Minimally-invasive endocrine neck surgery

Cir Esp (Engl Ed). 2019 Jun-Jul;97(6):305-313. doi: 10.1016/j.ciresp.2019.03.010.
[Article in English, Spanish]

Abstract

Minimally invasive approaches for endocrine surgery of the neck are the result of efforts by several surgeons to extrapolate to neck surgery the proven benefits of minimally invasive techniques from other regions of the body, including less pain, morbidity and hospital stay. However, the main argument that led to the introduction of these techniques was the improvement of esthetic results. Endoscopic and robotic remote-access endocrine neck approaches through small incisions have been developed over the last 25 years and are constantly being refined. The objective of this review is to determine the current state of the literature through a systematic evaluation of the different techniques available in minimally invasive endocrine surgery of the neck, either with or without remote access, by describing their main characteristics and evaluating their advantages, disadvantages and controversies, while discussing their role and future in neck surgery.

Keywords: Cirugía endocrina cervical de acceso remoto; Cirugía endocrina cervical endoscópica; Cirugía endocrina cervical mínimamente invasiva; Cirugía endocrina cervical robótica; Endoscopic endocrine neck surgery; Endoscopic thyroidectomy; Minimally invasive endocrine neck surgery; Minimally invasive thyroidectomy; Remote-access endocrine neck surgery; Remote-access thyroidectomy; Robotic endocrine neck surgery; Robotic thyroidectomy; Tiroidectomía de acceso remoto; Tiroidectomía endoscópica; Tiroidectomía mínimamente invasiva; Tiroidectomía robótica.

Publication types

  • Review

MeSH terms

  • Humans
  • Minimally Invasive Surgical Procedures* / adverse effects
  • Minimally Invasive Surgical Procedures* / methods
  • Neck / surgery*
  • Robotic Surgical Procedures* / adverse effects
  • Robotic Surgical Procedures* / methods
  • Surgery, Plastic / methods
  • Thyroid Diseases / surgery*
  • Thyroidectomy* / adverse effects
  • Thyroidectomy* / methods
  • Treatment Outcome