Abstract
Utilization of modern technologies in thyroid surgery is increasing. The aim of this paper was to present the up-to-data use of modern technologies in thyroid surgery with special emphasis put on their potential influence on minimized risk of surgeryrelated morbidity and improved quality of surgery. Authors searched PubMed database using the following search terms: modern technologies AND/OR thyroid surgery AND/ OR transoral endoscopic thyroidectomy AND/OR neuromonitoring AND/OR parathyroid preservation AND/OR energybased hemostasis. Of 1678 publications identified 826 were found to be consistent with the aim of this review. The relevant papers addressed the following issues: neuromonitoring in minimization of risk of laryngeal nerves injury (62%), intraoperative iPTH monitoring in preselection of patients for early discharge or onset of substitution with calcium (21.5%), narrow-band and near infrared imaging for identification of parathyroids (5.7%), parathyroids angiography with indcyianine green for parathyroids vascularity assessment (5.5%), transoral endoscopic thyroid surgery via vestibular approach for improvement of cosmetic effects (4.1%), energy-based devices for surgical hemostasis (1.2%). Modern technologies are primarily designed to improve the safety and quality of thyroid surgery, and only then to optimize the cosmetic effects and reduce the time of surgery.
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