美国甲状腺协会关于颈外入路甲状腺手术的声明解读

The interpretation of American Thyroid Association statement on remote-access thyroid surgery

内镜下甲状腺切除术(endoscopic thyroid surgery,ETS)的发展已历经20年。随着器械与设备的更新,尤其是高清内镜与机器人辅助系统的应用,如今已经在世界范围内逐渐推广,并不断发展创新。美国甲状腺协会(ATA)于2016年发表了颈外入路内镜甲状腺手术声明。通过系统性回顾文献及综述,对颈外入路ETS的发展历程进行了归纳,以推动ETS规范、安全、有序地开展,并指导临床。该声明对于手术方式、治疗结局、术后并发症、发展障碍等方面进行了全面、系统的阐述。

Endoscopic thyroid surgery （ETS） has been developing more than 20 years. With the renewal of surgical equipment and devices, especially applications of high-definition endoscopic and robotic system, ETS has now been gradually accepted worldwide and keeps developing and innovating. Last year, the American Thyroid Association （ATA） published a statement on remote-access thyroid surgery. Through systematic literature review, the statement summarized the development of this new surgical approach, in order to promote ETS toward normalization, safety and order, and also to give guidance to specialists worldwide. This statement gave a comprehensive and systematic elucidation of ETS from aspects of variable surgical approaches, treatment outcomes, postoperative complications, and barriers during development.