The first experience of endoscopic thyroid surgery using hybrid transoral-submental approach in thyroid cancer

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Abstract

Thyroid cancer is taking a leading position worldwide. This increase can be connected to both environmental factors and improved diagnostic techniques. Surgery remains the primary treatment for thyroid cancer. As a result, researchers are exploring alternative approaches to avoid visible scarring on the anterior neck. It has already been proven that a noticeable scar causes psychological and emotional discomfort in patients, leading to the development of anxiety and depressive disorders, especially in cases with young women and children. Over the past 30 years, minimally invasive thyroid surgery has undergone significant changes. Extracervical endoscopic approaches and their combinations, as well as transoral techniques for thyroid removal, are actively used in many advanced centers in Russia and all over the world. The most modern approach is the hybrid approach, which combines the techniques of transoral and submental thyroidectomy.

This article presents the first clinical experience of using transoral endoscopic hemithyroidectomy through a transoral-submental approach in the Russian Federation in a patient with thyroid cancer.

About the authors

V. V. Polkin

A.F. Tsyb Medical Radiological Research Center – Branch of the National Medical Research Radiological Centre, Ministry of Health of Russia

Email: isaev@mrrc.obninsk.ru
ORCID iD: 0000-0003-0857-321X
Russian Federation, 10 Marshala Zhukova St., Obninsk, 249031

P. A. Isaev

A.F. Tsyb Medical Radiological Research Center – Branch of the National Medical Research Radiological Centre, Ministry of Health of Russia

Author for correspondence.
Email: isaev@mrrc.obninsk.ru
ORCID iD: 0000-0001-9831-4814
Russian Federation, 10 Marshala Zhukova St., Obninsk, 249031

O. A. Urezko

A.F. Tsyb Medical Radiological Research Center – Branch of the National Medical Research Radiological Centre, Ministry of Health of Russia

Email: isaev@mrrc.obninsk.ru
ORCID iD: 0000-0002-4529-4490
Russian Federation, 10 Marshala Zhukova St., Obninsk, 249031

A. A. Ilyin

A.F. Tsyb Medical Radiological Research Center – Branch of the National Medical Research Radiological Centre, Ministry of Health of Russia

Email: isaev@mrrc.obninsk.ru
ORCID iD: 0000-0002-6581-633X
Russian Federation, 10 Marshala Zhukova St., Obninsk, 249031

M. A. Kropotov

A.F. Tsyb Medical Radiological Research Center – Branch of the National Medical Research Radiological Centre, Ministry of Health of Russia

Email: isaev@mrrc.obninsk.ru
ORCID iD: 0000-0002-9132-3416
Russian Federation, 10 Marshala Zhukova St., Obninsk, 249031

S. A. Ivanov

A.F. Tsyb Medical Radiological Research Center – Branch of the National Medical Research Radiological Centre, Ministry of Health of Russia; RUDN University

Email: isaev@mrrc.obninsk.ru
ORCID iD: 0000-0001-7689-6032
Russian Federation, 10 Marshala Zhukova St., Obninsk, 249031; 6 Miklukho-Maklaya St., Moscow, 117198

A. D. Kaprin

RUDN University; National Medical Research Radiological Centre, Ministry of Health of Russia

Email: isaev@mrrc.obninsk.ru
ORCID iD: 0000-0001-8784-8415
Russian Federation, 6 Miklukho-Maklaya St., Moscow, 117198; 3 2nd Botkinsky Proezd, Moscow, 125284

