Patient and Surgeon Candidacy for Transoral Endoscopic Thyroid Surgery

Özet

The transoral thyroidectomy (TT) is a feasible novelsurgical procedure that does not need visible incisions,a truly cutaneous scar-free surgery. Inclusion criteriaare (a) patients who have a ultrasonographically (US)estimated thyroid diameter not larger than 10 cm,(b) US estimated gland volume ≤45 mL, (c) nodulesize ≤50 mm, (d) a benign tumor, such as a thyroidcyst, single-nodular goiter, or multinodular goiter, (e)follicular neoplasm, and (f ) papillary microcarcinomawithout evidence of metastasis. The procedure is carried out through a three-port technique placed at theoral vestibule; one 10-mm port for a 30° endoscopeand two additional 5-mm ports for dissecting and coagulating instruments. CO2 insufflation pressure is setat 6 mmHg. An anterior cervical subplatysmal spaceis created from the oral vestibule down to the sternal notch, laterally to the sternocleidomastoid musclemedial edges. TT is done fully endoscopically usingconventional endoscopic instruments.