Transoral endoscopic thyroid surgery in a Korean population
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Transoral endoscopic thyroidectomy vestibular approach is expected to be a safe alternative to open surgery for certain patients and has been used increasingly by several surgeons around the world for the past 2 years. The purpose of this paper is to review our 2-year experience and describe in detail our preoperative considerations, patient selection, operating room settings, anesthetic considerations, surgical technique, postoperative management, and outcomes.
We reviewed the medical records of 65 consecutive patients who underwent transoral endoscopic thyroidectomy between July 2016 and May 2018 in our hospital.
We have performed 65 thyroid surgeries (54 thyroid lobectomies, 1 completion thyroidectomy, and 10 total thyroidectomies) in 64 patients. Postoperative pathology revealed papillary carcinoma in 55 patients (84.6%), follicular carcinoma in two (3.1%), hyalinizing trabecular tumor in one (1.5%), and other benign tumor in seven (10.8%). All surgical margins were negative. Two (3.1%) patients developed transient vocal cord palsy but recovered within 2 months. One (1.5%) patient with vocal cord palsy had not recovered by 3 months after surgery. Five (7.7%) patients who underwent total thyroidectomy developed transient hypocalcemia but recovered within 2 months.
Although transoral thyroid surgery is a relatively recent technique requiring further validation, it affords several advantages. Transoral thyroid surgery has not yet been universally accepted, but may be the best choice for thyroid surgery in the future.
KeywordsEndoscopy Minimally invasive surgical procedure Thyroid Thyroidectomy Transoral thyroidectomy Transoral TOETVA
This work was supported by a National Research Foundation of Korea (NRF) grant funded by the Korea government (No. NRF-2014R1A2A2A03004802).
Compliance with ethical standards
Dr. JO Park, Dr. A Anuwong, Dr. MR Kim, Dr. DI Sun, and Dr. MS Kim have no conflicts of interest or financial ties to disclose.
- 13.Wang Y, Xie QP, Yu X, Xiang C, Zhang ML, Zhao QZ, Yan HC, Wang P, Xu SM (2017) [Preliminary experience with transoral endoscopic thyroidectomy via vestibular approach: a report of 150 cases in a single center]. Zhonghua Wai Ke Za Zhi 55:587–591Google Scholar