Transoral endoscopic thyroidectomy vestibular approach: Experience from a multicenter national group with 412 patients
RB Lira, R De Cicco, LG Rangel, AA Bertelli… - Head & …, 2021 - Wiley Online Library
RB Lira, R De Cicco, LG Rangel, AA Bertelli, G Duque Silva, JP de Medeiros Vanderlei…
Head & Neck, 2021•Wiley Online LibraryBackground Well‐established conventional thyroidectomy has satisfactory outcomes;
however, robotic and endoscopic thyroid surgery can avoid visible anterior neck scars.
Transoral endoscopic thyroidectomy vestibular approach (TOETVA) is the most recent of
these techniques. Methods This was a retrospective review of 412 patients who underwent
TOETVA from 2017 to 2020 in 13 Brazilian centers. Results The study included 359 (87.1%)
females and 53 (12.9%) males, with a mean age of 40 years. There were 231 (56.1%) total …
however, robotic and endoscopic thyroid surgery can avoid visible anterior neck scars.
Transoral endoscopic thyroidectomy vestibular approach (TOETVA) is the most recent of
these techniques. Methods This was a retrospective review of 412 patients who underwent
TOETVA from 2017 to 2020 in 13 Brazilian centers. Results The study included 359 (87.1%)
females and 53 (12.9%) males, with a mean age of 40 years. There were 231 (56.1%) total …
Background
Well‐established conventional thyroidectomy has satisfactory outcomes; however, robotic and endoscopic thyroid surgery can avoid visible anterior neck scars. Transoral endoscopic thyroidectomy vestibular approach (TOETVA) is the most recent of these techniques.
Methods
This was a retrospective review of 412 patients who underwent TOETVA from 2017 to 2020 in 13 Brazilian centers.
Results
The study included 359 (87.1%) females and 53 (12.9%) males, with a mean age of 40 years. There were 231 (56.1%) total thyroidectomies. The conversion rate was 0.7%. The transient vocal cord palsy rate was 7.6% (30 patients). Temporary and persistent hypocalcemia rates were 4.0% and 0.8%, respectively. There were two cases of infection (0.5%).
Discussion
This is a large multi‐institute TOETVA study, with one of the largest cohorts published to date that; despite its retrospective nature and selection bias, reached outcomes comparable to previously reported series, this study reinforced safeness, feasibility, and nationwide reproducibility for this technique.
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