Cirugía tiroidea de acceso remoto

José GRANELL, Kyu Eun LEE

Resumen


Introducción y objetivo: El objetivo de este artículo es describir la situación actual de la denominada cirugía de acceso remoto a la glándula tiroides. Aunque la motivación original para el desarrollo de estos abordajes es cosmética (evitar una cicatriz visible en el cuello), en la práctica han supuesto una auténtica revolución en el abanico de opciones técnicas para el manejo de la patología quirúrgica tiroidea. Síntesis: En un periodo de tiempo muy corto, desde el año 2000, se han testado multitud de variantes de acceso remoto, consolidándose finalmente cuatro abordajes. Estos son el abordaje axilar o transaxilar, el abordaje axilopectoral bilateral, el abordaje retroauricular o de facelift, y el abordaje transoral transvestibular. Se describen las indicaciones y los principios quirúrgicos de cada uno de ellos. Conclusiones: La tiroidectomía de acceso remoto ha demostrado ser segura y eficaz. Existe consenso en su aceptación como alternativa para determinados pacientes. En su innegable proceso de expansión, se mezclan múltiples temas de discusión, como el debate de la eficiencia de la tecnología quirúrgica.

Palabras clave


tiroidectomía; cirugía mínimamente invasiva; cirugía robótica

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Referencias


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DOI: http://dx.doi.org/10.14201/orl.21305

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