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Updated: Jan 29, 2026

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
Published on: May 12, 2023
Transoral Endoscopic Thyroidectomy for Thyroid Cancer
Isariya Jongekkasit1, Pornpeera Jitpratoom1, Thanyawat Sasanakietkul1
1Minimally Invasive and Endocrine Surgery Division, Department of Surgery, Police General Hospital, 492/1, Rama 1 Road, Pathumwan, Bangkok 10330, Thailand.
Transoral endoscopic thyroidectomy, vestibular approach (TOETVA) offers a scarless option for low-risk differentiated thyroid cancer (DTC). Long-term studies show TOETVA has comparable surgical and oncological outcomes to traditional methods.
Area of Science:
- Endocrinology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Increasing prevalence of low-risk differentiated thyroid cancer (DTC) due to advanced imaging.
- Growing popularity of endoscopic thyroidectomy for aesthetic reasons (no neck scar).
- Transoral endoscopic thyroidectomy, vestibular approach (TOETVA) as a truly scarless surgical technique.
Purpose of the Study:
- To evaluate the long-term safety and feasibility of TOETVA for low-risk DTC.
- To compare the surgical and oncological outcomes of TOETVA with conventional thyroidectomy methods.
- To assess the efficacy of TOETVA in managing the rising incidence of DTC.
Main Methods:
- Review of long-term follow-up data for patients who underwent TOETVA.
- Analysis of surgical outcomes including complication rates and recovery times.
- Oncological assessment including recurrence rates and disease-specific survival.
Main Results:
- TOETVA demonstrates acceptable safety and feasibility for low-risk DTC management.
- Surgical and oncological outcomes are comparable to traditional thyroidectomy procedures.
- Adequate follow-up and surveillance are crucial for successful management.
Conclusions:
- TOETVA is a viable and effective surgical option for low-risk differentiated thyroid cancer.
- The scarless nature of TOETVA enhances patient satisfaction without compromising oncological safety.
- Further long-term studies will continue to solidify the role of TOETVA in thyroid surgery.
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