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 › peer-review

13 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:
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

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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.",

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AU - Koh, Yoon Woo

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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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Gasless transoral endoscopic thyroidectomy vestibular approach (gasless TOETVA)

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