Korean J Otorhinolaryngol-Head Neck Surg.  2018 Mar;61(3):121-126. 10.3342/kjorl-hns.2018.00038.

Transoral Endoscopic Thyroid Surgery: Indication, Preparation and Surgical Technique

• Park JO

• KMID: 2436436
• DOI: http://doi.org/10.3342/kjorl-hns.2018.00038

Abstract

Natural orifice transluminal endoscopic surgery (NOTES) is the latest surgical technique for inserting an endoscope through the mouth, anus, vagina etc., and for performing surgery with mucosal incision only, i.e., without skin incision. Recently, a number of researchers have applied NOTES to thyroid surgery in several trials, with the aim of removing the thyroid gland through oral cavity. The transoral endoscopic thyroid surgery became widely known after Anuwong et al. reported successful results for their first 60 patients and it has become increasingly recognized as a feasible novel surgical procedure. The purpose of this article is to review and summarize the existing literature, and describe in detail the preoperative considerations, rationale for patient selection, surgical method and postoperative management for transoral thyroid surgery.

Keyword

Endoscopic thyroidectomy; Minimally invasive; Thyroidectomy; Transoral endoscopic thyroidectomy; Transoral thyroidectomy

MeSH Terms

Anal Canal
Endoscopes
Humans
Methods
Mouth
Natural Orifice Endoscopic Surgery
Patient Selection
Skin
Thyroid Gland*
Thyroidectomy
Vagina