TY - JOUR
T1 - Transoral thyroidectomy (TOETVA)
T2 - Complications, surgical time and learning curve
AU - Lira, Renan Bezerra
AU - Ramos, Andressa Teruya
AU - Nogueira, Ricardo Miguel Ribeiro
AU - de Carvalho, Genival Barbosa
AU - Russell, Jonathon O.
AU - Tufano, Ralph P.
AU - Kowalski, Luiz Paulo
N1 - Publisher Copyright:
© 2020 Elsevier Ltd
PY - 2020/11
Y1 - 2020/11
N2 - Background: Since 2018, transoral endoscopic thyroidectomy vestibular approach (TOETVA) has emerged as a true scarless thyroid surgery. In this study, we explore early outcomes and learning curve of this new approach. Methods: A retrospective cohort including conventional thyroidectomies and TOETVAs performed in a cancer center was designed. Learning curve and early surgical outcomes of TOETVA were assessed and compared to conventional thyroidectomy. Results: A total of 56 TOETVAs and 745 conventional thyroid procedures were included. In the TOETVA group, we had a 14.4% total complication rate with no permanent vocal cord paresis or hypocalcemia. The mean surgical time dropped from 167 to 117 min (p = 0.0001) after the 15 first cases. Comparing to conventional procedures, we didn't find any significant difference in complications rate. Operative time was longer in the TOETVA group. Conclusions: In this study, TOETVA was safe and feasible, with a learning curve of 15 cases.
AB - Background: Since 2018, transoral endoscopic thyroidectomy vestibular approach (TOETVA) has emerged as a true scarless thyroid surgery. In this study, we explore early outcomes and learning curve of this new approach. Methods: A retrospective cohort including conventional thyroidectomies and TOETVAs performed in a cancer center was designed. Learning curve and early surgical outcomes of TOETVA were assessed and compared to conventional thyroidectomy. Results: A total of 56 TOETVAs and 745 conventional thyroid procedures were included. In the TOETVA group, we had a 14.4% total complication rate with no permanent vocal cord paresis or hypocalcemia. The mean surgical time dropped from 167 to 117 min (p = 0.0001) after the 15 first cases. Comparing to conventional procedures, we didn't find any significant difference in complications rate. Operative time was longer in the TOETVA group. Conclusions: In this study, TOETVA was safe and feasible, with a learning curve of 15 cases.
KW - Minimally invasive surgery
KW - NOTES
KW - Scarless thyroidectomy
KW - TOETVA
KW - Thyroid cancer
KW - Thyroid surgery
KW - Transoral thyroidectomy
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U2 - 10.1016/j.oraloncology.2020.104871
DO - 10.1016/j.oraloncology.2020.104871
M3 - Article
C2 - 32619928
AN - SCOPUS:85087220368
SN - 1368-8375
VL - 110
JO - Oral Oncology
JF - Oral Oncology
M1 - 104871
ER -