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Surgeons remove thyroid gland through hidden incision underneath the lip

Date:
November 30, 2016
Source:
Mount Sinai Health System
Summary:
A team of surgeons has performed the first endoscopic transoral thyroidectomy in New York, and one of the first of its kind in the nation.
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A team of surgeons at Mount Sinai Beth Israel (MSBI), led by William B. Inabnet III, MD, the Eugene W. Friedman, MD, Professor of Surgery and Chair for the Department of Surgery at MSBI and Chief of Endocrine Surgery Quality for the Mount Sinai Health System, have performed the first endoscopic transoral thyroidectomy in New York, and one of the first of its kind in the nation. Their initial case, which is the first published report in the United States, was recently described in the journal Surgical Endoscopy.

With the assistance of Gustavo Fernandez-Ranvier, MD, and Hyunsuk Suh, MD, both Assistant Professors in the Department of Surgery at the Icahn School of Medicine at Mount Sinai, Dr. Inabnet removed the thyroid gland by making three small incisions inside the mouth underneath the lower lip. He inserted ports through the incisions, including an endoscope -- a medical device with a light and camera. Once a working space within the neck area was created, Dr. Inabnet preserved the critical structures and removed the thyroid gland through the largest of the incisions. This minimally-invasive procedure leaves a hidden scar compared to the conventional transcervical approach, which leaves a visible scar on the patient's neck.

"Out of all of the approaches, this is the one type of thyroid operation where there is no sign that the patient underwent surgery," said Dr. Inabnet. "This procedure is best equipped for smaller nodules and early-stage papillary thyroid cancer. I anticipate it will evolve for other applications going forward."

Dr. Inabnet and his team specialize in a group of operations known as hidden-scar endoscopic thyroid surgery, which includes the transaxillary approach where incisions are made under the armpit, and the bilateral axillary breast approach, also known as BABA, where four small incisions are made in hidden locations on the chest.

"The transoral route is a natural addition to our growing program of minimally invasive techniques," said Dr. Inabnet. "We now have the ability to approach the thyroid gland from below, from the side, or from above through the mouth."

Dr. Inabnet has pioneered new techniques in minimally invasive endocrine neck surgery as well as adrenal and pancreatic surgery. In 1998, he helped perform the first endoscopic thyroid resection in the United States (the second in the world) and has advanced the field of video-endoscopic neck surgery.


Story Source:

Materials provided by Mount Sinai Health System. Note: Content may be edited for style and length.


Journal Reference:

  1. William B. Inabnet, Hyun Suh, Gustavo Fernandez-Ranvier. Transoral endoscopic thyroidectomy vestibular approach with intraoperative nerve monitoring. Surgical Endoscopy, 2016; DOI: 10.1007/s00464-016-5322-y

Cite This Page:

Mount Sinai Health System. "Surgeons remove thyroid gland through hidden incision underneath the lip." ScienceDaily. ScienceDaily, 30 November 2016. <www.sciencedaily.com/releases/2016/11/161130144002.htm>.
Mount Sinai Health System. (2016, November 30). Surgeons remove thyroid gland through hidden incision underneath the lip. ScienceDaily. Retrieved May 26, 2017 from www.sciencedaily.com/releases/2016/11/161130144002.htm
Mount Sinai Health System. "Surgeons remove thyroid gland through hidden incision underneath the lip." ScienceDaily. www.sciencedaily.com/releases/2016/11/161130144002.htm (accessed May 26, 2017).

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