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Scarless total thyroidectomy via transoral endoscopic vestibular approach: initial case series in a developing Asian country
Conventional open thyroidectomy may leave a visible scar postoperatively and can lead to impaired quality of life. Since 2016, the transoral endoscopic thyroidectomy via vestibular approach (TOETVA) has gained popularity due to being a true ‘scarless’ procedure. However, minimally invasive thyroidec...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8769911/ https://www.ncbi.nlm.nih.gov/pubmed/35070269 http://dx.doi.org/10.1093/jscr/rjab623 |
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author | Yap, Ralph Victor Villamor Jr, Manuel |
author_facet | Yap, Ralph Victor Villamor Jr, Manuel |
author_sort | Yap, Ralph Victor |
collection | PubMed |
description | Conventional open thyroidectomy may leave a visible scar postoperatively and can lead to impaired quality of life. Since 2016, the transoral endoscopic thyroidectomy via vestibular approach (TOETVA) has gained popularity due to being a true ‘scarless’ procedure. However, minimally invasive thyroidectomy has not been widely adopted in the Philippines yet. From August 2019 to December 2019, nine patients (mean thyroid nodule size of 3.1 cm) underwent TOETVA with one open conversion due to adherent papillary cancer. Majority had a blood loss of <100 ml, whereas mean operative time was 149.8 ± 20.5 minutes. Five patients developed hypocalcemia (three transient), whereas two patients reported transient lower lip numbness. TOETVA is a safe and feasible novel procedure for both benign and malignant thyroid diseases. Care must be taken in selecting patients who opt for TOETVA, and that surgeons should reassess their limitations before implementing this technique in their surgical practice. |
format | Online Article Text |
id | pubmed-8769911 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-87699112022-01-20 Scarless total thyroidectomy via transoral endoscopic vestibular approach: initial case series in a developing Asian country Yap, Ralph Victor Villamor Jr, Manuel J Surg Case Rep Case Series Conventional open thyroidectomy may leave a visible scar postoperatively and can lead to impaired quality of life. Since 2016, the transoral endoscopic thyroidectomy via vestibular approach (TOETVA) has gained popularity due to being a true ‘scarless’ procedure. However, minimally invasive thyroidectomy has not been widely adopted in the Philippines yet. From August 2019 to December 2019, nine patients (mean thyroid nodule size of 3.1 cm) underwent TOETVA with one open conversion due to adherent papillary cancer. Majority had a blood loss of <100 ml, whereas mean operative time was 149.8 ± 20.5 minutes. Five patients developed hypocalcemia (three transient), whereas two patients reported transient lower lip numbness. TOETVA is a safe and feasible novel procedure for both benign and malignant thyroid diseases. Care must be taken in selecting patients who opt for TOETVA, and that surgeons should reassess their limitations before implementing this technique in their surgical practice. Oxford University Press 2022-01-19 /pmc/articles/PMC8769911/ /pubmed/35070269 http://dx.doi.org/10.1093/jscr/rjab623 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2022. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Case Series Yap, Ralph Victor Villamor Jr, Manuel Scarless total thyroidectomy via transoral endoscopic vestibular approach: initial case series in a developing Asian country |
title | Scarless total thyroidectomy via transoral endoscopic vestibular approach: initial case series in a developing Asian country |
title_full | Scarless total thyroidectomy via transoral endoscopic vestibular approach: initial case series in a developing Asian country |
title_fullStr | Scarless total thyroidectomy via transoral endoscopic vestibular approach: initial case series in a developing Asian country |
title_full_unstemmed | Scarless total thyroidectomy via transoral endoscopic vestibular approach: initial case series in a developing Asian country |
title_short | Scarless total thyroidectomy via transoral endoscopic vestibular approach: initial case series in a developing Asian country |
title_sort | scarless total thyroidectomy via transoral endoscopic vestibular approach: initial case series in a developing asian country |
topic | Case Series |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8769911/ https://www.ncbi.nlm.nih.gov/pubmed/35070269 http://dx.doi.org/10.1093/jscr/rjab623 |
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