Transoral Endoscopic Thyroidectomy Vestibular Approach (TOETVA): Treatment for Benign Thyroid Diseases

Fernandez-Ranvier Gustavo G.; Guevara Daniela; Alawwa Ghayth; Meknat Aryan; Lieberman Benjamin; Inabnet William B

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저자정보: Fernandez-Ranvier Gustavo G. (Department of Surgery Mount Sinai Hospital Icahn School of Medicine at Mount Sinai New York NY USA.) Guevara Daniela (Department of Surgery Mount Sinai Hospital Icahn School of Medicine at Mount Sinai New York NY USA.) Alawwa Ghayth (Department of Surgery Mount Sinai Hospital Icahn School of Medicine at Mount Sinai New York NY USA.) Meknat Aryan (Department of Surgery Mount Sinai Hospital Icahn School of Medicine at Mount Sinai New York NY USA.) Lieberman Benjamin (Department of Surgery Mount Sinai Hospital Icahn School of Medicine at Mount Sinai New York NY USA.) Inabnet William B (Department of Surgery University of Kentucky College of Medicine Lexington KY USA.)

저널정보: 대한갑상선-내분비외과학회 The Journal of Endocrine Surgery The Journal of Endocrine Surgery 제21권 제1호

발행연도: 2021.1

수록면: 13 - 19 (7page)

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Purpose: Thyroidectomy is often required in the management of benign thyroid disorders. Conventional open thyroidectomy remains the standard of care for various benign and malignant thyroid disorders. We aim to present our experience in performing a transoral endoscopic thyroidectomy vestibular approach (TOETVA) for benign disease of the thyroid gland that is safe, and feasible when compared with open thyroidectomy. Methods: Sixty-six patients who underwent an open thyroidectomy or TOETVA between 2014 and 2019 for a benign thyroid condition were identified and retrospectively studied. Outcomes between the 2 groups, including postoperative complications, operative time, estimated blood loss (EBL), and length of stay, were compared. Patients were followed from 2 weeks up to 2 years postoperatively. Results: Sixty-six patients whose age ranges between 22 and 82 were stratified into an open thyroidectomy group and a TOETVA group with 33 patients in each group. In the TOETVA group, twenty-four (72.2%) patients underwent a total thyroidectomy while the rest underwent a lobectomy. One case of TOETVA was converted to open. There were no significant differences in the EBL, recurrent laryngeal nerve injury, hematoma formation, or hypocalcemia postoperatively between the 2 groups (P>0.05). Conclusion: We conclude that when thyroidectomy, either total or partial, is pursued for the management of benign thyroid disorders, TOETVA in patients with favorable features is a viable alternative to open thyroidectomy with regards to postoperative outcomes and provides superior cosmetic results leaving the patient with no cutaneous scars.

#Natural orifice transluminal endoscopic surgery #Thyroidectomy #Thyroid disease #Laparoscopy #Adenoma

참고문헌 (13)

참고문헌 신청

Gangappa RB / 2016 / Total thyroidectomy for benign thyroid diseases : What is the price to be paid / J Clin Diagn Res 10:PC04~PC07

Bartsch DK / 2018 / Indications for the surgical management of benign goiter in adults / Dtsch Arztebl Int 115:1~7

Promberger R / 2014 / Quality of life after thyroid surgery in women with benign euthyroid goiter : influencing factors including Hashimoto's thyroiditis / Am J Surg 207:974~979

Erbil Y / 2008 / Effect of thyroid gland volume in preoperative detection of suspected malignant thyroid nodules in a multinodular goiter / Arch Surg 143:558~563

Gosnell JE / 2008 / Surgical approaches to thyroid tumors / Endocrinol Metab Clin North Am 37:437~455

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Fernandez-Ranvier Gustavo G.

소속기관 Department of Surgery Mount Sinai Hospital Icahn School of Medicine at Mount Sinai New York NY USA.