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, 丁爾迅, 江道振, 等.頸部無瘢痕內鏡甲狀腺腺瘤切除術一例[J]. 中華普通外科雜志, 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, 楊景哥, 等. 完全乳暈入路內鏡甲狀腺切除術1例報告[J]. 中國內鏡雜志, 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, 翟賀寧, 劉衛軍, 等. 經口腔前庭腔鏡甲狀腺切除術6例經驗[J]. 中國內鏡雜志, 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, P?rtl S, et al. Invisible scar endoscopic dorsal approach thyroidectomy:a clinical feasibility study[J]. World J Surg, 2010, 34(12):2997-3006.
14.	中華醫學會外科分會腹腔鏡與內鏡外科學組. 腔鏡甲狀腺手術常規[J]. 腹腔鏡外科雜志, 2005, 10(4):256.
15.	Sgourakis G, Sotiropoulos GC, Neuh?user 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.	孫鵬, 王存川, 李進義, 等. 乳暈入路腔鏡手術治療胸骨后甲狀腺腫18例報告[J]. 腹腔鏡外科雜志, 2014, 19(4):261-263.
19.	李進義, 王存川. 完全腔鏡甲狀腺手術的應用現狀[J]. 腹腔鏡外科雜志, 2012, 17(11):813-814.
20.	王存川, 楊景哥, 胡友主, 等. 經胸乳入路的內鏡甲狀腺切除術500例[J/CD]. 中華腔鏡外科雜志:電子版, 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. 微小乳頭狀甲狀腺癌的內鏡手術治療[J]. 中華外科雜志, 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.	陳光, 呂智, 王培松, 等. 改良Miccoli術式微創甲狀腺癌根治術302例[J/CD]. 中華腔鏡外科雜志:電子版, 2013, 6(3):222-225.
25.	王平. 胸前入路完全腔鏡甲狀腺癌手術經驗與技巧[J]. 腹腔鏡外科雜志, 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. 分化型甲狀腺癌的腔鏡手術治療[J]. 中國微創外科雜志, 2009, 9(5):444-447.
28.	周龍翔, 俞冬, 徐軍, 等. 采用精細化被膜解剖+喉返神經顯露法行甲狀腺腺葉切除452例臨床分析[J]. 中國普外基礎與臨床雜志, 2013, 20(6):638-642.
29.	劉宛靈, 蔡念, 李進義, 等. 腔鏡甲狀腺手術中甲狀旁腺的保護[J]. 腹腔鏡外科雜志, 2013, 18(4):252-254.
30.	王朝暉, 蔡永聰, 陳錦, 等. 精細化被膜解剖法在甲狀腺全切手術中的應用[J/CD]. 中華普通外科學文獻:電子版, 2014, 8(1):8-11.
31.	楊曉暉, 王勇, 王平. 納米碳在腔鏡甲狀腺癌手術中的應用[J]. 腹腔鏡外科雜志, 2013, 18(4):262-265.
32.	淳林, 黃蔓, 蘇新良, 等. 納米碳在甲狀腺癌手術中的應用進展[J]. 中國普外基礎與臨床雜志, 2014, 21(5):646-649.
33.	楊子明. 爭鳴:腔鏡甲狀腺手術是微創手術嗎?[J]. 中華外科雜志, 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, 劉靖榮, 張新芝, 等. 神經監測儀在甲狀腺手術中的應用[J]. 海軍醫學雜志, 2012, 33(2):94-96.
36.	孫輝, 劉曉莉, 付言濤, 等. 術中神經監測技術在復雜甲狀腺手術中的應用[J]. 中國實用外科雜志, 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, 丁爾迅, 江道振, 等.頸部無瘢痕內鏡甲狀腺腺瘤切除術一例[J]. 中華普通外科雜志, 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, 楊景哥, 等. 完全乳暈入路內鏡甲狀腺切除術1例報告[J]. 中國內鏡雜志, 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, 翟賀寧, 劉衛軍, 等. 經口腔前庭腔鏡甲狀腺切除術6例經驗[J]. 中國內鏡雜志, 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, P?rtl S, et al. Invisible scar endoscopic dorsal approach thyroidectomy:a clinical feasibility study[J]. World J Surg, 2010, 34(12):2997-3006.
14. 中華醫學會外科分會腹腔鏡與內鏡外科學組. 腔鏡甲狀腺手術常規[J]. 腹腔鏡外科雜志, 2005, 10(4):256.
15. Sgourakis G, Sotiropoulos GC, Neuh?user 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. 孫鵬, 王存川, 李進義, 等. 乳暈入路腔鏡手術治療胸骨后甲狀腺腫18例報告[J]. 腹腔鏡外科雜志, 2014, 19(4):261-263.
19. 李進義, 王存川. 完全腔鏡甲狀腺手術的應用現狀[J]. 腹腔鏡外科雜志, 2012, 17(11):813-814.
20. 王存川, 楊景哥, 胡友主, 等. 經胸乳入路的內鏡甲狀腺切除術500例[J/CD]. 中華腔鏡外科雜志:電子版, 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. 微小乳頭狀甲狀腺癌的內鏡手術治療[J]. 中華外科雜志, 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. 陳光, 呂智, 王培松, 等. 改良Miccoli術式微創甲狀腺癌根治術302例[J/CD]. 中華腔鏡外科雜志:電子版, 2013, 6(3):222-225.
25. 王平. 胸前入路完全腔鏡甲狀腺癌手術經驗與技巧[J]. 腹腔鏡外科雜志, 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. 分化型甲狀腺癌的腔鏡手術治療[J]. 中國微創外科雜志, 2009, 9(5):444-447.
28. 周龍翔, 俞冬, 徐軍, 等. 采用精細化被膜解剖+喉返神經顯露法行甲狀腺腺葉切除452例臨床分析[J]. 中國普外基礎與臨床雜志, 2013, 20(6):638-642.
29. 劉宛靈, 蔡念, 李進義, 等. 腔鏡甲狀腺手術中甲狀旁腺的保護[J]. 腹腔鏡外科雜志, 2013, 18(4):252-254.
30. 王朝暉, 蔡永聰, 陳錦, 等. 精細化被膜解剖法在甲狀腺全切手術中的應用[J/CD]. 中華普通外科學文獻:電子版, 2014, 8(1):8-11.
31. 楊曉暉, 王勇, 王平. 納米碳在腔鏡甲狀腺癌手術中的應用[J]. 腹腔鏡外科雜志, 2013, 18(4):262-265.
32. 淳林, 黃蔓, 蘇新良, 等. 納米碳在甲狀腺癌手術中的應用進展[J]. 中國普外基礎與臨床雜志, 2014, 21(5):646-649.
33. 楊子明. 爭鳴:腔鏡甲狀腺手術是微創手術嗎?[J]. 中華外科雜志, 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, 劉靖榮, 張新芝, 等. 神經監測儀在甲狀腺手術中的應用[J]. 海軍醫學雜志, 2012, 33(2):94-96.
36. 孫輝, 劉曉莉, 付言濤, 等. 術中神經監測技術在復雜甲狀腺手術中的應用[J]. 中國實用外科雜志, 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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