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Cir Esp. 2019 Jun - Jul;97(6):305-313. doi: 10.1016/j.ciresp.2019.03.010.

Minimally-invasive endocrine neck surgery.

[Article in English, Spanish]

Author information

1
Servicio de Cirugía General y del Aparato Digestivo, Instituto Clínic de Enfermedades Digestivas y Metabólicas (ICMDiM), Hospital Clínic de Barcelona, Universidad de Barcelona, IDIBAPS, Barcelona, España. Electronic address: ovidal@clinic.cat.
2
Servicio de Cirugía General y del Aparato Digestivo, Instituto Clínic de Enfermedades Digestivas y Metabólicas (ICMDiM), Hospital Clínic de Barcelona, Universidad de Barcelona, IDIBAPS, Barcelona, España.
3
Departamento de Cirugía General y del Aparato Digestivo, Hospital da Luz Arrábida, Escola de Medicina, Universidade do Minho, Braga, Oporto, Portugal.
4
Departamento de Cirugía Endocrina, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Ciudad de México, México.

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

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