Gasless transoral endoscopic thyroidectomy vestibular approach (gasless TOETVA)

Jun Ook Park; Yeong Jun Park; Mi Ra Kim; Dong Il Sun; Min Sik Kim; Yoon Woo Koh

doi:10.1007/s00464-019-06826-7

Gasless transoral endoscopic thyroidectomy vestibular approach (gasless TOETVA)

Jun Ook Park, Yeong Jun Park, Mi Ra Kim, Dong Il Sun, Min Sik Kim, Yoon Woo Koh

Department of Otorhinolaryngology

Research output: Contribution to journal › Article

2 Citations (Scopus)

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
Pages (from-to)	3034-3039
Number of pages	6
Journal	Surgical endoscopy
Volume	33
Issue number	9
DOIs	https://doi.org/10.1007/s00464-019-06826-7
Publication status	Published - 2019 Sep 16

Bibliographical note

Funding Information:
Acknowledgements This work was supported by the National

Funding Information:
Research Foundation of Korea (NRF) Grant funded by the Korea government (No. NRF-2014R1A2A2A03004802).

All Science Journal Classification (ASJC) codes

Surgery

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title = "Gasless transoral endoscopic thyroidectomy vestibular approach (gasless TOETVA)",

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.",

author = "Park, {Jun Ook} and Park, {Yeong Jun} and Kim, {Mi Ra} and Sun, {Dong Il} and Kim, {Min Sik} and Koh, {Yoon Woo}",

note = "Funding Information: Acknowledgements This work was supported by the National Funding Information: Research Foundation of Korea (NRF) Grant funded by the Korea government (No. NRF-2014R1A2A2A03004802).",

year = "2019",

month = sep,

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doi = "10.1007/s00464-019-06826-7",

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AU - Park, Jun Ook

AU - Park, Yeong Jun

AU - Kim, Mi Ra

AU - Sun, Dong Il

AU - Kim, Min Sik

AU - Koh, Yoon Woo

N1 - Funding Information: Acknowledgements This work was supported by the National Funding Information: Research Foundation of Korea (NRF) Grant funded by the Korea government (No. NRF-2014R1A2A2A03004802).

PY - 2019/9/16

Y1 - 2019/9/16

N2 - 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.

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