Feasibility of Transoral Thyroidectomy by Vestibular Approach
Article Sidebar
Main Article Content
Abstract
Introduction
An open approach to thyroidectomies through neck provides good exposure and safe dissection however, the patient still has a scar. Endoscopic thyroid surgery has been practised since the late 90s. The latest addition is the transoral endoscopic thyroidectomy by vestibular approach.
Materials and Methods
We at our centre performed this surgery on 3 patients. Here we present our initial experience of transoral endoscopic thyroidectomy by vestibular approach (TOETVA).
Results
Two of the three patients did not have any complication. Diffuse bleeding was encountered during one instance and decision was taken to convert it into an open procedure.
Conclusion
The preliminary experience of transoral thyroidectomy by vestibular approach shows it to be a feasible and promising ‘scarless’ and ‘minimally invasive’ surgery.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
References
Hannan SA. The magnificent seven: a history of modern thyroid surgery. Int J Surg. 2006;4(3):187-91
Miccoli P, Ambrosini CE, Materazzi G, Fregoli L, Fosso LA, Berti P. New technologies in thyroid surgery. Endoscopic thyroid surgery. Minerva Chir. 2007; 62(5):335-49
Patel D, Kebebew E. Pros and Cons of Robotic Transaxillary Thyroidectomy. Thyroid. 2012; 22(10):984-5
Dio nigi G, Rovera F, Boni L. Commentary on transoral access for endoscopic thyroid resection : Witzel K, von Rahden BH, Kaminski C, Stein HJ. Transoral access for endoscopic thyroid resection. Surg Endosc. 2008; 22(8):1871-5. Surg Endosc. 2009 Feb 6 [cited 2017 Oct 30]; 23(2):454-5; discussion 456
Wilhelm T, Metzig A. Video. Endoscopic minimally invasive thyroidectomy: first clinical experience. Surg Endosc. 2010; 24(7):1757-8.
Richmon JD, Pattani KM, Benhidjeb T, Tufano RP. Transoral robotic-assisted thyroidectomy: A preclinical feasibility study in 2 cadavers. Head Neck 2010 Jul 13; 33(3):n/a-n/a.
Anuwong A, Kim HY, Dionigi G. Transoral endoscopic thyroidectomy using vestibular approach: updates and evidences. Gland Surg. 2017; 6(3):277–84.