Transoral endoscopic thyroidectomy by vestibular approach (TOETVA): initial experience in an academic hospital
Antonio Augusto Tupinamba Bertelli, Leonardo Guimarães Rangel, Giancarlo Artese Araujo, Rolando Costa Monteiro , Luiz Claudio Bosco Massarollo, Jonathon Owen Russell, Ralph Patrick Tufano, Antonio José Gonçalves
Abstract
Introduction: Transoral endoscopic thyroidectomy vestibular approach (TOETVA) is being adopted in many centers around the world for many reasons especially because it depends only on laparoscopic instruments. Objective: To describe the initial results of TOETVA after its adoption in a large academic hospital. Methods: Fifteen patients underwent TOETVA and were evaluated regarding its indication, operative time and complications. Results: Nine lobectomies and six total thyroidectomies were performed, with mean operative time of 107 minutes (64-150min). Ten patients did not have any surgical complications and five patients experienced some sort of complication (1 mental nerve temporary numbness, 1 vocal fold temporary paralysis, 1 temporary hypoparathyroidism and 2 small skin burns). We observed a progressive decrease of operative time. Conclusion: The initial results of TOETVA show that it could be instituted safely and effectively in a Brazilian academic center with a short learning curve.
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References
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