Transoral endoscopic thyroidectomy: current state of the art—a systematic literature review and results of a bi-center study

• DOI: 10.21037/tcr.2016.12.62
• Publication Date: 2017-01-09T21:51:26Z
• Authors: Thomas Wilhelm; Guoyang Wu; Afshin Teymoortash; Christian Güldner; Thomas Günzel; Stefan Hoch
• Keywords: Mental nerve

Abstract: Transoral endoscopic approaches for thyroidectomy (TOET) have been developing since 2008. To date, single centers gained great experience and patients treated worldwide (477 by February 2016) resulted in complication rates [transient recurrent laryngeal nerve palsy (RLNP) 2.5%, permanent RLNP 0.4%, transient mental paraesthesia 5.9%, local or neck site infections 1.2%] comparable to conventional open other robotic approaches. The conversion rate from TOET surgery is very low (0.6%). This data based on a systematic literature review (PubMed search) the results of bi-centric study Xiamen, P.R. China Borna, Germany. was performed thyroid nodules cervical masses 93 patients. Isthmus resections, hemi, subtotal total thyroidectomies were performed. A learning curve could be shown cut-suture-times approached those surgery. One observed paraesthesia, which resolved within 3–4 weeks, noted 15 cases. In conclusion, has left stage infancy proven good alternative endoscopic/robotic-assisted with advantage decreased postoperative pain diminished swallowing disorders following Lastly, it secures an optimal cosmetic result leaves no visible scars even at access points mouth.