Advertisement

Transoral Endoscopic Thyroidectomy Vestibular Approach Complications and Safety: Reporting Objectives and Future Study Design

  • Raymon H. GroganEmail author
Chapter
  • 23 Downloads

Abstract

Transoral endoscopic thyroidectomy vestibular approach (TOETVA) is an emerging operation in the United States that has been met with both enthusiasm and skepticism. It has now developed beyond the very beginning phases of innovation and has entered a period in which it is reproducible and thus accessible to many surgeons throughout the world. However, it is still in some ways a developing operation, and as such, great care and responsibility are needed to ensure the operation is propagated safely and studied in a fair and unbiased manner. This chapter deals with expected complications that may arise during TOETVA, which complications should be reported, and finally what should be done with the data as it is reported.

Keywords

Transoral endoscopic thyroidectomy vestibular approach TOETVA Transoral endocrine surgery 

References

  1. 1.
    Russell JO, Anuwong A, Dionigi G, Inabnet WB, Kim HY, Randolph G, et al. Transoral thyroid and parathyroid surgery vestibular approach: a framework for assessment and safe exploration. Thyroid. 2018;28(7):825–9.CrossRefGoogle Scholar
  2. 2.
    Anuwong A. Transoral endoscopic thyroidectomy vestibular approach: a series of the first 60 human cases. World J Surg. 2016;40(3):491–7.CrossRefGoogle Scholar
  3. 3.
    Udelsman R, Anuwong A, Oprea AD, Rhodes A, Prasad M, Sansone M, et al. Trans-oral vestibular endocrine surgery: a new technique in the United States. Ann Surg. 2016;264(6):e13–6.CrossRefGoogle Scholar
  4. 4.
    Livhits MJ, Yeh MW. Transoral endoscopic thyroidectomy is a novel experimental technique. Clin Thyroidol. 2017;29:19–21.CrossRefGoogle Scholar
  5. 5.
    Hirst A, Agha RA, Rosin D, McCulloch P. How can we improve surgical research and innovation? The IDEAL framework for action. Int J Surg. 2013;11(10):1038–42.CrossRefGoogle Scholar
  6. 6.
    Angelos P. Surgical ethics and the challenge of surgical innovation. Am J Surg. 2014;208(6):881–5.CrossRefGoogle Scholar
  7. 7.
    Angelos P. Ethics and surgical innovation: challenges to the professionalism of surgeons. Int J Surg. 2013;11(Suppl 1):S2–5.CrossRefGoogle Scholar
  8. 8.
    Russell JO, Clark J, Noureldine SI, Anuwong A, Al Khadem MG, Yub Kim H, et al. Transoral thyroidectomy and parathyroidectomy – a North American series of robotic and endoscopic transoral approaches to the central neck. Oral Oncol. 2017;71:75–80.CrossRefGoogle Scholar
  9. 9.
    Bellantone R, Lombardi CP, Rubino F, Perilli V, Sollazzi L, Mastroianni G, et al. Arterial PCO2 and cardiovascular function during endoscopic neck surgery with carbon dioxide insufflation. Arch Surg. 2001;136(7):822–7.CrossRefGoogle Scholar
  10. 10.
    Kim S-H, Park K-S, Shin H-Y, Yi J-H, Kim D-K. Paradoxical carbon dioxide embolism during endoscopic thyroidectomy confirmed by transesophageal echocardiography. J Anesth. 2010;24(5):774–7.CrossRefGoogle Scholar
  11. 11.
    Rajan S, Paul J, Kumar L. Carbon dioxide embolism during endoscopic thyroidectomy. Indian J Anaesth. 2016;60(1):65–6.CrossRefGoogle Scholar
  12. 12.
    Zhang D, Wu C-W, Inversini D, Kim HY, Anuwong A, Bacuzzi A, et al. Lessons learned from a faulty transoral endoscopic thyroidectomy vestibular approach. Surg Laparosc Endosc Percutan Tech. 2018;28(5):e94–9.PubMedGoogle Scholar
  13. 13.
