Transoral thyroidectomy: advantages and limitations

G. Dionigi, R. P. Tufano, J. Russell, Hoon Yub Kim, E. Piantanida, A. Anuwong

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

In this opinion paper of the Journal of Endocrinological Investigation, leading experts in the field report on their current clinical experience with a novel approach for thyroid gland surgery, namely, “transoral thyroidectomy” (TOT). This feasible and novel surgical procedure does not require visible incisions and is, therefore, a truly scarless surgery. Patients meeting the following criteria can be considered as candidates for TOT: (a) an ultrasonographically (US) estimated thyroid diameter ≤10 cm; (b) US-estimated gland volume ≤45 mL; (c) nodule size ≤50 mm; (d) presence of a benign tumor such as a thyroid cyst or a single- or multi-nodular goiter; (e) Bethesda 3 and/or 4 category and (f) papillary microcarcinoma without the evidence of metastasis. The procedure is conducted via a three-port technique at the oral vestibule using a 10-mm port for the 30° endoscope and two additional 5-mm ports for the dissecting and coagulating instruments. TOT is performed using conventional endoscopic instruments and is probably the best scarless approach to the thyroid because of the short distance between the thyroid and the incisions placed intra-orally that do not result in any cutaneous scar and upon following the surgical planes. Experts in TOT organized a working group of general, endocrine, head and neck ENT surgeons and endocrinologist to develop the standards for practicing this emerging technique.

Original languageEnglish
Pages (from-to)1259-1263
Number of pages5
JournalJournal of Endocrinological Investigation
Volume40
Issue number11
DOIs
Publication statusPublished - 2017 Nov 1

Keywords

  • Mini-invasive thyroidectomy
  • Thyroid
  • Thyroidectomy
  • Transoral thyroidectomy

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Endocrinology

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  • Cite this

    Dionigi, G., Tufano, R. P., Russell, J., Kim, H. Y., Piantanida, E., & Anuwong, A. (2017). Transoral thyroidectomy: advantages and limitations. Journal of Endocrinological Investigation, 40(11), 1259-1263. https://doi.org/10.1007/s40618-017-0676-0