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Related Experiment Video

Updated: Jan 4, 2026

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
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Transoral Endoscopic Thyroidectomy Vestibular Approach.

Gustavo Fernandez-Ranvier1, Aryan Meknat2, Daniela E Guevara3

  • 1Division of Metabolic, Endocrine and Minimally Invasive Surgery, Department of Surgery, Mount Sinai Hospital, Icahn School of Medicine at Mount Sinai, New York, New York, USA.

JSLS : Journal of the Society of Laparoendoscopic Surgeons
|November 14, 2019
PubMed
Summary

Transoral endoscopic thyroidectomy vestibular approach (TOETVA) is a novel, scarless thyroid surgery technique. This review details its international feasibility and patient suitability for thyroid gland excision.

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Area of Science:

  • Endocrine Surgery
  • Minimally Invasive Surgery
  • Surgical Innovation

Background:

  • Growing patient demand for scarless thyroidectomy has driven advancements in remote-access surgical techniques.
  • Natural-orifice transluminal endoscopic surgery (NOTES) has been adapted for thyroidectomies, notably the transoral endoscopic thyroidectomy vestibular approach (TOETVA).
  • TOETVA utilizes oral cavity incisions for thyroid gland access, offering a cosmetic advantage over traditional methods.

Purpose of the Study:

  • To review the current literature on TOETVA.
  • To present the global experience and feasibility of this endoscopic thyroidectomy technique.
  • To identify patient and pathological characteristics suitable for TOETVA.

Main Methods:

  • A comprehensive literature review was conducted to gather international data on TOETVA.
  • Combined institutional experience with published data was analyzed.
  • Feasibility criteria for TOETVA were established based on patient and pathological factors.

Main Results:

  • The review details the international adoption and experience with TOETVA.
  • Tables present the feasibility of the technique across different institutions and patient populations.
  • Specific patient and pathological characteristics influencing TOETVA success are outlined.

Conclusions:

  • TOETVA is the most recent advancement in endoscopic, remote-access thyroid surgery.
  • The procedure is being performed internationally and in the United States.
  • TOETVA offers a viable, scarless option for thyroid gland excision.