What is the Appropriate Nodular Diameter in Thyroid Cancer for Extraction by Transoral Endoscopic Thyroidectomy Vestibular Approach Without Breaking the Specimens? A Surgicopathologic Study

Wu, Yung-Chun; Chi, Shun‐Yu; Elsarawy, Ahmed M.; Chan, Yi‐Chia; Chou, Fong‐Fu; Lin, Yi‐Ying; Wee, Sin-Yong; Pan, Cheng‐Chung; Cheng, Ben-Chung; Lin, Chih-Che

doi:10.1097/sle.0000000000000563

Cited by 40 publications

(23 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Taking into consideration the limitations of TOETVA and the natural history of differentiated thyroid cancer, Wu et al (47) reported that this natural orifice transluminal endoscopic approach can be safely performed in case of low-risk thyroid carcinoma up to 2 cm in diameter with adequate oncologic outcomes. Similarly, Anuwong et al (48) did not consider patients with thyroid malignant tumors larger than 2 cm candidates for TOETVA because it is crucial to extract the tumor intact, and it cannot be morselized as is done with benign nodules.…”

Section: Transoral Endoscopic Thyroidectomy With Vestibular Approach (Toetva)mentioning

confidence: 99%

“…Taking into consideration the limitations of TOETVA and the natural history of differentiated thyroid cancer, Wu et al. ( 47 ) reported that this natural orifice transluminal endoscopic approach can be safely performed in case of low-risk thyroid carcinoma up to 2 cm in diameter with adequate oncologic outcomes. Similarly, Anuwong et al.…”

Section: Transoral Endoscopic Thyroidectomy With Vestibular Approach (Toetva)mentioning

confidence: 99%

See 1 more Smart Citation

Recent Trends in Surgical Approach to Thyroid Cancer

et al. 2021

View full text Add to dashboard Cite

Over the past decade, the incidence of thyroid cancer has rapidly increased worldwide, and thyroid surgery has become one of the most common performed surgical procedure. Even though conventional open thyroidectomy remains the gold standard, this approach leaves a neck scar which could be worrying mainly for young women. The recent progress in surgical technology, as well as patient cosmetic requests, have led to the development of alternative access to the thyroid lodge. Thus, alternative techniques have been established in order to potentially provide a more appealing cosmetic result, both with a minimally-invasive cervical or remote-access approach. However, the introduction of these new techniques was initially approached with caution due to technical challenges, the introduction of new complications and, above all, skepticism about the oncologic effectiveness. Among several alternative approaches proposed, the minimally invasive video-assisted thyroidectomy and the robot-assisted transaxillary thyroidectomy became popular and obtained the favor of the scientific community. Moreover, the recent introduction of the trans-oral endoscopic thyroidectomy with vestibular approach, although the safety and the efficacy are still under discussion, deserves particular attention since it represents the only technique truly scarless and provides the best cometic result. The purpose of this article is to provide an overview of the current main alternative approaches for the treatment of thyroid cancer with particular focus on the oncological effectiveness of the procedures.

show abstract

Section: Transoral Endoscopic Thyroidectomy With Vestibular Approach (Toetva)mentioning

confidence: 99%

Section: Transoral Endoscopic Thyroidectomy With Vestibular Approach (Toetva)mentioning

confidence: 99%

Recent Trends in Surgical Approach to Thyroid Cancer

et al. 2021

View full text Add to dashboard Cite

show abstract

“…Finally, we would like to highlight that the literature also states the TOETVA and TOETRA techniques cannot be considered for all patients. The exclusion criteria include thyroid gland with high volume, tumor staging, presence of previous treatments, and patient anthropometrics (7)(8)(9)(10). The defenders of the procedure consider TOETVA and TOETRA to be minimally invasive.…”

Section: Financial and Social Burdensmentioning

confidence: 99%

“…Publications advocating TOETVA (or TOETRA) present clear data of feasibility and remarkable aesthetic results. Some publications demonstrate similar (incipient) oncological results when compared to the classic procedure (7)(8)(9)(10).…”

mentioning

confidence: 92%

Transoral thyroidectomy: A reflexive opinion on the technique

Tincani

Lehn

Cernea³

et al. 2021

Archives of Endocrinology and Metabolism

View full text Add to dashboard Cite

W hen analyzing the literature published on thyroidectomy using a "timeline" we can observe that we have notoriously progressed from a procedure that was almost prohibited in the mid-nineteenth century due to complications to a point where it is considered safe, resolutive, and highly efficient. This progress is especially due to the advances in surgical techniques. Theodore Kocher (Nobel Prize in 1909 for his contribution to thyroidectomies) flawlessly described the anatomical basis for the success of this surgical technique 130 years ago. Besides this, advances in anesthetic procedures, surgical materials, and medications were fundamental to intraoperative and postoperative advances and patient management. With time, the knowledge on the different thyroid diseases has exponentially increased and serves as indicators for the extension of treatment and surgical procedures, all efforts should be directed to apply them into clinical practice (1).In the past twenty years, the introduction of new technologies such as the application of energy in surgical instruments and neuromonitoring brought advances to the procedure. These technologies helped providers to achieve a shorter surgical time, a shorter length of hospital stay, a reduction in the risk of bilateral laryngeal paralysis, and a reduced risk of intra and post-operative bleeding (2,3). In the last decade, stimulated by the current advances in endoscopic and robotic surgery, new approaches for thyroidectomy procedures were investigated to substitute the classic cervical incision, and are currently a theme for several scientific debates.

show abstract

“…Fine needle aspiration cytologically benign and indeterminant nodules ≤ 6 cm and a thyroid lobe with a maximum dimension ≤ 10 cm meet the recommended inclusion criteria [33]. Select patients with T1 well-differentiated thyroid carcinoma can also be considered; however, such patients are not recommended as part of a candidate surgeon’s initial cohort [22, 34]. In a similar fashion, candidate surgeons may also wish to begin their transoral vestibular experience with lobectomies exclusively, as they gain familiarity with the approach [30].…”

Section: Candidacy–patientsmentioning

confidence: 99%

Starting a Transoral Thyroid and Parathyroid Surgery Program

Razavi

Tufano

Russell

2019

Curr Otorhinolaryngol Rep

View full text Add to dashboard Cite

Purpose of Review To describe the necessary steps to facilitate safe implementation of a transoral thyroid and parathyroid surgery program. Recent Findings Transoral vestibular approaches to the central neck have been demonstrated to be safe and feasible, while avoiding the morbidity of a cutaneous scar. As operative volume expands from a select few high-volume centers, a framework for implementation has been recommended to allow the evidence-based outcomes to translate into clinical practice for new adopters of these techniques. These include securing institutional support, choosing the appropriate candidate (both patient and surgeon), appropriate case observation and instruction (live and cadaver), and adequate first-case preparation and knowledge of the learning curve(s) for the techniques. Summary The recommendations in this article provide a foundation from which a transoral thyroid and parathyroid program may be successfully built. An intricate understanding of conventional transcervical central neck surgery and institutional support are absolute prerequisites to safe and successful implementation of these transoral vestibular techniques.

show abstract

What is the Appropriate Nodular Diameter in Thyroid Cancer for Extraction by Transoral Endoscopic Thyroidectomy Vestibular Approach Without Breaking the Specimens? A Surgicopathologic Study

Cited by 40 publications

References 20 publications

Recent Trends in Surgical Approach to Thyroid Cancer

Recent Trends in Surgical Approach to Thyroid Cancer

Transoral thyroidectomy: A reflexive opinion on the technique

Starting a Transoral Thyroid and Parathyroid Surgery Program

Contact Info

Product

Resources

About