Transoral Endoscopic Surgery for Papillary Thyroid Carcinoma: Initial Experiences of a Single Surgeon in South Korea

Overview

Journal Ann Surg Treat Res

Specialty General Surgery

Date 2018 Aug 7

PMID 30079323

Citations 20

Authors

Jin Wook Yi

Sang Gab Yoon

Hyun Soo Kim

Hyeong Won Yu

Su-Jin Kim

Young Jun Chai

June Young Choi

Kyu Eun Lee

Affiliations

Soon will be listed here.

Abstract

Purpose: The transoral endoscopic thyroid surgery vestibular approach (TOETVA) is one of the newest techniques which do not result in an anterior neck scar. We report herein our initial experience with TOETVA and its short-term outcomes in patients with papillary thyroid carcinoma (PTC).

Methods: This case series consisted of all consecutive patients who underwent TOETVA in our institution between August 2016 and June 2017. Indications for TOETVA were an fine needle aspiration-confirmed PTC or follicular neoplasm, an intrathyroidal tumor with a diameter of less than 2 cm, and no clinical evidence of central or lateral lymph node metastasis. A total of 20 patients underwent TOETVA and we retrospectively reviewed clinicopathologic data and short-term postoperative outcomes.

Results: Among the 20 TOETVA cases, 7 were total thyroidectomy, 12 were lobectomy and 1 was wide isthmusectomy. Mean age was 50.8 years and mean operation time was 152 ± 51.4 minutes. Tumor size ranged from 0.2-1.4 cm and the mean size of harvested central lymph nodes was 2.8 (range, 0-10). Neither mental nerve injury nor surgical site infection occurred. One patient had transient vocal cord palsy and 1 patient developed a neck seroma. Among 7 total thyroidectomy patients, 3 patients developed transient hypocalcemia.

Conclusion: Transoral thyroid surgery could be an alternative surgical option for some PTC patients.

Citing Articles

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A suspension surgical space construction method involving a gasless transoral endoscopic thyroidectomy vestibular approach: a single-center experience.

Sheng X, Fang J, Chen G, Li W, Wang S World J Surg Oncol. 2025; 23(1):58.

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Application of fibrin sealant in drain-free transoral endoscopic thyroidectomy vestibular approach.

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Vestibular approach for thyroid surgery: a comprehensive review.

La Via L, Zanghi A, Cavallaro A, Di Vita M, Maniaci A, Cocuzza S Front Surg. 2024; 11:1423222.

PMID: 38948483 PMC: 11211391. DOI: 10.3389/fsurg.2024.1423222.

Comparison of endoscopic thyroidectomy via the oral vestibule approach and the areola approach for papillary thyroid carcinoma.

Liu Y, Lin F, Yan W, Lin E, Kuang P, Hong X BMC Surg. 2024; 24(1):127.

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