Changes of Endoscopic Surgery for Thyroid Nodule_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 LINMao-quan ,  WANGCun-chuan , LIJin-yi , YANGhua

Department of General Surgery, The First Affiliated Hospital of Jinan University, Guangzhou 510630, Guangdong Province, China;

Corresponding author：

WANGCun-chuan, Email: twcc@jnu.edu.Cn

Keywords：

Thyroid nodule; Endoscopy; Thyroidectomy; Surgical treatment

DOI：

10.7507/1007-9424.20140265

Video：

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Objective To summary the change of surgical approaches, indications, contraindications, and complications of endoscopic thyroidectomy. Methods Endoscopic thyroidectomy related literatures at home and abroad were collected to summary the change of surgical approaches, indications, contraindications, and complications of it. Results The approaches of endoscopic thyroidectomy had their own advantages, wherein breast and complete areola approaches were mainstream surgical procedures; the indications were closely correlated with surgeons and devices, and there were no uniform indications yet. With the advance in endoscopic techniques, the contraindications would be gradually resolved, and the assistance of new devices and the accumulation of experience reduced the incidence of surgical complications, but there were still probability of occurrence of such complications. Conclusion Endoscopic thyroidectomy is the main means of treating thyroid nodules, which will be more widely used with the advance in techniques, the innovation of devices, the expansion of indications as well as the overcoming of contraindications.

Citation： LINMao-quan, WANGCun-chuan, LIJin-yi, YANGhua. Changes of Endoscopic Surgery for Thyroid Nodule. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2014, 21(9): 1103-1107. doi: 10.7507/1007-9424.20140265 Copy

