TY - JOUR
T1 - Early outcomes in transoral vestibular thyroidectomy
T2 - Robotic versus endoscopic techniques
AU - Razavi, Christopher R.
AU - Khadem, Mai G.Al
AU - Fondong, Akeweh
AU - Clark, James H.
AU - Richmon, Jeremy D.
AU - Tufano, Ralph P.
AU - Russell, Jonathon O.
N1 - Publisher Copyright:
© 2018 Wiley Periodicals, Inc.
Copyright:
Copyright 2018 Elsevier B.V., All rights reserved.
PY - 2018/10
Y1 - 2018/10
N2 - Background: The transoral thyroidectomy vestibular approach has been utilized via both robotic (TORTVA) and endoscopic (TOETVA) techniques to perform thyroidectomy. However, there have been no studies evaluating outcomes between these approaches. Here we describe our outcomes for thyroid lobectomy with TORTVA and TOETVA. Methods: All cases of transoral vestibular approach thyroid lobectomy at Johns Hopkins Hospital were reviewed. Primary outcomes and demographic data were then compared between TORTVA and TOETVA. Results: Twenty-seven cases were identified, 7 using the robotic approach and 20 using the endoscopic approach. The procedural success rate for the robotic and endoscopic cohorts was 5 of 7 (71%) and 19 of 20 (95%), respectively (P =.15). There were no persistent nerve injuries, mental, or recurrent in either cohort. Median operative time for TOETVA was 188 minutes versus 322 minutes for TORTVA (P =.001). Conclusion: Thyroid lobectomy can be safely performed via both techniques, although performed more quickly endoscopically, which is likely due in part to differences in the learning curves.
AB - Background: The transoral thyroidectomy vestibular approach has been utilized via both robotic (TORTVA) and endoscopic (TOETVA) techniques to perform thyroidectomy. However, there have been no studies evaluating outcomes between these approaches. Here we describe our outcomes for thyroid lobectomy with TORTVA and TOETVA. Methods: All cases of transoral vestibular approach thyroid lobectomy at Johns Hopkins Hospital were reviewed. Primary outcomes and demographic data were then compared between TORTVA and TOETVA. Results: Twenty-seven cases were identified, 7 using the robotic approach and 20 using the endoscopic approach. The procedural success rate for the robotic and endoscopic cohorts was 5 of 7 (71%) and 19 of 20 (95%), respectively (P =.15). There were no persistent nerve injuries, mental, or recurrent in either cohort. Median operative time for TOETVA was 188 minutes versus 322 minutes for TORTVA (P =.001). Conclusion: Thyroid lobectomy can be safely performed via both techniques, although performed more quickly endoscopically, which is likely due in part to differences in the learning curves.
KW - remote access thyroidectomy
KW - robotic thyroid surgery
KW - transoral endoscopic thyroidectomy vestibular approach
KW - transoral robotic thyroidectomy vestibular approach
KW - transoral thyroidectomy
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U2 - 10.1002/hed.25323
DO - 10.1002/hed.25323
M3 - Article
C2 - 29756254
AN - SCOPUS:85055146327
VL - 40
SP - 2246
EP - 2253
JO - Head and Neck Surgery
JF - Head and Neck Surgery
SN - 0148-6403
IS - 10
ER -