosmoses. Surg Laparosc Endosc Percutan Tech 10:1–4
Park YL, Han WK, Bae WG (2003) 100 Cases of endoscopic thyroidectomy: breast approach. Surg Laparosc Endosc Percutan Tech 13:20–25
Sasaki A, Nakaijima J, Ikeda K, Otsuka K, Wakahayashi G (2008) Endoscopic thyroidectomy by the breast approach: a single institution’s 9-year experience. World J Surg 31:381–385
Benhidjeb T, Anders S, Barlchner E (2006) Total Video-endoscopic thyroidectomy via axillo-breast approach (ABBA). Langenbecks Arch Surg 391:48–49
Bärlehner E, Benhindjeb T (2008) Cervical scarles endoscopic thyroidectomy: axillo-bilateral-breast-approach (ABBA). Surg Endosc. 22(1):154–157
Shimazu K, Shiba E, Tamaki Y, Takiguchi S, Taniguchi E, Ohashi S (2003) Endoscopic thyroid surgery through the axillary bilateral breast approach. Surg Laparosc Endosc Percutan Tech 13:196–201
Witzel K, Von Rahden BHA, Kaminski C, Stein HJ (2008) Transoral access for endoscopic thyroid resection. Surg Endosc 22:1871–1875
Benhindjeb T, Wilhelm T, Harlaar J, Kleinrensink GJ, Schneider TA, Stark M (2009) Natural orifice surgery on thyroid gland: totally transoral video-assisted thyroidectomy (TOVAT): report of first experimental result of a new surgical method. Surg Endosc 23:119–1120
Chung YS, Choe JH, Kang KH et al (2007) Endoscopic thyroidectomy for thyroidectomy for thyroid malignancies: comparison with conventional open thyroidectomy. World J Surg 31:2302–2306
Li ZY, Wang P, Wang Y, Xu SM, Cao LP et al (2010) Endoscopic thyroidectomy via breast approach for patients with Grave’s disease. World J Surg 34:2228–2232
Bellantone R, Lombardi CP, Raffaelli M et al (2003) Video assisted thyroidectomy for papillary thyroid carcinoma. Surg Endosc 17:1604–1608
Yamamoto M, Sasaki A, Asahi H et al (2001) Endoscopic subtotal thyroidectomy for patients with Grave’s disease. Surg Today 31:1–4
Miccoli P, Minuto MN, Ugolini C et al (2008) Minimally invasive video assisted thyroidectomy for benign thyroid disease: an evidence-based review. World J Surg 32:1333–1340
Wilhelm T, Metzing A (2011) Endoscopic minimally invasive thyroidectomy (eMIT): a prospective proof-of-concept study in humans. World J Surg 35:343–551. doi:10.1007/s00268-010-0846-0
Nkajo A, Arima H, Hirata M et al (2013) Trans-oral video-assisted neck surgery (TOVANS). A new transoral technique of endoscopic thyroidectomy with gasless premandible approach. Surg Endosc 27:1105–1110
Wang C, Jung JH, Liu W et al (2014) Thyroidectomy: a novel endoscopic oral vestibular approach. Surgery 1555:33–38
Anuwong A et al (2016) Transoral endoscopic thyroidectomy vestibular approach: a series of the first 60 human cases. World J Surg 40:491–497
Pai VM, Muthukumar P et al (2015) Transoral endoscopic thyroidectomy: a case report. Inter J Surg Case Reports 12:99–101
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Chand, G., Johri, G. & Mishra, S.K. Endoscopic Thyroid Surgery Through Trans-oral Vestibular Approach (TOVA): A Case Series and Review of Literature. Indian J Otolaryngol Head Neck Surg 70, 162–166 (2018). https://doi.org/10.1007/s12070-017-1174-6
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DOI: https://doi.org/10.1007/s12070-017-1174-6