1.	Hüscher CS, Chiodini S, Napolitano C, et al. Endoscopic right thyroid lobectomy[J]. Surg Endosc, 1997, 11(8):877.
2.	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.
3.	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.
4.	Usui Y, Sasaki T, Kimura K, et al. Gasless endoscopic thyroid and parathyroid surgery using a new retractor[J]. Surg Today, 2001, 31(10):939-941.
5.	Ikeda Y, Takami H, Niimi M, et al. Endoscopic thyroidectomy and parathyroidectomy by the axillary approach. A preliminary report[J]. Surg Endosc, 2002, 16(1):92-95.
6.	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.
7.	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.
8.	Witzel K, von Rahden BHA, Kaminski C, et al. Transoral access for endoscopic thyroid resection[J]. Surg Endosc, 2008, 22(8):1871-1875.
9.	Wilhelm T, Metzig A. Endoscopic minimally invasive thyroidectomy:first clinical experience[J]. Surg Endosc, 2010, 24(7):1757-1758.
10.	王存川, 翟贺宁, 刘卫军, 等. 经口腔前庭腔镜甲状腺切除术6例经验[J]. 中国内镜杂志, 2013, 19(4):363-366.
11.	Ding Z, Deng X, Fan Y, et al. Single-port endoscopic thyroidectomy via a submental approach:report of an initial experience[J]. Head Neck, 2014, 36(7):E60-E64.
12.	Shimizu K, Kitagawa W, Akasu H, et al. Indications for and limitations of endoscopic thyroid surgery[J]. Nippon Geka Gakkai Zasshi, 2002, 103(10):708-712.
13.	Schardey HM, Barone M, Pörtl S, et al. Invisible scar endoscopic dorsal approach thyroidectomy:a clinical feasibility study[J]. World J Surg, 2010, 34(12):2997-3006.
14.	中华医学会外科分会腹腔镜与内镜外科学组. 腔镜甲状腺手术常规[J]. 腹腔镜外科杂志, 2005, 10(4):256.
15.	Sgourakis G, Sotiropoulos GC, Neuhäuser M, et al. Comparison between minimally invasive video-assisted thyroidectomy and conventional thyroidectomy:is there any evidence-based information?[J]. Thyroid, 2008, 18(7):721-727.
16.	Chen XD, Peng B, Gong RX, et al. Endoscopic thyroidectomy:an evidence-based research on feasibility, safety and clinical effectiveness[J]. Chin Med J (Engl), 2008, 121(20):2088-2094.
17.	Li ZY, Wang P, Wang Y, et al. Endoscopic lateral neck dissection via breast approach for papillary thyroid carcinoma:a preliminary report[J]. Surg Endosc, 2011, 25(3):890-896.
18.	孙鹏, 王存川, 李进义, 等. 乳晕入路腔镜手术治疗胸骨后甲状腺肿18例报告[J]. 腹腔镜外科杂志, 2014, 19(4):261-263.
19.	李进义, 王存川. 完全腔镜甲状腺手术的应用现状[J]. 腹腔镜外科杂志, 2012, 17(11):813-814.
20.	王存川, 杨景哥, 胡友主, 等. 经胸乳入路的内镜甲状腺切除术500例[J/CD]. 中华腔镜外科杂志:电子版, 2008, 1(1):47-54.
21.	Hong HJ, Kim WS, Koh YW, et al. Endoscopic thyroidectomy via an axillo-breast approach without gas insufflation for benign thyroid nodules and micropapillary carcinomas:preliminary results[J]. Yonsei Med J, 2011, 52(4):643-654.
22.	王平, 李志宇, 徐少明. 微小乳头状甲状腺癌的内镜手术治疗[J]. 中华外科杂志, 2008, 46(19):1480-1482.
23.	Miccoli P, Materazzi G, Berti P. Minimally invasive thyroidectomy in the treatment of well differentiated thyroid cancers:indications and limits[J]. Curr Opin Otolaryngol Head Neck Surg, 2010, 18(2):114-118.
24.	陈光, 吕智, 王培松, 等. 改良Miccoli术式微创甲状腺癌根治术302例[J/CD]. 中华腔镜外科杂志:电子版, 2013, 6(3):222-225.
25.	王平. 胸前入路完全腔镜甲状腺癌手术经验与技巧[J]. 腹腔镜外科杂志, 2013, 18(4):246-248.
26.	Chung YS, Choe JH, Kang KH, et al. Endoscopic thyroidectomy for thyroid malignancies:comparison with conventional open thyroidectomy[J]. World J Surg, 2007, 31(12):2302-2306.
27.	王平. 分化型甲状腺癌的腔镜手术治疗[J]. 中国微创外科杂志, 2009, 9(5):444-447.
28.	周龙翔, 俞冬, 徐军, 等. 采用精细化被膜解剖+喉返神经显露法行甲状腺腺叶切除452例临床分析[J]. 中国普外基础与临床杂志, 2013, 20(6):638-642.
29.	刘宛灵, 蔡念, 李进义, 等. 腔镜甲状腺手术中甲状旁腺的保护[J]. 腹腔镜外科杂志, 2013, 18(4):252-254.
30.	王朝晖, 蔡永聪, 陈锦, 等. 精细化被膜解剖法在甲状腺全切手术中的应用[J/CD]. 中华普通外科学文献:电子版, 2014, 8(1):8-11.
31.	杨晓晖, 王勇, 王平. 纳米碳在腔镜甲状腺癌手术中的应用[J]. 腹腔镜外科杂志, 2013, 18(4):262-265.
32.	淳林, 黄蔓, 苏新良, 等. 纳米碳在甲状腺癌手术中的应用进展[J]. 中国普外基础与临床杂志, 2014, 21(5):646-649.
33.	杨子明. 争鸣:腔镜甲状腺手术是微创手术吗?[J]. 中华外科杂志, 2006, 44(13):871.
34.	Tan CT, Cheah WK, Delbridge L."Scarless" (in the neck) endoscopic thyroidectomy (SET):an evidence-based review of published techniques[J]. World J Surg, 2008, 32(7):1349-1357.
35.	程洪霞, 刘靖荣, 张新芝, 等. 神经监测仪在甲状腺手术中的应用[J]. 海军医学杂志, 2012, 33(2):94-96.
36.	孙辉, 刘晓莉, 付言涛, 等. 术中神经监测技术在复杂甲状腺手术中的应用[J]. 中国实用外科杂志, 2010, 30(1):66-68.
37.	Bellantone R, Lombardi CP, Raffaelli M, et al. Minimally invasive, totally gasless video-assisted thyroid lobectomy[J]. Am J Surg, 1999, 177(4):342-343.
38.	Lewis CM, Chung WY, Holsinger FC. Feasibility and surgical approach of transaxillary robotic thyroidctomy without CO(2) insufflation[J]. Head Neck, 2010, 32(1):121-126.

