Remote Access Thyroid Surgery: A Review of Literature.

Since the first description of endoscopic thyroid lobectomy in 1997, a variety of techniques have been developed to avoid the visible cervical scar conventionally been associated with thyroidectomy. These "remote access" approaches, which typically use either endoscopic or robotic instrumentation, have successfully avoided the anterior neck scar, which has a measurable impact on the patient's quality of life (Graves and Suh Surgery 168(5):845-850, 2020; Sakorafas World J Surg 34(8):1793-1804, 2010). The main advantage of these techniques is better cosmesis compared to conventional transcervical approaches (Graves and Suh Surgery 168(5):845-850, 2020) However, these techniques have failed to gain widespread acceptance in the surgical community because of the technical challenges, scepticism about oncological safety and cost factors.

[The choice of the method for restoring gastrointestinal tract continuity in gastric resection for peptic ulcer].

Resection of the stomach was carried out in 299 patients (in 151 for gastric ulcer and in 148 for duodenal ulcer). The method for restoring the continuity of the gastrointestinal tract after gastric resection was individualized according to the location of the ulcer, the patient's age, the character of complications of peptic ulcer, the topographoanatomical conditions in the zone of the operation, and the motility and acid-producing activity of the stomach. The indications and contraindications for various types of gastrointestinal anastomoses are discussed.