spracticeХирургическая практикаSurgical practice (Russia)2223-2427АНО "Консорциум "Медицинская техника"10.38181/2223-2427-2021-2-32-38spractice-224Research ArticleСтатьиМИНИИНВАЗИВНЫЕ ТЕХНОЛОГИИ В ЛЕЧЕНИИ ЗАБОЛЕВАНИЙ ЩИТОВИДНОЙ ЖЕЛЕЗЫ. ОБЗОРMINIMALLY INVASIVE TECHNOLOGIES IN THE TREATMENT OF THYROID DISEASES. REVIEWhttps://orcid.org/0000-0002-0903-9329ГлушковП. С.GlushkovP. S.

к.м.н., врач отделения хирургии

Литовский бульвар, д.1А. 117593, Москва

PhD, doctor of the Department of Surgery

 Litovsky Bulvar, 1A. 117593, Moscow

https://orcid.org/0000-0001-7081-7911АзимовР. Х.AzimovR. K.

к.м.н., заведующий отделением хирургии

Литовский бульвар, д.1А. 117593, Москва

PhD, Head of the Department of Surgery

 Litovsky Bulvar, 1A. 117593, Moscow

https://orcid.org/0000-0002-1710-4055ШемятовскийК. А.ShemyatovskyK. A.

к.м.н., врач отделения хирургии

Литовский бульвар, д.1А. 117593, Москва

Ph.D., doctor of the surgery department

 Litovsky Bulvar, 1A. 117593, Moscow

kiroll@mail.ruhttps://orcid.org/0000-0002-3919-8435ГорскийВ. А.GorskyV. A.

д.м.н., профессор кафедры экспериментальной хирургии

Островитянова ул., д.1, стр. 7., 117997, Москва

MD, Professor of the Department of Experimental Surgery

 Ostrovityanova st., 1, p. 7., 117997, Moscow

Центральная клиническая больница Российской академии наукРоссияCentral Clinical Hospital of the Russian Academy of SciencesRussian FederationРоссийский национальный исследовательский медицинский университет имени Н.И. ПироговаРоссияRussian National Research Medical University N.I. PirogovRussian Federation202113082021023238Copyright © Глушков П.С., Азимов Р.Х., Шемятовский К.А., Горский В.А., 20212021Глушков П.С., Азимов Р.Х., Шемятовский К.А., Горский В.А.Glushkov P.S., Azimov R.K., Shemyatovsky K.A., Gorsky V.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.spractice.ru/jour/article/view/224

Уже ставший традиционным на протяжении многих десятилетий доступ по Кохеру при операциях на щитовидной железе (ЩЖ) в XXI веке перестал отвечать стандартам миниинвазивной хирургии. Обеспечивая великолепный обзор органа и удобство оперативного приема, разрез на передней поверхности шеи длиной 4-5 см оставляет после себя видимый рубец, являющийся значимым косметическим дефектом. Развитие технологий позволило разработать и оптимизировать доступы к ЩЖ, обладающие лучшим косметическим эффектом, однако также требующие изменения оперативной техники. В данном литературном обзоре приводится описание и анализ существующих минимально инвазивных доступов к ЩЖ.

The Kocher approach, which has already become traditional for many decades, in operations on the thyroid gland (TG) in the 21st century has ceased to meet the standards of minimally invasive surgery. Providing an excellent view of the organ and the convenience of an operative reception, a 4-5 cm incision on the anterior surface of the neck leaves behind a visible scar, which is a cosmetic defect. The development of technologies made it possible to develop and optimize access to the thyroid gland, which have the best cosmetic effect, but also require changes in the surgical technique. This literature review provides a description and analysis of the existing minimally invasive approaches to the thyroid gland.

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The authors declare that there are no conflicts of interest present.