New technologies in thyroid surgery. Endoscopic thyroid surgery

The onset of cervicoscopy dates back to the first endoscopic parathyroidectomy in 1996. This operation, along with its several variants, has become a valid option widespread in many important centres. Later on, endoscopic or video assisted thyroidectomy was introduced in spite of the limits imposed...

Full description

Saved in:

Bibliographic Details
Published in:	Minerva chirurgica Vol. 62; no. 5; p. 335
Main Authors:	Miccoli, P, Ambrosini, C E, Materazzi, G, Fregoli, L, Fosso, L A, Berti, P
Format:	Journal Article
Language:	Italian
Published:	Italy 01-10-2007
Subjects:	Adolescent Adult Aged Aged, 80 and over Child Female Humans Male Middle Aged Neck Dissection Retrospective Studies Thyroid Diseases - surgery Thyroidectomy - instrumentation Thyroidectomy - methods Thyroidectomy - trends Treatment Outcome Video-Assisted Surgery - trends
Online Access:	Get more information
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	The onset of cervicoscopy dates back to the first endoscopic parathyroidectomy in 1996. This operation, along with its several variants, has become a valid option widespread in many important centres. Later on, endoscopic or video assisted thyroidectomy was introduced in spite of the limits imposed by the mass of the gland to remove. It is indicated for a minority of patients for this reason but both parathyroidectomy and thyroidectomy showed some important advantages with respect to conventional surgery, advantages demonstrated also in prospective studies. They are mainly represented by a better cosmetic outcome and a less distressful postoperative course. These approaches proved to be safe and feasible in any surgical background: their complication rate is the same as traditional open surgery in the neck. Very promising seems to be the videoscopic access to neck lymph nodes (central and lateral compartments) whereas other fields of application such as carotid artery surgery and spine surgery still remain object of experimental studies. As far as the lateral neck dissection is concerned the technique is going to be standardized in our centre as a variant of the well known video assisted approach adding a 5 mm trocar placed in the supraclavicular space. By consequence, cervicoscopy has to be considered an important surgical tool which can be further improved but which also has an excellent potentiality.
ISSN:	0026-4733