Transoral endoscopic thyroidectomy vestibular approach vs conventional open thyroidectomy: Meta-analysis

Area of Science:

• Endocrine Surgery
• Minimally Invasive Procedures
• Surgical Oncology

Background:

• Conventional open thyroidectomy (COT) is a standard surgical procedure.
• Transoral endoscopic thyroidectomy vestibular approach (TOETVA) offers a minimally invasive alternative.
• Patient selection is crucial for both techniques.

Purpose of the Study:

• To compare the safety and efficacy of TOETVA versus COT.
• To evaluate postoperative outcomes and complications.
• To determine the feasibility of TOETVA for thyroid conditions.

Main Methods:

• A meta-analysis of eligible nonrandomized studies was conducted.
• Studies published between January 2007 and March 2020 were included.
• Data from 1151 patients were analyzed.

Main Results:

• TOETVA demonstrated a significantly longer operative time and a larger amount of postoperative drainage compared to COT.
• No significant differences were observed in other postoperative outcomes between the two approaches.
• The analysis included six studies comparing 1151 patients.

Conclusions:

• TOETVA is a feasible and safe surgical option for patients with benign thyroid nodules.
• Selected cases of differentiated thyroid carcinoma can also be treated with TOETVA.
• TOETVA offers comparable safety and efficacy to conventional open thyroidectomy.