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Related Experiment Video

Updated: Aug 9, 2025

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

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3D Transoral Endoscopic Thyroid.

Francesco Frattini1, Andrea Casaril2, Daqi Zhang3

  • 1Division of General Surgery, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Istituto Auxologico Italiano, Milan, Italy.

Surgical Technology International
|February 22, 2023
PubMed
Summary
This summary is machine-generated.

Transoral endoscopic thyroidectomy with vestibular approach (TOETVA) using 3D technology is a safe and effective scarless surgery. This study shows excellent cosmetic outcomes with no recurrent laryngeal nerve paralysis in 98 patients.

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Area of Science:

  • Endocrine Surgery
  • Minimally Invasive Surgery
  • Head and Neck Surgery

Background:

  • Transoral endoscopic thyroidectomy with vestibular approach (TOETVA) offers a scarless surgical option.
  • Three-dimensional (3D) technology enhances visualization during endoscopic procedures.

Purpose of the Study:

  • To describe the experience and outcomes of 3D TOETVA.
  • To evaluate the feasibility and safety of this novel surgical technique.

Main Methods:

  • Ninety-eight patients underwent 3D TOETVA using a three-port technique in the oral vestibule.
  • Procedures included total thyroidectomies and hemithyroidectomies for benign and early-stage malignant thyroid conditions.
  • CO2 insufflation at 6mmHg and intraoperative neuromonitoring were employed.

Main Results:

  • All 98 procedures were completed successfully without conversion to open surgery.
  • Mean operative times were 87.6 minutes for lobectomy and 107.6 minutes for total thyroidectomy.
  • Excellent cosmetic results were observed, with only one case of transient hypocalcemia and no recurrent laryngeal nerve paralysis.

Conclusions:

  • 3D TOETVA is a feasible and safe endoscopic surgical approach for thyroidectomy.
  • The technique provides excellent cosmetic outcomes and a low complication rate.
  • This represents the first case series detailing the application of 3D TOETVA.