Transoral endoscopic thyroid surgery in a Korean population

Park, Jun‐Ook; Anuwong, Angkoon; Kim, Mi Ra; Sun, Dong‐Il; Kim, Min‐Sik

doi:10.1007/s00464-018-6481-9

Cited by 38 publications

(32 citation statements)

References 31 publications

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“…Transoral thyroidectomy includes the sublingual approach and the oral vestibular approach, as well as other modifications with or without CO 2 insufflation . The oral vestibular approach has been the most popular recently, and transoral robotic and endoscopic thyroidectomy has been found to be feasible and safe in properly selected patients . Also some studies have compared the transoral and conventional transcervical approaches, and reported similar outcomes in the two .…”

Section: Introductionmentioning

confidence: 99%

Safety and efficacy of transoral robotic and endoscopic thyroidectomy: The first 100 cases

Tae

Song

et al. 2019

Head & Neck

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Background: The aim of this study was to evaluate the safety and efficacy of transoral robotic and endoscopic thyroidectomy. Methods:We analyzed and compared the first 100 cases of transoral robotic (71 cases) and endoscopic (29 cases) thyroidectomy with 207 cases of conventional transcervical thyroidectomy. Results: Transoral thyroidectomy was completed successfully in all patients, except for three who were converted to the robotic facelift or transcervical approach. The mean operative time of the transoral procedure was significantly longer than that of the conventional procedure. Perioperative complications such as hypoparathyroidism, vocal cord palsy, hematoma, and seroma did not differ between the two groups. However, there were some unusual complications such as CO 2 embolism, surgical site infection, skin trauma, burn, and ecchymosis in transoral thyroidectomy. Postoperative cosmesis was significantly better in the transoral group.Conclusion: Transoral robotic and endoscopic thyroidectomy is feasible and comparable to conventional transcervical thyroidectomy in highly selected patients. K E Y W O R D Sendoscopic thyroidectomy, remote access thyroidectomy, robotic thyroidectomy, thyroid nodule, transoral thyroidectomy

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Section: Introductionmentioning

confidence: 99%

Safety and efficacy of transoral robotic and endoscopic thyroidectomy: The first 100 cases

Tae

Song

et al. 2019

Head & Neck

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“…Transoral endoscopic thyroidectomy was performed in patients who met the following inclusion criteria: (1) a request for a new surgical approach that avoids neck scarring, (2) thyroid cancer without any extrathyroidal extension or lymph node metastasis evident on preoperative ultrasonography, and (3) thyroid cancer < 2.5 cm in diameter or a benign tumor < 8 cm in diameter [ 5 , 17 ]. The detailed surgical procedure was described in our previous paper [ 5 , 17 ]. All surgeries were performed in the same manner by a single surgeon (J-O Park).…”

Section: Methodsmentioning

confidence: 99%

“…Over 20 remote approaches to the thyroid gland have been used to avoid visible neck scarring [ 1 , 2 ]. The recent transoral endoscopic thyroidectomy vestibular approach (TOETVA), in which the thyroid is safely resected via three intra-oral mucosal incisions (thus without any skin incision), is attractive [ 2 , 3 , 4 , 5 ]. Several reports have emphasized the safety and efficacy of this new approach [ 2 , 3 , 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

“…The recent transoral endoscopic thyroidectomy vestibular approach (TOETVA), in which the thyroid is safely resected via three intra-oral mucosal incisions (thus without any skin incision), is attractive [ 2 , 3 , 4 , 5 ]. Several reports have emphasized the safety and efficacy of this new approach [ 2 , 3 , 4 , 5 ]. The authors have performed TOETVA since 2016 and confirmed that this approach very safely preserves the recurrent laryngeal nerve, as reported in many other studies [ 2 , 3 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

“…Several reports have emphasized the safety and efficacy of this new approach [ 2 , 3 , 4 , 5 ]. The authors have performed TOETVA since 2016 and confirmed that this approach very safely preserves the recurrent laryngeal nerve, as reported in many other studies [ 2 , 3 , 5 ]. The principal cause of vocal dysfunction after thyroid surgery is iatrogenic injury to the recurrent laryngeal nerve.…”

Section: Introductionmentioning

confidence: 99%

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Can Voice Pitch Be Preserved in Patients after Transoral Endoscopic Thyroidectomy Vestibular Approach?

Kim

Park

et al. 2020

JCM

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Introduction: Transoral endoscopic thyroidectomy vestibular approach (TOETVA) has become increasingly popular. Several reports have emphasized the safety and efficacy of this new approach. However, there is no report on functional voice outcomes, including voice pitch change after TOETVA. Methods: The functional voice outcomes of patients undergoing TOETVA were compared with those of patients undergoing conventional thyroidectomy. A total of 82 consecutive patients were included in the study: 44 underwent thyroid lobectomy via TOETVA (transoral group) and 38 underwent thyroid lobectomy via the classic cervical approach (open group). Thyroidectomy-related voice questionnaire (TVQ), perceptual voice analysis, fiberoptic laryngoscopic and videolaryngostroboscopic examinations, and acoustic analysis were carried out before and one month after surgery. The changes in these values after surgery and the differences between the transoral and open groups were analyzed. Results: We found no significant postoperative change in voice workups in either group. The mean high pitch decreased (from 367.91 ± 120.98 to 325.80 ± 100.86 Hz, p = 0.069) in the transoral group, but statistical significance was not attained. Clinically significant changes in pitch (postoperative change in speaking fundamental frequency, ΔSFF ≥ 12) after surgery were evident in seven (15.91%) patients in the transoral group and eight (21.05%) patients in the open group without significant difference (p = 0.579). Conclusions: This is the first study to assess functional voice outcomes (including pitch) after TOETVA compared with conventional open surgery. TOETVA was associated with good voice outcomes without any significant drop in pitch.

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Transoral endoscopic thyroidectomy vestibular approach: Experience from a multicenter national group with 412 patients

Lira

Cicco²,

Rangel

et al. 2021

Head & Neck

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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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Transoral endoscopic thyroid surgery in a Korean population

Cited by 38 publications

References 31 publications

Safety and efficacy of transoral robotic and endoscopic thyroidectomy: The first 100 cases

Safety and efficacy of transoral robotic and endoscopic thyroidectomy: The first 100 cases

Can Voice Pitch Be Preserved in Patients after Transoral Endoscopic Thyroidectomy Vestibular Approach?

Transoral endoscopic thyroidectomy vestibular approach: Experience from a multicenter national group with 412 patients

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