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Gryaznov S.E.

Chair of Faculty Surgery №2, I.M. Setchenov First Moscow State Medical University, Moscow, Russia

Shulutko A.M.

Kafedra fakul'tetskoĭ khirurgii #2 lechebnogo fakul'teta Pervogo moskovskogo gosudarstvennogo meditsinskogo universiteta im. I.M. Sechenova

Melkonyan G.G.

Municipal Clinical Hospital #4 of the Moscow Department of Health, Moscow, Russia;
Russian Medical Academy of Continuous Professional Education of the Ministry of Health of Russia, Moscow, Russia

Semikov V.I.

Kafedra fakul'tetskoĭ khirurgii #2 Pervogo Moskovskogo gosudarstvennogo meditsinskogo universiteta im. I.M. Sechenova

Tolstykh M.P.

Department of faculty surgery №1, Yevdokimov Moscow State Medical Dental University

Madoyan M.R.

Pirogov Russian National Research Medical University of the Ministry of Health of the Russia, Moscow, Russia

Transoral endoscopic thyroid surgery

Authors:

Gryaznov S.E., Shulutko A.M., Melkonyan G.G., Semikov V.I., Tolstykh M.P., Madoyan M.R.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2019;(12): 18‑27

DOI: 10.17116/hirurgia201912118

Read: 13972 times

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Table of contents

TRANSORAL ENDOSCOPIC THYROID SURGERY
TRANSORAL ENDOSCOPIC THYROID SURGERY

To cite this article:

Gryaznov SE, Shulutko AM, Melkonyan GG, Semikov VI, Tolstykh MP, Madoyan MR. Transoral endoscopic thyroid surgery. Pirogov Russian Journal of Surgery. 2019;(12):18‑27. (In Russ.)
https://doi.org/10.17116/hirurgia201912118

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

Objective — to analyze own initial experience of transoral thyroid surgery. Material and methods. There were 7 patients thyroid nodules who underwent surgery for the period from March 2018 to May 2019. All patients signed an informed consent to be included in the study. Surgical approach was performed through three incisions in the lower arch of the vestibule of the mouth with deployment of 10 mm endoscope and two 5 mm tools. Gas insufflation was used. All patients were females aged 43.3±11.8 years. Thyroidectomy was performed in 2 cases, hemithyroidectomy — in 5 patients. Dimensions of nodules varied from 10 to 42 mm. Results. Mean time of hemithyroidectomy and thyroidectomy was 206.4±63.8 and 232±37.5 min, respectively. Papillary carcinoma was histologically verified in 1 case. Injuries of recurrent laryngeal nerve, postoperative hypocalcemia and local complications were absent. Drainage was not applied. Postoperative hospital-stay was 3.7±1.1 days. Conclusion. Transoral approach to the thyroid gland is technically feasible with standard endoscopic instruments, safe for important anatomical structures and more precise due to the optical capabilities of endoscopic equipment. Any types of procedures are possible. Undoubtedly, aesthetic outcome is also favorable.

Keywords:

transoral endoscopic thyroidectomy
transoral approach
thyroid surgery
first clinical experience
transoral endoscopic thyroidectomy
transoral approach
thyroid surgery
first clinical experience

Authors:

Gryaznov S.E.

Chair of Faculty Surgery №2, I.M. Setchenov First Moscow State Medical University, Moscow, Russia

Shulutko A.M.

Kafedra fakul'tetskoĭ khirurgii #2 lechebnogo fakul'teta Pervogo moskovskogo gosudarstvennogo meditsinskogo universiteta im. I.M. Sechenova

Melkonyan G.G.

Municipal Clinical Hospital #4 of the Moscow Department of Health, Moscow, Russia;
Russian Medical Academy of Continuous Professional Education of the Ministry of Health of Russia, Moscow, Russia

Semikov V.I.

Kafedra fakul'tetskoĭ khirurgii #2 Pervogo Moskovskogo gosudarstvennogo meditsinskogo universiteta im. I.M. Sechenova

Tolstykh M.P.

Department of faculty surgery №1, Yevdokimov Moscow State Medical Dental University

Madoyan M.R.

Pirogov Russian National Research Medical University of the Ministry of Health of the Russia, Moscow, Russia

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