The advancement of minimally invasive surgery in the field of endocrine surgery over the last 2 decades has fostered the attempt of natural orifice transluminal endoscopic surgery (NOTES) for thyroidectomy and parathyroidectomy via oral incisions. This technically demanding surgery is currently being evaluated in a number of specialised centres. The procedure has gained popularity worldwide and is performed in more than 50 centres. By retrieving information from published or presented articles and direct personal communications, this study reports several issues to enable and optimise correct patient and surgeon candidacy, present the advantages and prevent novel complications under the standards of open thyroid surgery. Not all patients are eligible for the transoral approach. Transoral endoscopic and robotic procedures were described and critically analysed in this study.

中文翻译：

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经口甲状腺切除术的适应症，益处和风险。

在过去的20年中，微创外科在内分泌外科领域的发展促进了自然口经腔内镜手术（NOTES）通过口腔切口进行甲状腺切除术和甲状旁腺切除术的尝试。目前，许多专业中心正在对这种技术要求很高的手术进行评估。该程序已在全球范围内普及，并在50多个中心进行。通过检索已发表或发表的文章中的信息以及直接的个人交流，该研究报告了一些问题，这些问题可帮助并优化正确的患者和外科医生候选资格，呈现优势并在开放甲状腺手术的标准下预防新的并发症。并非所有患者都有资格采用经口入路。