Endoscopic thyroidectomy: why we need a transoral approach
Transoral thyroidectomy (TT) is a feasible novel surgical procedure that does not need visible incisions, a truly scar-free surgery. Inclusion criteria are (a) patients who have a ultrasonographically (US) estimated thyroid diameter not larger than 10 cm, (b) US estimated gland volume ≤45 mL, (c) no...
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Accademia Peloritana dei Pericolanti
2017-12-01
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Online Access: | http://cab.unime.it/journals/index.php/APMB/article/view/1713 |
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doaj-a87052bffbd540f9a57192f02fe511722020-11-24T23:31:40ZengAccademia Peloritana dei PericolantiAtti della Accademia Peloritana dei Pericolanti - Classe di Scienze Medico-Biologiche0365-02941828-65502017-12-01105210.6092/1828-6550/APMB.105.2.2017.SD11352Endoscopic thyroidectomy: why we need a transoral approachAntonina Catalfamo0Fausto Famà1Francesca Pia Pergolizzi2Maribel Cristina Sanchez Cruz3Giorgio De Pasquale4Sam Mahli5Gianlorenzo Dionigi6University of Messina, Department of Human Pathology in Adulthood and ChildhoodUniversity of Messina, Department of Human Pathology in Adulthood and ChildhoodUniversity of Messina, Department of Human Pathology in Adulthood and ChildhoodUniversity of Messina, Department of Human Pathology in Adulthood and ChildhoodUniversity of Messina, Department of Human Pathology in Adulthood and ChildhoodUniversity of Messina, Department of Human Pathology in Adulthood and ChildhoodUniversity of Messina, Department of Human Pathology in Adulthood and ChildhoodTransoral thyroidectomy (TT) is a feasible novel surgical procedure that does not need visible incisions, a truly scar-free surgery. Inclusion criteria are (a) patients who have a ultrasonographically (US) estimated thyroid diameter not larger than 10 cm, (b) US estimated gland volume ≤45 mL, (c) nodule size ≤50 mm, (d) a benign tumor, such as a thyroid cyst, single-nodular goiter, or multinodular goiter, (e) follicular neoplasm, (f) papillary microcarcinoma without evidence of metastasis. The procedure is carried out through three-port technique placed at the oral vestibule, one 10-mm port for 30° endoscope and two additional 5-mm ports for dissecting and coagulating instruments. CO2insufflation pressure is set at 6 mmHg. An anterior cervical subplatysmal space is created from the oral vestibule down to the sternal notch, laterally to the sterncleidomuscles. TT is done fully endoscopically using conventional endoscopic instruments. TT represents probably the best scarless approach to the thyroid due to the short distance between the thyroid and the incisions, respecting the surgical planes.http://cab.unime.it/journals/index.php/APMB/article/view/1713transoral thyroidectomyendoscopic thyroidectomyrobotic thyroidectomynatural orifice transluminal endoscopic surgery |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Antonina Catalfamo Fausto Famà Francesca Pia Pergolizzi Maribel Cristina Sanchez Cruz Giorgio De Pasquale Sam Mahli Gianlorenzo Dionigi |
spellingShingle |
Antonina Catalfamo Fausto Famà Francesca Pia Pergolizzi Maribel Cristina Sanchez Cruz Giorgio De Pasquale Sam Mahli Gianlorenzo Dionigi Endoscopic thyroidectomy: why we need a transoral approach Atti della Accademia Peloritana dei Pericolanti - Classe di Scienze Medico-Biologiche transoral thyroidectomy endoscopic thyroidectomy robotic thyroidectomy natural orifice transluminal endoscopic surgery |
author_facet |
Antonina Catalfamo Fausto Famà Francesca Pia Pergolizzi Maribel Cristina Sanchez Cruz Giorgio De Pasquale Sam Mahli Gianlorenzo Dionigi |
author_sort |
Antonina Catalfamo |
title |
Endoscopic thyroidectomy: why we need a transoral approach |
title_short |
Endoscopic thyroidectomy: why we need a transoral approach |
title_full |
Endoscopic thyroidectomy: why we need a transoral approach |
title_fullStr |
Endoscopic thyroidectomy: why we need a transoral approach |
title_full_unstemmed |
Endoscopic thyroidectomy: why we need a transoral approach |
title_sort |
endoscopic thyroidectomy: why we need a transoral approach |
publisher |
Accademia Peloritana dei Pericolanti |
series |
Atti della Accademia Peloritana dei Pericolanti - Classe di Scienze Medico-Biologiche |
issn |
0365-0294 1828-6550 |
publishDate |
2017-12-01 |
description |
Transoral thyroidectomy (TT) is a feasible novel surgical procedure that does not need visible incisions, a truly scar-free surgery. Inclusion criteria are (a) patients who have a ultrasonographically (US) estimated thyroid diameter not larger than 10 cm, (b) US estimated gland volume ≤45 mL, (c) nodule size ≤50 mm, (d) a benign tumor, such as a thyroid cyst, single-nodular goiter, or multinodular goiter, (e) follicular neoplasm, (f) papillary microcarcinoma without evidence of metastasis. The procedure is carried out through three-port technique placed at the oral vestibule, one 10-mm port for 30° endoscope and two additional 5-mm ports for dissecting and coagulating instruments. CO2insufflation pressure is set at 6 mmHg. An anterior cervical subplatysmal space is created from the oral vestibule down to the sternal notch, laterally to the sterncleidomuscles. TT is done fully endoscopically using conventional endoscopic instruments. TT represents probably the best scarless approach to the thyroid due to the short distance between the thyroid and the incisions, respecting the surgical planes. |
topic |
transoral thyroidectomy endoscopic thyroidectomy robotic thyroidectomy natural orifice transluminal endoscopic surgery |
url |
http://cab.unime.it/journals/index.php/APMB/article/view/1713 |
work_keys_str_mv |
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