山东大学耳鼻喉眼学报 ›› 2018, Vol. 32 ›› Issue (5): 103-109.doi: 10.6040/j.issn.1673-3770.0.2017.499

• ·综述· • 上一篇    下一篇

腔镜甲状腺手术的研究进展

孙莎莎1,臧传善2,邱杰2,孙彦2,孙国臣2,楚庆刚1   

  1. 1.潍坊医学院研究生院, 山东 潍坊 261053;
    2.青岛大学附属医院耳鼻咽喉头颈外科, 山东 青岛 266003
  • 收稿日期:2017-11-29 出版日期:2018-09-20 发布日期:2018-09-20
  • 通讯作者: 臧传善. E-mail:zangemailent@aliyun.com

Advances in the study of endoscopic thyroidectomy

SUN Shasha1, ZANG Chuanshan2, QIU Jie2, SUN Yan2, SUN Guochen2, CHU Qinggang1   

  1. Department of Otolaryngology &Head and Neck Surg, Affiliated Hospital of Qingdao University, Qingdao 266003, Shandong, China
  • Received:2017-11-29 Online:2018-09-20 Published:2018-09-20

摘要: 随着手术器械的不断升级及术者操作技巧的的不断提高,腔镜手术进入现代医学的舞台已有多年。近几年,腔镜辅助或者腔镜下甲状腺手术逐渐进入临床使用。甲状腺疾病患者以中青年女性居多,常规颈部横行切口大大影响了患者术后的皮肤美观,因此甲状腺腔镜下手术具有广泛的临床应用价值。但是,腔镜下甲状腺手术在路径、手术方式、适应证等方面仍有不同意见。就腔镜甲状腺手术的手术方式、适应证、禁忌证、并发症及腔镜甲状腺领域的新进展进行综述。

关键词: 腔镜, 手术路径, 甲状腺切除术

Abstract: With ongoing innovations and evolution of Surg instruments and equipment, and the continuous refinement of operating Tech, endoscopic Surg has been on the center stage of modern medicine for many years. In recent years, the clinical use of endoscopic-assisted or endoscopic thyroidectomy has gradually gained prominence. The majority of patients with thyroid disease are young and middle-aged women. Conventional transverse incision in the neck for open thyroidectomy has cosmetic implications, and so endoscopic thyroidectomy has great clinical value. However, there are still varied opinions on the approach, Surg methods, indications, and other aspects of endoscopic thyroidectomy. This article reviews the Surg methods, indications, contraindications and complications of endoscopic thyroidectomy, and the new advances in this field.

Key words: Surgical approach, Thyroidectomy, Endoscope

中图分类号: 

