Transoral Thyroid and Parathyroid Surgery Vestibular Approach: A Framework for Assessment and Safe Exploration
Transoral Thyroid and Parathyroid Surgery Vestibular Approach: A Framework for Assessment and Safe Exploration
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DOI：
10.1089/thy.2017.0642
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发表时间：
2018-06-18
期刊：
影响因子：
6.6
通讯作者：
Tufano, Ralph P.
中科院分区：
文献类型：
--
作者：
Russell, Jonathon O.;Anuwong, Angkoon;Tufano, Ralph P.
经口内窥镜甲状腺切除术前庭入路 (TOETVA) 是一种避免颈前切口的新入路。这种方法可以在内窥镜或机器人辅助下进行，并提供进入双侧中央颈部的通道。它已在北美乃至更广泛的国际人群中安全完成。对于任何新技术或方法，学习曲线中的复杂性、费用、仪器限制和整体安全性都可能影响其最终采用和实用性。为了确保患者安全，必须明确任何外科医生或团体在采用这种新方法之前应考虑的步骤。
The transoral endoscopic thyroidectomy vestibular approach (TOETVA) is a new approach to the central neck that avoids an anterior cervical incision. This approach can be performed with endoscopic or robotic assistance and offers access to the bilateral central neck. It has been completed safely in both North American and, even more extensively, international populations. With any new technology or approach, complications during the learning curve, expense, instrument limitations, and overall safety may affect its ultimate adoption and utility. To ensure patient safety, it is imperative to define steps that should be considered by any surgeon or group before adoption of this new approach.