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Updated: Feb 26, 2026

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
Published on: May 12, 2023
Transoral endoscopic thyroidectomy using vestibular approach: updates and evidences
Angkoon Anuwong1, Hoon Yub Kim2, Gianlorenzo Dionigi3
1Department of Surgery, Minimally Invasive and Endocrine Surgery Division, Police General Hospital, Bangkok, Thailand.
Transoral endoscopic thyroidectomy offers scar-free surgery. This review confirms the transoral endoscopic thyroidectomy vestibular approach (TOETVA) is feasible and no longer experimental.
Area of Science:
- Endoscopic surgery
- Surgical innovation
- Thyroidectomy techniques
Background:
- Natural orifice transluminal endoscopic surgery (NOTES) is being adapted for thyroid procedures.
- Transoral endoscopic thyroidectomy aims for scarless outcomes.
- Concerns include infection, nerve injury, and oncological results.
Purpose of the Study:
- To review the development of transoral endoscopic thyroidectomy.
- To evaluate current clinical evidence for this innovative approach.
- To assess the feasibility and status of transoral endoscopic thyroidectomy vestibular approach (TOETVA).
Main Methods:
- Literature review of transoral endoscopic thyroidectomy.
- Analysis of clinical evidence regarding safety and efficacy.
- Assessment of oncological outcomes and potential complications.
Main Results:
- Transoral endoscopic thyroidectomy vestibular approach (TOETVA) shows promise for scar-free thyroid surgery.
- Evidence suggests feasibility and addresses initial concerns.
- The technique is evolving beyond experimental status.
Conclusions:
- Transoral endoscopic thyroidectomy vestibular approach (TOETVA) is a viable surgical option.
- The procedure is considered safe and effective.
- This technique represents a significant advancement in minimally invasive thyroid surgery.
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