Transoral endoscopic vestibular approach for thyroidectomy and parathyroidectomy - From promise to practice*
Transoral endoscopic vestibular approach for thyroidectomy and parathyroidectomy - From promise to practice*
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DOI：
10.1016/j.amjoto.2021.103022
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发表时间：
2021-04-07
影响因子：
2.5
通讯作者：
Khafif, Avi
中科院分区：
文献类型：
--
作者：
Cohen, Oded;Tufano, Ralph P.;Khafif, Avi
目的：描述经口内镜前庭入路甲状腺和甲状旁腺切除术（TOET/PVA）的发展和近期系列研究。数据来源：PubMed、Google Scholar。审查方法：审查现有的英文文献。结果如下：与其他远程甲状腺切除术方法相比，TOET/PVA可能具有多项优势，已被全球许多中心采用，成功率极佳。适应症包括良性疾病和早期甲状腺癌患者。并发症发生率与经颈入路相当。所提出的框架已在最近的研究中得到验证，其可行性得到证实。结论：TOET/PVA因其成本低、学习曲线短和良好的美容效果，目前已在全球范围内用于治疗数千例患者。需要进一步研究来证明肿瘤学非劣效性以及该方法增加的真实价值。
Objectives: To describe the evolution and recent series on transoral endoscopic vestibular approach thyroidec-tomy and parathyroidectomy (TOET/PVA). Data sources: PubMed, Google Scholar. Review methods: Review of the available English literature. Results: TOET/PVA may offer several advantages over other remote access thyroidectomy approaches and has been adopted by many centers worldwide with excellent success rates. Indications include benign disease and early thyroid cancer patients. Complication rate is comparable to the trans-cervical approach. The suggested framework has been validated in recent studies and its feasibility confirmed. Conclusion: TOET/PVA has now been used to treat thousands of patients worldwide due to low cost, short learning curve and excellent cosmetic outcomes. Further studies will be necessary to demonstrate oncologic non-inferiority and also the true value that is added by the approach.