    Yang J, Wang C, Li J, Yang W, Cao G, Wong H-M, et al. Complete endoscopic thyroidectomy via oral vestibular approach versus areola approach for treatment of thyroid diseases. J Laparoendosc Adv Surg Tech A. 2015;25(6):470–6.CrossRefGoogle Scholar
  14. 14.
    Zhang D, Li S, Dionigi G, Wang T, Zhang J, Xue G, et al. Feasibility of continuous intraoperative neural monitoring during transoral endoscopic thyroidectomy vestibular approach in a porcine model. J Laparoendosc Adv Surg Tech A. 2018;  https://doi.org/10.1089/lap.2018.0054. [Epub ahead of print].
  15. 15.
    Inabnet WB, Suh H, Fernandez-Ranvier G. Transoral endoscopic thyroidectomy vestibular approach with intraoperative nerve monitoring. Surg Endosc. 2017;31(7):3030.CrossRefGoogle Scholar
  16. 16.
    Dionigi G, Kim HY, Wu C-W, Lavazza M, Materazzi G, Lombardi CP, et al. Neuromonitoring in endoscopic and robotic thyroidectomy. Updat Surg. 2017;69(2):171–9.CrossRefGoogle Scholar
  17. 17.
    Chen H-K, Chen C-L, Wen K-S, Lin Y-F, Lin K-Y, Uen Y-H. Application of transoral continuous intraoperative neuromonitoring in natural orifice transluminal endoscopic surgery for thyroid disease: a preliminary study. Surg Endosc. 2018;32(1):517–25.CrossRefGoogle Scholar
  18. 18.
    Anuwong A, Kim HY, Dionigi G. Transoral endoscopic thyroidectomy using vestibular approach: updates and evidences. Gland Surg. 2017;6(3):277–84.CrossRefGoogle Scholar
  19. 19.
    Calò PG, Pisano G, Medas F, Pittau MR, Gordini L, Demontis R, et al. Identification alone versus intraoperative neuromonitoring of the recurrent laryngeal nerve during thyroid surgery: experience of 2034 consecutive patients. J Otolaryngol Head Neck Surg. 2014;43:16.CrossRefGoogle Scholar
  20. 20.
    Applewhite MK, White MG, Xiong M, Pasternak JD, Abdulrasool L, Ogawa L, et al. Incidence, risk factors, and clinical outcomes of incidental parathyroidectomy during thyroid surgery. Ann Surg Oncol. 2016;23(13):4310–5.CrossRefGoogle Scholar
  21. 21.
    Edafe O, Antakia R, Laskar N, Uttley L, Balasubramanian SP. Systematic review and meta-analysis of predictors of post-thyroidectomy hypocalcaemia. Br J Surg. 2014;101(4):307–20.CrossRefGoogle Scholar
  22. 22.
    Anuwong A, Ketwong K, Jitpratoom P, Sasanakietkul T, Duh Q-Y. Safety and outcomes of the transoral endoscopic thyroidectomy vestibular approach. JAMA Surg. 2018;153(1):21–7.CrossRefGoogle Scholar
  23. 23.
    Jitpratoom P, Ketwong K, Sasanakietkul T, Anuwong A. Transoral endoscopic thyroidectomy vestibular approach (TOETVA) for Graves’ disease: a comparison of surgical results with open thyroidectomy. Gland Surg. 2016;5(6):546–52.CrossRefGoogle Scholar
  24. 24.
    Lin JS, Bowles EJA, Williams SB, Morrison CC. Screening for thyroid cancer: updated evidence report and systematic review for the US preventive services task force. JAMA. 2017;317(18):1888–903.CrossRefGoogle Scholar
  25. 25.
    Russell JO, Razavi CR, Garstka ME, Chen LW, Vasiliou E, Kang SW, et al. Remote-access thyroidectomy: a multi-institutional North American experience with transaxillary, robotic facelift, and transoral endoscopic vestibular approaches. J Am Coll Surg. 2019;228(4):516–22.CrossRefGoogle Scholar
  26. 26.
    Fueglistaler P, Adamina M, Guller U. Non-inferiority trials in surgical oncology. Ann Surg Oncol. 2007;14(5):1532–9.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Baylor St. Luke’s Medical Center, Michael E. Debakey Department of SurgeryBaylor College of MedicineHoustonUSA

Personalised recommendations