Transoral thyroidectomy: Why is it needed?

Gianlorenzo Dionigi, Matteo Lavazza, Chei Wei Wu, Hui Sun, Xiao Li Liu, Ralph P. Tufano, Hoon Yub Kim, Jeremy D. Richmon, Angkoon Anuwong

Research output: Contribution to journalReview article

12 Citations (Scopus)

Abstract

Transoral thyroidectomy (TOT) represents reasonably the desirable minimally invasive approach to the gland due to the scarless non-visible incisions, the limited distance between the gland and the access that minimize tissue dissection and respect of the surgical anatomical planes. Patients are routinely selected according to an extensive inclusion criteria: (I) ultrasonographically (US) estimated thyroid diameter not larger than 10 cm; (II) US gland volume ≤45 mL; (III) nodule size ≤50 mm; (IV) a benign tumor, such as a thyroid cyst, single-nodular goiter, or multinodular goiter; (V) follicular neoplasm; (VI) papillary microcarcinoma without lymph node metastasis. The operation is realized through median, central approach which allows bilateral exploration of the thyroid gland and central compartment. TOT is succeed both endoscopically adopting ordinary endoscopic equipments or robotically. In detail three ports are placed at the inferior oral vestibule: one 10-mm port for 30° endoscope and two 5-mm ports for dissecting, coagulating and neuromonitoring instruments. Low CO2 insufflation pressure is set at 6 mmHg. An anterior cervical subplatysmal space is created from the oral vestibule down to the sternal notch, laterally to the sterncleidomuscles similar to that of conventional thyroidectomy. TOT is now reproducible in selective high volume endocrine centers.

Original languageEnglish
Pages (from-to)272-276
Number of pages5
JournalGland Surgery
Volume6
Issue number3
DOIs
Publication statusPublished - 2017 Jun 1

Fingerprint

Thyroidectomy
Thyroid Gland
Nodular Goiter
Insufflation
Endoscopes
Goiter
Dissection
Cysts
Neoplasms
Lymph Nodes
Neoplasm Metastasis
Pressure
Equipment and Supplies

Keywords

  • Endoscopic thyroidectomy
  • Natural orifice transluminal endoscopic surgery (NOTES)
  • Robotic thyroidectomy
  • Transoral thyroidectomy (TOT)

ASJC Scopus subject areas

  • Surgery

Cite this

Dionigi, G., Lavazza, M., Wu, C. W., Sun, H., Liu, X. L., Tufano, R. P., ... Anuwong, A. (2017). Transoral thyroidectomy: Why is it needed? Gland Surgery, 6(3), 272-276. https://doi.org/10.21037/gs.2017.03.21

Transoral thyroidectomy : Why is it needed? / Dionigi, Gianlorenzo; Lavazza, Matteo; Wu, Chei Wei; Sun, Hui; Liu, Xiao Li; Tufano, Ralph P.; Kim, Hoon Yub; Richmon, Jeremy D.; Anuwong, Angkoon.

In: Gland Surgery, Vol. 6, No. 3, 01.06.2017, p. 272-276.

Research output: Contribution to journalReview article

Dionigi, G, Lavazza, M, Wu, CW, Sun, H, Liu, XL, Tufano, RP, Kim, HY, Richmon, JD & Anuwong, A 2017, 'Transoral thyroidectomy: Why is it needed?', Gland Surgery, vol. 6, no. 3, pp. 272-276. https://doi.org/10.21037/gs.2017.03.21
Dionigi G, Lavazza M, Wu CW, Sun H, Liu XL, Tufano RP et al. Transoral thyroidectomy: Why is it needed? Gland Surgery. 2017 Jun 1;6(3):272-276. https://doi.org/10.21037/gs.2017.03.21
Dionigi, Gianlorenzo ; Lavazza, Matteo ; Wu, Chei Wei ; Sun, Hui ; Liu, Xiao Li ; Tufano, Ralph P. ; Kim, Hoon Yub ; Richmon, Jeremy D. ; Anuwong, Angkoon. / Transoral thyroidectomy : Why is it needed?. In: Gland Surgery. 2017 ; Vol. 6, No. 3. pp. 272-276.
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