1. Hüscher CS, Chiodini S, Napolitano C, et al. Endoscopic right thyroid lobectomy[J]. Surg Endosc, 1997, 11(8):877.
2. 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.
3. 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.
4. Usui Y, Sasaki T, Kimura K, et al. Gasless endoscopic thyroid and parathyroid surgery using a new retractor[J]. Surg Today, 2001, 31(10):939-941.
5. Ikeda Y, Takami H, Niimi M, et al. Endoscopic thyroidectomy and parathyroidectomy by the axillary approach. A preliminary report[J]. Surg Endosc, 2002, 16(1):92-95.
6. 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.
7. 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.
8. Witzel K, von Rahden BHA, Kaminski C, et al. Transoral access for endoscopic thyroid resection[J]. Surg Endosc, 2008, 22(8):1871-1875.
9. Wilhelm T, Metzig A. Endoscopic minimally invasive thyroidectomy:first clinical experience[J]. Surg Endosc, 2010, 24(7):1757-1758.
10. 王存川, 翟贺宁, 刘卫军, 等. 经口腔前庭腔镜甲状腺切除术6例经验[J]. 中国内镜杂志, 2013, 19(4):363-366.
11. Ding Z, Deng X, Fan Y, et al. Single-port endoscopic thyroidectomy via a submental approach:report of an initial experience[J]. Head Neck, 2014, 36(7):E60-E64.
12. Shimizu K, Kitagawa W, Akasu H, et al. Indications for and limitations of endoscopic thyroid surgery[J]. Nippon Geka Gakkai Zasshi, 2002, 103(10):708-712.
13. Schardey HM, Barone M, Pörtl S, et al. Invisible scar endoscopic dorsal approach thyroidectomy:a clinical feasibility study[J]. World J Surg, 2010, 34(12):2997-3006.
14. 中华医学会外科分会腹腔镜与内镜外科学组. 腔镜甲状腺手术常规[J]. 腹腔镜外科杂志, 2005, 10(4):256.
15. Sgourakis G, Sotiropoulos GC, Neuhäuser M, et al. Comparison between minimally invasive video-assisted thyroidectomy and conventional thyroidectomy:is there any evidence-based information?[J]. Thyroid, 2008, 18(7):721-727.
16. Chen XD, Peng B, Gong RX, et al. Endoscopic thyroidectomy:an evidence-based research on feasibility, safety and clinical effectiveness[J]. Chin Med J (Engl), 2008, 121(20):2088-2094.
17. Li ZY, Wang P, Wang Y, et al. Endoscopic lateral neck dissection via breast approach for papillary thyroid carcinoma:a preliminary report[J]. Surg Endosc, 2011, 25(3):890-896.
18. 孙鹏, 王存川, 李进义, 等. 乳晕入路腔镜手术治疗胸骨后甲状腺肿18例报告[J]. 腹腔镜外科杂志, 2014, 19(4):261-263.
