The safety of transoral periosteal thyroidectomy

Results of swine models

Hye Yoon Lee, Seong Bae Hwang, Kang Min Ahn, Jae Bok Lee, Jeoung Won Bae, Hoon Yub Kim

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Background: Endoscopic thyroid surgery is gaining wide acceptance; however, existing endoscopic methods for thyroidectomy have shown several limitations. Recently, a transoral technique using video assistance and endoscopy has been reported for thyroidectomy. The aim of this study was to define a new technique of transoral thyroidectomy using a mandibular periosteal approach to complement other types of natural orifice surgery and minimally invasive surgery. Materials and Methods: Transoral periosteal thyroidectomies were performed in seven living pigs to evaluate the feasibility and safety of the new approach. Total thyroidectomies were performed in all animals. Follow-up examinations were carried out for 7 days and followed by autopsy. Results: Through three trocars in the mandibular periosteal area, it was possible to create a working space under the platysma muscle and to reach the pretracheal area. Total thyroidectomies were also performed via the transoral, mandibular periosteal approach without complications in seven orally intubated living pigs. Postoperatively, the white blood cell count remained normal in all cases. On the postoperative sacrifice of the pigs, three locally encapsulated seromas were observed. Both recurrent laryngeal nerves were intact in all cases. Conclusions: Transoral periosteal thyroidectomy could be feasible and safe.

Original languageEnglish
Pages (from-to)312-317
Number of pages6
JournalJournal of Laparoendoscopic and Advanced Surgical Techniques
Volume24
Issue number5
DOIs
Publication statusPublished - 2014 May 1

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Thyroidectomy
Swine
Safety
Recurrent Laryngeal Nerve
Seroma
Minimally Invasive Surgical Procedures
Leukocyte Count
Surgical Instruments
Endoscopy
Autopsy
Thyroid Gland

ASJC Scopus subject areas

  • Surgery

Cite this

The safety of transoral periosteal thyroidectomy : Results of swine models. / Lee, Hye Yoon; Hwang, Seong Bae; Ahn, Kang Min; Lee, Jae Bok; Bae, Jeoung Won; Kim, Hoon Yub.

In: Journal of Laparoendoscopic and Advanced Surgical Techniques, Vol. 24, No. 5, 01.05.2014, p. 312-317.

Research output: Contribution to journalArticle

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