  • R581
[1] Gagner M. Endoscopic subtotal parathyroidectomy in patients with primary hyperparathyroidism[J]. Br J Surg, 1996, 83(6):875-875.
[2] Lirici MM, Hüscher CSG, Chiodini S, et al. Endoscopic right thyroid lobectomy[J]. Surg Endos, 1997, 8(11):877-877.
[3] Ng WT. Scarless endoscopic thyroidectomy: breast approach for better cosmesis[J]. Surg Laparos Endos Percut Tech, 2000, 10(5):339-340.
[4] 仇明, 丁尔迅, 江道振, 等. 颈部无瘢痕内镜甲状腺腺瘤切除术一例[J]. 中华普通外科杂志, 2002, 17(2):127-127. CHOU Ming, DING Erxun, JIANG Daozhen, et al. Cervical scarless endoscopic thyroid adenoma resection case[J]. Chin J Gener Surgery, 2002, 17(2):127.
[5] Cao F, Jin K, Cui B, et al. Learning curve for endoscopic thyroidectomy: a single teaching hospital study[J]. Onco Targets Therapy, 2013, 6:47. DOI: 10.2147/OTT.S39733.
[6] Tan Z, Gu JL, Han QB, et al. Comparison of conventional open thyroidectomy and endoscopic thyroidectomy via breast approach for papillary thyroid carcinoma[J]. Inter J Endocrinol, 2015.239610. DOI: 10.1155/2015/239610.
[7] 王存川, 胡友主, 杨景哥, 等. 完全乳晕入路内镜甲状腺切除术1例报告[J]. 中国内镜杂志, 2009, 15(6):670-671. WANG Cunchuan, HU Youzhu, YANG Jingge, et al. A case report of complete areola approach endoscopic thyroidectomy[J]. Chin J Endos, 2009, 15(6):670-671.
[8] Wang C, Feng Z, Li J, et al. Endoscopic thyroidectomy via areola approach: summary of 1,250 cases in a single institution[J]. Surg Endos, 2015, 29(1):192-201.
[9] Ikeda Y, Takami H, Sasaki Y, et al. Endoscopic neck Surg by the axillary approach[J]. J Am College Surg, 2000, 191(3):336-340.
[10] Miyano G, Lobe TE, Wright SK. Bilateral transaxillary endoscopic total thyroidectomy[J]. J Pediatric Surg, 2008, 43(2):299-303.
[11] Shimazu K, Shiba E, Tamaki Y, et al. Endoscopic thyroid surg through the axill-bilateral-breast approach[J]. Surg Laparos Endos Percut Tech, 2003, 13(3):196-201.
[12] Kim WW, Jung JH, Park HY. The learning curve for robotic thyroidectomy using a bilateral axillo-breast approach from the 100 cases[J]. Surg Laparos Endos Percut Tech, 2015, 25(5):412-416.
[13] Choe JH, Kim SW, Chung KW, et al. Endoscopic thyroidectomy using a new bilateral axillo-breast approach[J]. World J Surg, 2007, 31(3):601-606.
[14] Wilhelm T, Metzig A. Endoscopic minimally invasive thyroidectomy(eMIT): a prospective proof-of-concept study in humans[J]. World J Surg, 2011, 35(3):543-551.
[15] Yang J, Wang C, Li J, et al. Complete endoscopic thyroidectomy via oral vestibular approach versus areola approach for treatment of thyroid diseases[J]. J Laparoendos Adv Surg Tech, 2015, 25(6):470-476.
[16] Chai YJ, Chung JK, Anuwong A, et al. Transoral endoscopic thyroidectomy for papillary thyroid microcarcinoma: initial experience of a single surgeon[J]. Annals Surg Treat Res, 2017, 93(2):70-75.
[17] Donatini G, Materazzi G, Miccoli P. Invisible scar endoscopic dorsal approach thyroidectomy: a clinical feasibility study[J]. World J Surg, 2011, 35(9):2177.
[18] Ban MJ, Chang JW, Kim WS, et al. Minimal endoscope-assisted thyroidectomy through a retroauricular approach: an evolving solo surgical technique[J]. Surg Laparos, Endos Percut Tech, 2016, 26(6):109.
[19] Lee D, Nam Y, Sung K. Single-incision endoscopic thyroidectomy by the axillary approach[J]. J Laparoendos Adv Surg Tech, 2010, 20(10):839-842.
[20] Youben F, Bomin G, Bo W, et al. Trans-areola single-incision endoscopic thyroidectomy[J]. Surg Laparos Endos Percut Tech, 2011, 21(4):e192-e196.
[21] Ding Z, Deng XZ, Fan YB, et al. Single-port endoscopic thyroidectomy via a submental approach: Report of an initial experience[J]. Head Neck, 2014, 36(7):60-64.
[22] Lobe TE, Wright SK, Irish MS. Novel uses of surg robotics in head and neck surg[J]. J Laparoendos Advanced Surg Tech, 2005, 15(6):647-652.
[23] He QQ, Zhu J, Zhuang DY, et al. Comparative study between robotic total thyroidectomy with central lymph node dissection via bilateral axillo-breast approach and conventional open procedure for papillary thyroid microcarcinoma[J]. Chin Med J, 2016, 129(18):2160.
[24] Piccoli M, Mullineris B, Santi D, et al. Advances in robotic transaxillary thyroidectomy in Europe[J]. Current Surg Reports, 2017, 5(8):17.