19. 李进义, 王存川. 完全腔镜甲状腺手术的应用现状[J]. 腹腔镜外科杂志, 2012, 17(11):813-814.
20. 王存川, 杨景哥, 胡友主, 等. 经胸乳入路的内镜甲状腺切除术500例[J/CD]. 中华腔镜外科杂志:电子版, 2008, 1(1):47-54.
21. Hong HJ, Kim WS, Koh YW, et al. Endoscopic thyroidectomy via an axillo-breast approach without gas insufflation for benign thyroid nodules and micropapillary carcinomas:preliminary results[J]. Yonsei Med J, 2011, 52(4):643-654.
22. 王平, 李志宇, 徐少明. 微小乳头状甲状腺癌的内镜手术治疗[J]. 中华外科杂志, 2008, 46(19):1480-1482.
23. Miccoli P, Materazzi G, Berti P. Minimally invasive thyroidectomy in the treatment of well differentiated thyroid cancers:indications and limits[J]. Curr Opin Otolaryngol Head Neck Surg, 2010, 18(2):114-118.
24. 陈光, 吕智, 王培松, 等. 改良Miccoli术式微创甲状腺癌根治术302例[J/CD]. 中华腔镜外科杂志:电子版, 2013, 6(3):222-225.
25. 王平. 胸前入路完全腔镜甲状腺癌手术经验与技巧[J]. 腹腔镜外科杂志, 2013, 18(4):246-248.
26. Chung YS, Choe JH, Kang KH, et al. Endoscopic thyroidectomy for thyroid malignancies:comparison with conventional open thyroidectomy[J]. World J Surg, 2007, 31(12):2302-2306.
27. 王平. 分化型甲状腺癌的腔镜手术治疗[J]. 中国微创外科杂志, 2009, 9(5):444-447.
28. 周龙翔, 俞冬, 徐军, 等. 采用精细化被膜解剖+喉返神经显露法行甲状腺腺叶切除452例临床分析[J]. 中国普外基础与临床杂志, 2013, 20(6):638-642.
29. 刘宛灵, 蔡念, 李进义, 等. 腔镜甲状腺手术中甲状旁腺的保护[J]. 腹腔镜外科杂志, 2013, 18(4):252-254.
30. 王朝晖, 蔡永聪, 陈锦, 等. 精细化被膜解剖法在甲状腺全切手术中的应用[J/CD]. 中华普通外科学文献:电子版, 2014, 8(1):8-11.
31. 杨晓晖, 王勇, 王平. 纳米碳在腔镜甲状腺癌手术中的应用[J]. 腹腔镜外科杂志, 2013, 18(4):262-265.
32. 淳林, 黄蔓, 苏新良, 等. 纳米碳在甲状腺癌手术中的应用进展[J]. 中国普外基础与临床杂志, 2014, 21(5):646-649.
33. 杨子明. 争鸣:腔镜甲状腺手术是微创手术吗?[J]. 中华外科杂志, 2006, 44(13):871.
34. Tan CT, Cheah WK, Delbridge L."Scarless" (in the neck) endoscopic thyroidectomy (SET):an evidence-based review of published techniques[J]. World J Surg, 2008, 32(7):1349-1357.
35. 程洪霞, 刘靖荣, 张新芝, 等. 神经监测仪在甲状腺手术中的应用[J]. 海军医学杂志, 2012, 33(2):94-96.
36. 孙辉, 刘晓莉, 付言涛, 等. 术中神经监测技术在复杂甲状腺手术中的应用[J]. 中国实用外科杂志, 2010, 30(1):66-68.
37. Bellantone R, Lombardi CP, Raffaelli M, et al. Minimally invasive, totally gasless video-assisted thyroid lobectomy[J]. Am J Surg, 1999, 177(4):342-343.
38. Lewis CM, Chung WY, Holsinger FC. Feasibility and surgical approach of transaxillary robotic thyroidctomy without CO(2) insufflation[J]. Head Neck, 2010, 32(1):121-126.

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Changes of Endoscopic Surgery for Thyroid Nodule

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