经口腔镜甲状腺手术的发展现状与思考

Recent advances and some consideration about the trans-oral laporascopic thyroidectomy

经口腔镜甲状腺手术是经自然腔道内镜手术在甲状腺外科领域的创新性实践.相比其他入路的腔镜甲状腺手术,经口腔镜甲状腺手术具有体表无瘢痕、美容效果好等优点,符合现代微创外科的理念.目前经口腔镜甲状腺手术在国际上尚处于临床应用初级阶段,主要入路有经口底和经口腔前庭两种.学者已在尝试将其用于甲状腺癌根治术,并与机器人外科手术系统相结合.经口腔镜甲状腺手术的适应证和禁忌证有待进一步研究和评价,并发症和手术操作方面仍面临许多课题亟待解决.

Trans-oral laporascopic thyroidectomy is a innovative technique that incoporated the concept of natural orifice transluminal endoscopic surgery.Compare to other endoscopic thyroidectomy,transoral laporascopic thyroidectomy is characterised with no scar in the body surface,better cosmetic results and conforms to the concept of minimally invasive surgery.At present,trans-oral laporascopic thyroidectomy is still in the initial stages of clinical application and gains a great deal of attention from surgeons all over the world.It mainly includes oral bottom approach and oral vestibular approach.Proponents and researchers in this field have been attempting to use this technique for treatment of thyroid cancer and combine it with the robotics assisted surgical system.In the future,the indications and contraindications of trans-oral laporascopic thyroidectomy need to be further studied and evaluated.Complications and surgical procedures still have many issues need to be solved.