经口腔前庭腔镜甲状腺手术进展与争议

Progress and controversy of the transoral endoscopic thyroidectomy vestibular approach

在保证疾病治疗和手术安全的前提下,经口腔前庭腔镜甲状腺手术成为甲状腺外科新技术的代表之一,其通过微创手段实现了患者疾病治疗、外观美容的良好效果。该术式在我国已经制定了专家共识,但因尚未普及且操作难度大,仍然面临诸多争议。通过借鉴相关文献并结合自身临床经验,对该项术式的进展与争议作出述评,旨在促进该项手术的规范化推广,让更多甲状腺肿瘤患者获益。

On the premise of ensuring disease treatment and surgical safety,endoscopic thyroid surgery via the vestibular approach has become a new technique in thyroid surgery,which has achieved good results in disease treatment and cosmetic appearance as a minimally invasive procedure.Domestic experts have reached a consensus on this operation,but as a new surgical method with great technical difficulty,transoral endoscopic thyroidectomy is still highly controversial.On the basis of the literature and our own clinical experience,we reviewed the progress and controversies of this operation.The purpose was to promote the operation and allow more patients with a thyroid tumor to benefit from the treatment.