Abstract
Background: The transoral endoscopic thyroidectomy vestibular approach (TOETVA) has been the subject of increasing interest from several institutions around the world over the last 2 years. Recently, we successfully performed TOETVA in live human patients without CO2 gas using our newly designed retractable blade. Methods: We reviewed the medical records of 15 consecutive patients who underwent gasless TOETVA using a self-retaining retractor. Results: We successfully performed 13 thyroid lobectomies and 2 total thyroidectomies in 15 patients. No patient exhibited serious postoperative complications such as recurrent laryngeal nerve palsy and permanent hypocalcemia. One patient developed transient hypocalcemia but recovered within 2 months. No patient developed a wound infection; furthermore, no visible scar or dimpling was evident on the neck of any patient. Conclusion: Gasless TOETVA provides enough working space and good visibility to perform thyroid surgery without any risk of CO2 gas-related complications.
Original language | English |
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Pages (from-to) | 3034-3039 |
Number of pages | 6 |
Journal | Surgical endoscopy |
Volume | 33 |
Issue number | 9 |
DOIs | |
Publication status | Published - 2019 Sep 16 |
Bibliographical note
Funding Information:Acknowledgements This work was supported by the National
Funding Information:
This work was supported by the National Research Foundation of Korea (NRF) Grant funded by the Korea government (No. NRF-2014R1A2A2A03004802).
Publisher Copyright:
© 2019, Springer Science+Business Media, LLC, part of Springer Nature.
All Science Journal Classification (ASJC) codes
- Surgery