Skip to main content
Journal cover image

American Thyroid Association Statement on Remote-Access Thyroid Surgery.

Publication ,  Journal Article
Berber, E; Bernet, V; Fahey, TJ; Kebebew, E; Shaha, A; Stack, BC; Stang, M; Steward, DL; Terris, DJ ...
Published in: Thyroid
March 2016

BACKGROUND: Remote-access techniques have been described over the recent years as a method of removing the thyroid gland without an incision in the neck. However, there is confusion related to the number of techniques available and the ideal patient selection criteria for a given technique. The aims of this review were to develop a simple classification of these approaches, describe the optimal patient selection criteria, evaluate the outcomes objectively, and define the barriers to adoption. METHODS: A review of the literature was performed to identify the described techniques. A simple classification was developed. Technical details, outcomes, and the learning curve were described. Expert opinion consensus was formulated regarding recommendations for patient selection and performance of remote-access thyroid surgery. RESULTS: Remote-access thyroid procedures can be categorized into endoscopic or robotic breast, bilateral axillo-breast, axillary, and facelift approaches. The experience in the United States involves the latter two techniques. The limited data in the literature suggest long operative times, a steep learning curve, and higher costs with remote-access thyroid surgery compared with conventional thyroidectomy. Nevertheless, a consensus was reached that, in appropriate hands, it can be a viable option for patients with unilateral small nodules who wish to avoid a neck incision. CONCLUSIONS: Remote-access thyroidectomy has a role in a small group of patients who fit strict selection criteria. These approaches require an additional level of expertise, and therefore should be done by surgeons performing a high volume of thyroid and robotic surgery.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Thyroid

DOI

EISSN

1557-9077

Publication Date

March 2016

Volume

26

Issue

3

Start / End Page

331 / 337

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Thyroidectomy
  • Thyroid Nodule
  • Societies, Medical
  • Robotic Surgical Procedures
  • Risk Factors
  • Patient Selection
  • Male
  • Learning Curve
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Berber, E., Bernet, V., Fahey, T. J., Kebebew, E., Shaha, A., Stack, B. C., … American Thyroid Association Surgical Affairs Committee, . (2016). American Thyroid Association Statement on Remote-Access Thyroid Surgery. Thyroid, 26(3), 331–337. https://doi.org/10.1089/thy.2015.0407
Berber, Eren, Victor Bernet, Thomas J. Fahey, Electron Kebebew, Ashok Shaha, Brendan C. Stack, Michael Stang, David L. Steward, David J. Terris, and David J. American Thyroid Association Surgical Affairs Committee. “American Thyroid Association Statement on Remote-Access Thyroid Surgery.Thyroid 26, no. 3 (March 2016): 331–37. https://doi.org/10.1089/thy.2015.0407.
Berber E, Bernet V, Fahey TJ, Kebebew E, Shaha A, Stack BC, et al. American Thyroid Association Statement on Remote-Access Thyroid Surgery. Thyroid. 2016 Mar;26(3):331–7.
Berber, Eren, et al. “American Thyroid Association Statement on Remote-Access Thyroid Surgery.Thyroid, vol. 26, no. 3, Mar. 2016, pp. 331–37. Pubmed, doi:10.1089/thy.2015.0407.
Berber E, Bernet V, Fahey TJ, Kebebew E, Shaha A, Stack BC, Stang M, Steward DL, Terris DJ, American Thyroid Association Surgical Affairs Committee. American Thyroid Association Statement on Remote-Access Thyroid Surgery. Thyroid. 2016 Mar;26(3):331–337.
Journal cover image

Published In

Thyroid

DOI

EISSN

1557-9077

Publication Date

March 2016

Volume

26

Issue

3

Start / End Page

331 / 337

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Thyroidectomy
  • Thyroid Nodule
  • Societies, Medical
  • Robotic Surgical Procedures
  • Risk Factors
  • Patient Selection
  • Male
  • Learning Curve
  • Humans