Related Experiment Video
Updated: Jul 29, 2025
Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
Published on: September 15, 2023
Transoral thyroid and parathyroid surgery in Brazil: where are we?
Lucas Ribeiro Tenório1, Antonio Augusto Bertelli1, Marianne Yumi Nakai1
1- Faculdade de Ciências Médicas da Santa Casa de São Paulo, Disciplina de Cirurgia de Cabeça e Pescoço, Departamento de Cirurgia - São Paulo - SP - Brasil.
Transoral Endoscopic Neck Surgery (TNS) is gaining traction in Brazil, with younger surgeons adopting the transoral endoscopic thyroidectomy and parathyroidectomy vestibular approach (TOETVA/TOEPVA). Over 1200 procedures have been performed, primarily in the Southeast region.
Area of Science:
- Endocrine Surgery
- Surgical Innovation
- Minimally Invasive Techniques
Background:
- Transoral Endoscopic Neck Surgery (TNS) offers a reproducible remote access technique for thyroid procedures.
- Despite global adoption, understanding its progression and surgeon demographics in Brazil is crucial.
Purpose of the Study:
- To analyze the adoption and progression of Transoral Neck Surgery in Brazil.
- To characterize the profile of surgeons utilizing this minimally invasive approach.
Main Methods:
- A retrospective descriptive study utilizing a REDCap-based survey.
- Survey distributed to 66 Brazilian surgeons performing transoral endoscopic thyroidectomy and parathyroidectomy vestibular approach (TOETVA/TOEPVA).
- Data collected on surgeon demographics, case volume, geographic distribution, and training.
Main Results:
- A 53% response rate was achieved, with 1275 TOETVA/TOEPVA procedures reported in Brazil.
- The majority of procedures were thyroidectomies (96.4%), with a significant concentration in the Southeast region (64.4%).
- São Paulo and Rio de Janeiro accounted for 42.2% and 22.2% of cases, respectively.
Conclusions:
- Transoral Endoscopic Neck Surgery, specifically TOETVA, is experiencing significant growth in Brazil.
- Younger surgeons, aged 30-50, demonstrate a higher propensity for adopting this advanced surgical technique.
