The role of miniinvasive surgery in the treatment of early thyroid cancer

Abstract

Minimally invasive thyroid surgery is a relatively new branch that has begun to develop since the 1990s, it comes in response to an increasing incidence in recent decades of thyroid tumors such as cancers and adenomas. Thin minimally invasive thyroid surgery has 2 main directions: with and without approach in the neck region, and those with approach at the neck are divided into endoscopic and non-endoscopic. Miniinvasive interventions have a number of advantages over the classic ones such as reduction of postoperative pain syndrome and analgesic consumption, respectively, shorter residence time and much better cosmetic results. Not all patients with thyroid tumors can be operated minimally invasively, there are a number of selection criteria: early stage of primary thyroid cancer or adenomas smaller than 3.5 cm in diameter, without capsule penetration or metastases, the volume of the gland should not exceed 50 -60 ml are not allowed overweight patients, patients with severe chronic morbidity, patients with a history of surgery on the neck, patients as short as possible, children and the elderly are not allowed too