Tiroidectomía axilar endoscópica video asistida 3D

Autores/as

  • Enrique Cadena Instituto Nacional de Cancerología
  • Andrey Moreno Torres Instituto Nacional de Cancerología

Palabras clave:

Tiroidectomía, Adenocarcinoma papilar, Nódulo tiroideo, Laparoscopía, Neoplasias de la tiroides, Robótica

Resumen

En la cirugía mínimamente invasiva del cuello poco se ha evolucionado considerandoque usualmente se acompaña de disecciones extensas, dolorosas y prolongadas en tiempo operatorio. Este tipo de cirugía que denominamos como: ‘‘cirugía en mínimos espacios del cuello’’, es una línea de trabajo del grupo y a finales del 2015 se inició el programa de cirugía endoscópica de cuello. En junio del 2016 intervinimos una paciente joven con carcinoma papilar de tiroides, utilizando la Tiroidectomía Axilar Endoscópica Video Asistida (TAEVA) con equipo Endoeye Flex 3 D. Se observaron claras ventajas al usarlo, como alta resolución visual, buena profundidad de campo y versatilidad derivada de la flexibilidad de la cámara que evitó el intercambio de lentes rígidos de 0◦, 30◦ y 70◦, lo que acortó el tiempo operatorio. Hasta donde se tiene conocimiento es el primer caso de TAEVA 3 D publicado.

Biografía del autor/a

Enrique Cadena, Instituto Nacional de Cancerología

Cirugía de Cabeza y Cuello, Instituto Nacional de Cancerología, Unidad Otorrinolaringología, Universidad Nacional de Colombia, Unidad de Otorrinolaringología, Cirugía de Cabeza y Cuello, Cirugía Robótica, CiruRobótica, Clínica de Marly, Bogotá D. C., Colombia

Andrey Moreno Torres, Instituto Nacional de Cancerología

Cirugía de Cabeza y Cuello, Instituto Nacional de Cancerología, Cirugía de Cabeza y Cuello, Clínica del Country, Bogotá D. C., Colombia 

Referencias bibliográficas

Gagner M. Endoscopic subtotal parathyroidectomy in patients with primary hyperparathyroidism. Br J Surg. 1996;83:875.

https://doi.org/10.1002/bjs.1800830656

Huscher CS, Chiodini S, Napolitano C, Recher A. Endoscopic right thyroid lobectomy. Surg Endosc. 1997;11:877.

https://doi.org/10.1007/s004649900476

Mohamed SE, Neureldine SI, Kandil RE. Alternate incision-site thyroidectomy. Current opinion. 2014;26:22-30.

https://doi.org/10.1097/CCO.0000000000000031

Singer MC, Heffernan A, Terris DJ. Defining Anatomical Landmarks for Robotic Facelift Thyroidectomy. World J Surg. 2013,

https://doi.org/10.1007/s00268-013-2246-8

Ikeda Y, Takami H, Niimi M, Kan S, Sasaki Y, Takayama J, et al. Endoscopic thyroidectomy by the axillary approach. Surg Endosc. 2001;15:136-224.

https://doi.org/10.1007/s004640080139

Ikeda Y, Takami H, Sasaki Y, Kan S, Niimi M. Endoscopic Neck Surgery by the Axillary Approach. J Am Coll Surg. 2000;191: 336-40.

https://doi.org/10.1016/S1072-7515(00)00342-2

Choi JY, Lee KE, Chung KW, Kim SW, Choe JH, Koo DH, et al. Endoscopic thyroidectomy via bilateral axillo-breast approach (BABA): review of 512 cases in a single institute. Surg Endosc. 2012;26:948-55.

https://doi.org/10.1007/s00464-011-1973-x

Miccoli P, Berti P, Conte M, Bendinelli C, Marcocci C. Minimally invasive surgery for thyroid small nodules: preliminary report. J Endocrinol Invest. 1999;22:849-51.

https://doi.org/10.1007/BF03343657

Chang EH, Lobe TE,Wright Sk. Our initial experience of the transaxillary totally endoscopic approach for hemithyroidectomy. Otol Head Neck Surg. 2009;141:335-9.

https://doi.org/10.1016/j.otohns.2009.05.026

Yang Y, Gu X, Wang X, Xiang J, Chen Z. Endoscopic thyroidectomy for differentiated thyroid Cancer. ScientificWorld Journal. 2012,

https://doi.org/10.1100/2012/456807

Cibas E, Ali S. The Bethesda System for reporting thyroid cytopathology. Am J Clin Pathol. 2009;132:658-65.

https://doi.org/10.1309/AJCPPHLWMI3JV4LA

Miccoli P, Materazzi G, Berti P. Minimally invasive thyroidectomy in the treatment of well differentiated thyroid cancers: indications and limits. Curr Opin Otolaryngol Head Neck Surg. 2010;18:114-8.

https://doi.org/10.1097/MOO.0b013e3283378239

Romero-Rojas A, Melo-Uribe MA. Implementación del Sistema Bethesda para el informe de citología aspirativa de tiroides con seguimiento histopatológico: experiencia en un centro de tratamiento de cáncer. Rev Colomb Cancerol. 2014;18:3-7.

https://doi.org/10.1016/S0123-9015(14)70219-7

Tan CT, Cheah WK, Delbridge L. ''Scarless'' (in the Neck) endoscopic thyroidectomy (SET): an evidence-based review of published techniques. World J Surg. 2008;32:1349-57,

https://doi.org/10.1007/s00268-008-9555-3

Davies L, Welch HG. Increasing incidence of thyroid cancer in the United States, 1973-2002. JAMA. 2006;295:2164-7.

