Related Experiment Video
Updated: Dec 17, 2025

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
Published on: May 12, 2023
Pneumoperitoneum after transoral endoscopic thyroidectomy vestibular approach
James Wei Ming Kwek1, Maria Judith Pang1, Harold H W Heah1
1Department of Otolaryngology Head and Neck Surgery Singapore General Hospital Singapore.
Background:
Transoral endoscopic thyroidectomy vestibular approach (TOETVA) is a relatively safe procedure with comparable safety profile as open thyroidectomy. While gas insufflation complications such as subcutaneous emphysema and pneumomediastinum have been reported postoperatively, there have been no reports of pneumoperitoneum.
Case Report:
Our patient underwent an uneventful TOETVA to remove her left thyroid lobe. Postoperatively, she developed subcutaneous emphysema, pneumomediastinum, and pneumoperitoneum, which were confirmed on CT scan. She was managed conservatively and recovered uneventfully.
Conclusion:
The authors report the first case of pneumoperitoneum following TOETVA. Surgeons performing TOETVA should be aware of pneumoperitoneum as a possible complication of this procedure after excluding other possible causes.
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