Tiroidectomía endoscópica: estudio preliminar

doi:10.1016/S0001-6519(06)78712-X

Acta Otorrinolaringológica Española

Volume 57, Issue 6, 2006, Pages 291-293

https://doi.org/10.1016/S0001-6519(06)78712-X Get rights and content

Resumen

La Tiroidectomía Video-Asistida Mínimamente Invasiva, descrita por P. Miccoli en 1998, es un procedimiento seguro y reproducible para el tratamiento quirúrgico de nódulos tiroideos de menos de 3,5 cm. Después de los 11 primeros casos, concluimos que sólo una gran experiencia con la técnica permite reducir los tiempos quirúrgicos y el porcentaje de conversiones a la técnica convencional. Pero ya que es posible concluir casos con éxito desde las primeras intervenciones, los beneficios de un buen resultado cosmético y un menor dolor postoperatorio son evidentes desde el principio de la curva de aprendizaje.

Abstract

The Minimally Invasive Video-Assisted Thyroidectomy, described by P. Miccoli in 1998, is a safe and feasible procedure, for the surgical treatment of thyroid nodules of less than 3.5 centimeters. After our first 11 cases, we conclude that only a large experience with the technique will reduce the operating time and the percentage of conversions into a conventional technique. But, as soon as it is possible to succeed already in the first procedures, the benefits of a good cosmetic result and less postoperative pain are evident since the beginning of the learning curve.

Referencias (10)

Y. Ikeda et al.
Clinical benefits in endoscopic thyroidectomy by the axillary approach
J Am Coll Surg
(2003)
P. Miccoli et al.
Minimally invasive video-assisted thyroidectomy: five years of experience
J Am Coll Surg
(2004)
P. Miccoli et al.
Minimally invasive video-assisted thyroidectomy
Am J Surg
(2001)
K. Shimazu et al.
Endoscopic thyroid surgery through the axillo-bilateral-breast approach
Surg Laparosc Endosc Percutan Tech
(2003)
P. Miccoli et al.
Minimally invasive video-assisted thyroidectomy-techniques and results over 4 years of experience (1999-2002)
Ann Ital Chir
(2004)

There are more references available in the full text version of this article.

Cited by (4)

Transoral endoscopic thyroidectomy vestibular approach (TOETVA): Report of the first human case in Latin America
2017, Revista Chilena de Cirugia
Desde hace aproximadamente 20 años se han venido realizando varias técnicas de tiroidectomía por mínimo acceso, apoyadas en la videoendoscopia en pro de reemplazar la incisión clásica descrita por Kocher. Se han diseñado múltiples abordajes, sin embargo, ninguno ha conseguido evitar totalmente las cicatrices. En el año 2008 Witzel introdujo la técnica transoral y en el 2015, Anuwong publicó la primera serie realizada en humanos.
Se trata de una paciente de 47 años a quien se ha diagnosticado por PAAF una lesión folicular en el lóbulo izquierdo de la tiroides.
La paciente fue sometida a hemitiroidectomía izquierda más estudio de congelación transoperatoria que resultó negativo. Se realizó un abordaje transoral endoscópico, con un tiempo de 280 min y sangrado de 40 ml. No se registraron complicaciones en el transoperatorio ni en el postoperatorio.
La tiroidectomía transoral endoscópica por abordaje vestibular (TOETVA) representa, entre las cirugías de mínimo acceso, la única que potencialmente está totalmente libre de cicatrices, ofreciendo seguridad y resultados comparables con otras técnicas.
For about 20 years we has been conducting several techniques of minimal access thyroidectomy, supported by videoendoscopy towards replacing the classic Kocher incision. Multiple approaches have been described, however none has achieved completely avoid scarring. Witzel in 2008 introduced the transoral technique and in 2015 Anuwong published the first series performed in humans.
This is a 47 years old patient who have been diagnosed by FNAB follicular lesion in the left lobe of her thyroid.
The patient underwent a left hemithyroidectomy + intraoperative frozen study that was negative, transoral endoscopic approach was performed with a time of 280 min and 40 ml bleeding. No complications occurred intraoperatively or postoperatively.
Transoral endoscopic thyroidectomy vestibular approach (TOETVA) represents between the minimum access surgeries the only one that is potentially totally free of scars, offering safety and comparable results with other techniques.
Usefulness of video-assisted cervicotomy on the extraction of foreign bodies
2008, Acta Otorrinolaringologica Espanola
Los cuerpos extraños enclavados en las vías aerodigestivas superiores, si no se diagnostican y extraen de forma precoz, pueden ser causa de una elevada morbimortalidad. Presentamos el caso de una paciente que acudió al servicio de urgencias refiriendo haber deglutido una espina de pescado, que se encontró finalmente enclavada en la musculatura prevertebral a nivel de C3-C4 y presentaba puerta de entrada en el esófago a unos 2 cm del esfínter esofágico superior. Para extraerla se practicó una cervicotomía asistida por endoscopia, con lo que se muestra una nueva aplicación para la videoendoscopia.
Foreign bodies located in the upper aerodigestive tract, if not diagnosed and taken out speedily, may be the cause of great morbimortality. We present a female patient who arrived at the emergency department reporting she had swallowed a fish bone; it was finally located in the pre-vertebral muscle at the level of C3-C4, where it had entered from the oesophagus at 2 cm from the superior oesophageal sphincter. We used a cervicotomy assisted by endoscopy, showing a new application for videoendoscopy.
Association between sonographic features of thyroid nodules and cellular examination obtained by fine needle aspiration
2022, Tehran University Medical Journal
Minimally invasive video-assisted submandibular sialadenectomy: surgical technique and results from two institutions
2016, Surgical Endoscopy

View full text

Tiroidectomía endoscópica: estudio preliminarEndoscopic Thyroidectomy: preliminary report

Resumen

Abstract

J Am Coll Surg

J Am Coll Surg

Am J Surg

Endoscopic thyroid surgery through the axillo-bilateral-breast approach

Surg Laparosc Endosc Percutan Tech

Minimally invasive video-assisted thyroidectomy-techniques and results over 4 years of experience (1999-2002)

Ann Ital Chir