https://doi.org/10.1001/jama.295.18.2164

Shen X, Miao ZM, Lu W, Gu DL, Yang D, Shen H, et al. Clinical experience with modified Miccoli's endoscopic thyroidectomy for treatment of thyroid carcinoma in 86 cases. Eur J of Med Res. 2013;18:51,

https://doi.org/10.1186/2047-783X-18-51

Ohgami M, Ishii S, Arisawa Y, Ohmori T, Noga K, Furukawa T, et al. Scarless endoscopic thyroidectomy: breast approach for better cosmesis. Surg Laparosc Endosc Percutan Tech. 2000;10:1-4.

https://doi.org/10.1097/00129689-200002000-00001

Ikeda Y, Takami H, Tajima G, Sasaki Y, Takayama J, Kurihara H, et al. Total endoscopic thyroidectomy: axillary or anterior chest approach. Biomed Pharmacother. 2002;56 Suppl 1:72-8.

https://doi.org/10.1016/S0753-3322(02)00274-3

Barlehner E, Benhidjeb T. Cervical scarless endoscopic thyroidectomy: axillobilateral-breast approach (ABBA). Surg Endosc. 2008;22:154-7.

https://doi.org/10.1007/s00464-007-9393-7

Kim YS, Joo KH, Park SC, Kim KH, Ahn CH, Kim JS. Endoscopic thyroid surgery via a breast approach: a single institution's experiences. BMC Surg. 2014;14:49, www.biomedcentral.com/1471-2482/14/49.

https://doi.org/10.1186/1471-2482-14-49

Wang C, Feng Z, Li J, Yang W, Zhai H, Choi N, et al. Endoscopic thyroidectomy via areola approach: summary of 1,250 cases in a single institution. Surg Endosc. 2015;29:192-201,

https://doi.org/10.1007/s00464-014-3658-8

Kang SW, Jeong JJ, Yun JS, Sung TY, Lee SC, Lee YS, et al. Robotassisted endoscopic surgery for thyroid cancer: experience with the first 100 patients. Surg Endosc. 2009;23:2399-406.

https://doi.org/10.1007/s00464-009-0366-x

Lee KE, Rao J, Youn YK. Endoscopic thyroidectomy with the da Vinci robot system using the bilateral axillary breast approach (BABA) technique: our initial experience. Surg Laparosc Endosc Percutan Tech. 2009;19:e71-5.

https://doi.org/10.1097/SLE.0b013e3181a4ccae

Lee KE, Koo do H, Kim SJ, Lee J, Park KS, Oh SK, et al. Outcomes of 109 patients with papillary thyroid carcinoma who underwent robotic total thyroidectomy with central node dissection via the bilateral axillo-breast approach. Surgery. 2010;148:1207-13.

https://doi.org/10.1016/j.surg.2010.09.018

Ryu HR, Kang SW, Lee SH, Rhee KY, Jeong JJ, Nam KH, et al. Feasibility and safety of a new robotic thyroidectomy through a gasless, transaxillary single-incision approach. J Am Coll Surg. 2010;211:e13-9.

https://doi.org/10.1016/j.jamcollsurg.2010.05.021

Mitchem JB, Gillanders WE. Endoscopic and Robotic Thyroidectomy for Cancer. Surg Oncol Clin N Am. 2013;22:1-13.

https://doi.org/10.1016/j.soc.2012.08.009

Tucker N, Mitchem J, Gillanders W. Minimally invasive surgical techniques in the management of differentiated thyroid cancer. Otorrinolaringologia. 2013;63:53-61.

Lang BHH, Wong KP. A Comparison of Surgical Morbidity and Scar Appearance Between Gasless, Transaxillary Endoscopic Thyroidectomy (GTET) and Minimally Invasive Video- Assisted Thyroidectomy (VAT). Ann Surg Oncol. 2013;20:646-52,

https://doi.org/10.1245/s10434-012-2613-y

Lee H, Lee J, Sung KY. Comparative study comparing endoscopic thyroidectomy using the axillary approach and open thyroidectomy for papillary thyroid microcarcinoma. World J Surg Oncol. 2012;10:269, http://www.wjso.com/content/10/1/269.

https://doi.org/10.1186/1477-7819-10-269

Cadena E, Romero A, Moreno A. Microcarcinoma papilar de tiroides (MCPT) metastásico a hueso. Rev Colomb Cancerol. 2011;15:44-9.

https://doi.org/10.1016/S0123-9015(11)70072-5

Asioli S, Odasso C, Macri L, Palestini N, Bussolati G. Merits of the PMiT (Papillary Microtumor) terminology in the definition of a subset of incidental papillary microcarcinoma of the thyroid. Int J Surg Pathol. 2009;17:378-83.

https://doi.org/10.1177/1066896908321181

Byrd JK, Nguyen SA, Ketcham A, Hornig J, Gillespie MB, Lentsch E. Minimally invasive video-assisted thyroidectomy versus conventional thyroidectomy: A cost-effective analysis. Otolaryngol Head Neck Surg. 2010;143:789-94.

https://doi.org/10.1016/j.otohns.2010.08.002

Cómo citar

[1]
Cadena, E. y Moreno Torres, A. 2016. Tiroidectomía axilar endoscópica video asistida 3D. Revista Colombiana de Cancerología. 20, 4 (dic. 2016), 190–107.

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Publicado

01-12-2016

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Sección

Reportes de caso