经口腔前庭入路腔镜甲状腺手术的研究进展

Progress of Endoscopic Thyroid Surgery through Oral Vestibular Approach

随着微创技术迅猛发展,腔镜甲状腺手术(Endoscopic thyroidectomy, ET)已广受欢迎并取得了显著进展。本世纪初首次正式提出经自然腔道腔镜手术(Natural orifice transluminal endoscopic surgery, NOTES)这一理念,经口腔前庭入路腔镜甲状腺切除术(Transoral endoscopic thyroidectomy vestib-ular approach, TOETVA)也顺势归类为NOTES手术。TOETVA因其通过自然腔道的独特通路、缩短的通道长度、体表无瘢痕等特点,如今受到国内外学者广泛关注,在掀起腔镜甲状腺手术研究热潮的同时也带来了相应的难题。然而,目前相关基础研究及临床应用尚处于初级阶段,存在一定局限性,仍需深入探索。本文将就TOETVA的研究进展、临床应用和前景进行综述。

With the rapid development of minimally invasive technology, Endoscopic thyroidectomy (ET) has become popular and achieved remarkable progress. At the beginning of this century, the concept of Natual orifice transluminal endoscopic surgery (NOTES) was first formally proposed. Transoral en-doscopic thyroidectomy vestibular approach (TOETVA) is also conveniently classified as NOTES surgery. TOETVA has attracted extensive attention from scholars at home and abroad due to its unique pathway through the natural cavity, shortened channel length, and no scars on the body surface, etc. It has aroused the research enthusiasm of endoscopic thyroid surgery but also brought corresponding problems. However, relevant basic research and clinical application are still in the initial stage;there are some limitations, and further exploration is still needed. This article will re-view the research progress, clinical application and prospect of TOETVA.