Transoral Endoscopic Thyroidectomy Vestibular Approach: An Initial Experience in Vietnam

Abstract

Background: Transoral endoscopic thyroidectomy vestibular approach (TOETVA) can be applied to many health facilities worldwide, even in places whose medical facilities have not developed yet. To that end, our hospital is the first hospital to deploy this novel technique in Vietnam. In the study, the authors will evaluate the safety and efficacy of TOETVA, which was initially performed on patients in Vietnam. Materials and Methods: A TOETVA research was conducted on 28 patients in hospital K from January 1, 2018 to May 31, 2019. The surgical outcomes, cosmetic results, and complications were evaluated. Results: The mean operative time was 91 minutes (70 to 130 min). There were no cases with temporary and permanent hypoparathyroidism in the patients. One patient had temporary mental nerve injury recovered completely after 14-day surgery. No case used drains in patients. All patients were highly satisfied with the surgical outcome, especially, cosmetic results. Conclusions: TOETVA is a safe and feasible technique with acceptable complication rates and good outcomes. The authors will carry on this procedure for selected patients. TOETVA should not only be performed in some countries with well-developed health care systems but also be done in other developing countries worldwide.

Transoral Endoscopic Thyroidectomy Vestibular Approach (TOETVA): Surgical Outcomes and Learning Curve

“…Numerous studies have published encouraging results [ 3 , 5 , 6 , 10 ]. In our study, the operative time for lobectomy was comparable to other reports of initial TOETVA experience [ 11 , 12 ]. Furthermore, the TOETVA complication rates in this study were in line with acceptable rates following open thyroidectomy [ 13 ].…”

Tiroidectomía endoscópica transoral por vía vestibular: resultados de los 53 primeros casos

“…Para la colocacio ´n de tro ´cares se empleo ´una mediana de 14 min (12-15), con una duracio ´n mediana de 80 min (65-100) las lobectomı ´as y 140 min (125-173) la tiroidectomı ´a total. La mediana de tiempo empleado en el VGCCI fue de 30 min (20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30). Para la extraccio ´n de la pieza se emplearon 10 min (6)(7)(8)(9)(10)(11)(12)(13)(14)(15).…”

Case Report: Transoral Endoscopic Thyroidectomy via Vestibular Approach in Pediatric Thyroid Cancer

“…TOETVA is a new technique with many advantages, including an aesthetic result with scar-free healing. TOETVA has become popular worldwide ( 7 , 10 , 13 ). However, there has been only limited reported use in the pediatric population; thus, investigation of the feasibility and safety of TOETVA for use with this population is needed.…”