[25] Yan CM. Professor Hoon Yub Kim: Transoral robotic thyroidectomy shows promising results with ideal outcomes[J]. Gland Surg, 2016, 5(6):650.
[26] Lira RB, Chulam TC, Kowalski LP. Safe implementation of retroauricular robotic and endoscopic neck Surg in South America[J]. Gland Surg, 2017, 6(3):258.
[27] Miccoli P, Pinchera A, Cecchini G, et al. Minimally invasive, video-assisted parathyroid surg for primary hyperparathyroidism[J]. J Endoc Invest, 1997, 20(7):429-430.
[28] Bellantone R, Lombardi CP, Raffaelli M, et al. Video-assisted thyroidectomy for papillary thyroid carcinoma[J]. Surg Endos Other Inter Tech, 2003, 17(10):1604-1608.
[29] Shimizu K, Akira S, Jasmi AY, et al. Video-assisted neck Surg: endoscopic resection of thyroid tumors with a very minimal neck wound[J]. J Am College Surg, 1999, 188(6):697-703.
[30] Bellantone R, Lombardi CP, Raffaelli M, et al. Minimally invasive, totally gasless video-assisted thyroid lobectomy[J]. Am J Surg, 1999, 177(4):342-343.
[31] Yamashita H, Watanabe S, Koike E, et al. Video-assisted thyroid lobectomy through a small wound in the submandibular area[J]. Am J Surg, 2002, 183(3):286-289.
[32] Gagner M, Inabnet Iii WB. Endoscopic thyroidectomy for solitary thyroid nodules[J]. Thyroid, 2001, 11(2):161-163.
[33] Takami HE, Ikeda Y. Minimally invasive thyroidectomy[J]. Currt Opin Oncol, 2006, 18(1):43-47.
[34] Hong HJ, Kim WS, Koh YW, et al. Endoscopic thyroidectomy via an axillo-breast approach without gas insufflation for benign thyroid nodules and micropapillary carcinomas: preliminary results[J]. Yonsei Med J, 2011, 52(4):643-654.
[35] Yeh TS, Jan YY, Hsu BRS, et al. Video-assisted endoscopic thyroidectomy[J]. Am J Surg, 2000, 180(2):82-85.
[36] Maeda S, Shimizu K, Minami S, et al. Section 2. Thyroid: Video-assisted neck Surg for thyroid and parathyroid diseases[J]. Biomed Pharm, 2002, 56:92-95.
[37] Bellantone R, Lombardi CP, Rubino F, et al. Arterial PCO2 and cardiovascular function during endoscopic neck surg with carbon dioxide insufflation[J]. Arch Surg, 2001, 136(7):822-827.
[38] Ochiai R, Takeda J, Noguchi J, et al. Subcutaneous carbon dioxide insufflation does not cause hypercarbia during endoscopic thyroidectomy[J]. Anesth Analg, 2000, 90(3):760-762.
[39] Fujiwara K, Fukuhara T, Koyama S, et al. Ultrasound-guided transoral videolaryngoscopic surg for retropharyngeal lymph node metastasis of papillary thyroid cancer[J]. Case Reports Oncol, 2017, 10(2):649-655.
[40] Zeng YK, Li ZY, Xuan WL, et al. Trans-oral glasses-free three-dimensional endoscopic thyroidectomy—preliminary single center experiences[J]. Gland Surg, 2016, 5(6):628.
[41] Tan CTK, Cheah WK, Delbridge L. “Scarless”(in the neck)endoscopic thyroidectomy(SET): an evidence-based review of published Tech[J]. World J Surg, 2008, 32(7):1349-1357.
[42] Ikeda Y, Takami H, Sasaki Y, et al. Clinical benefits in endoscopic thyroidectomy by the axillary approach[J]. J Am Coll Surg, 2003, 196(2):189-195.
[43] Lee JH, Suh YJ, Song RY, et al. Preoperative flap-site injection with ropivacaine and epinephrine in BABA robotic and endoscopic thyroidectomy safely reduces postoperative pain: a consort-compliant double-blinded randomized controlled study(pain-brekor trial)[J]. Medicine, 2017, 96(22):e6896.
[44] Kim DH, Choi JY, Kim BG, et al. Prospective, randomized, and controlled trial on ketamine infusion during bilateral axillo-breast approach(BABA)robotic or endoscopic thyroidectomy: effects on postoperative pain and recovery profiles: a consort compliant article[J]. Medicine, 2016, 95(49):e5485.
[45] Donatini G, Materazzi G, Miccoli P. Invisible scar endoscopic dorsal approach thyroidectomy: a clinical feasibility study[J]. World J Surg, 2011, 35(9):2177.
[46] 赵文新, 王波, 颜守义, 等. 针式辅助全腔镜甲状腺癌功能性颈淋巴结清扫的策略与技巧[J]. 腹腔镜外科杂志, 2017(4):241-245. ZAHO Wenxin, WANG Bo, YAN Shouyi, et al. Acupuncture assisted endoscopic thyroidectomy for functional cervical lymph node dissection strategy and skills[J]. J Laparos Surg, 2017(4):241-245.
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