References

  1. Divarci E., Ulman H., Ozok G. et al. Transoral endoscopic thyroidectomy vestibular approach (TOETVA): a novel surgical technique for scarless thyroidectomy in pediatric surgery. J Pediatr Surg 2022;57(6):1149–57. doi: 10.1016/j.jpedsurg.2022.01.038
  2. Huscher C.S., Chiodini S., Napolitano C., Recher A. Endoscopic right thyroid lobectomy. Surg Endosc 1997;11(8):877. doi: 10.1007/s004649900476
  3. Song C.M., Park J.S., Park W. et al. Feasibility of charcoal tattooing for localization of metastatic lymph nodes in robotic selective neck dissection for papillary thyroid carcinoma. Ann Surg Oncol 2015;22(S3):669–75. doi: 10.1245/s10434-015-4860-1
  4. Wang C., Feng Z., Li J. et al. Endoscopic thyroidectomy via areola approach: summary of 1,250 cases in a single institution. Surg Endosc 2015;29(1):192–201. doi: 10.1007/s00464-014-3658-8
  5. Choi J.Y., Lee K.E., Chung K.W. et al. Endoscopic thyroidectomy via bilateral axillo-breast approach (BABA): review of 512 cases in a single institute. Surg Endosc 2012;26(4):948–55. doi: 10.1007/s00464-011-1973-x
  6. Haugen B.R., Alexander E.K., Bible K.C. et al. 2015 American thyroid association management guidelines for adult patients with thyroid nodules and differentiated thyroid cancer: the american thyroid association guidelines task force on thyroid nodules and differentiated thyroid cancer. Thyroid 2016;26(1):1–133. doi: 10.1089/thy. 2015.0020
  7. Wilhelm T., Metzig A. Endoscopic minimally invasive thyroidectomy: first clinical experience. Surg Endosc 2010;24(7):1757–8. doi: 10.1007/s00464-009-0820-9
  8. Anuwong A. Transoral endoscopic thyroidectomy vestibular approach: a series of the first 60 human cases. World J Surg 2015;40(3):491–7. doi: 10.1007/s00268-015-3320-1
  9. Russell J.O., Anuwong A., Dionigi G. et al. Transoral thyroid and parathyroid surgery vestibular approach: a framework for assessment and safe exploration. Thyroid 2018;28(7):825–9. doi: 10.1089/thy.2017.0642
  10. Udelsman R., Anuwong A., Oprea A.D. et al. Trans-oral vestibular endocrine surgery: a new technique in the united states. Ann Surg 2016;264(6):e13–6. doi: 10.1097/SLA.0000000000002001
  11. Perigli G., Cianchi F., Badii B. et al. An easier option for “invisible scar” thyroidectomy: hybrid-transoral endoscopic thyroidectomy submental access (H-TOETSA) experience on twenty-two consecutive patients. Surg Endosc 2020;35(1):1796–800. DOI: 10.1007/ s00464-020-07576-7
  12. Suh I., Viscardi C., Chen Y., Nwaogu I. et al. Technical innovation in transoral endoscopic endocrine surgery: a modified “scarless” technique. J Surg Res 2019;243:123–9. DOI: 10.1016/j. jss.2019.05.019
  13. Chen Y., Chomsky-Higgins K., Nwaogu I. et al. Hidden in plain sight: transoral and submental thyroidectomy as a compelling alternative to “scarless” thyroidectomy. J Laparoendosc Adv Surg Tech A 2018;28(11):1374–7. doi: 10.1089/lap.2018.0146
  14. Zhang D., Park D., Sun H. et al. Indications, benefits and risks of transoral thyroidectomy. Best Pract Res Clin Endocrinol Metab 2019;33(4):101280. doi: 10.1016/j.beem.2019.05.004
  15. Wang Y., Fu Y., Wu G. et al. Initial experience with transoral endoscopic thyroidectomy via the submental and vestibular approach for the treatment of thyroid cancer: a retrospective cohort study. Front Surg 2022;9:882150. doi: 10.3389/fsurg.2022.882150
  16. Celik S., Makay O., Yoruk M.D. et al. A surgical and anatomo-histological study on transoral endoscopic thyroidectomy vestibular approach (TOETVA). Surg Endosc 2020;34(3):1088–102. doi: 10.1007/s00464-019-06856-1
  17. Zhang D., Caruso E., Sun H. et al. Classifying pain in transoral endoscopic thyroidectomy. J Endocrinol Invest 2019;42(11): 1345–51. doi: 10.1007/s40618-019-01071-0

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