Transoral Endoscopic Vestibular Approach Technique: Steps, Tips, and Pearls

  • Angkoon Anuwong
  • Khwannara Ketwong
  • Tanyanan Jamikorn
  • Isariya Jongekkasit
  • Thanyawat Sasanakietkul
  • Pornpeera Jitpratoom


Since transoral endoscopic thyroidectomy vestibular approach (TOETVA) has been reported to be safe and feasible in 2016 by Anuwong and the team, this technique is becoming widespread across the world. This chapter is going to tell you about how TOETVA should be set up in many aspects, including patient selection and contraindications. The operating room set up is also key to successful surgery. Each step of thyroid lobectomy, total thyroidectomy, central neck lymph node dissection, and reoperation is described separately and in detail with pictures of the critical area. This article will update the management of conditions that may cause complications during surgery and after surgery according to new evidence.


Transoral endoscopic thyroidectomy Technique TOETVA Endoscopic thyroid surgery 


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Angkoon Anuwong
    • 1
  • Khwannara Ketwong
    • 2
  • Tanyanan Jamikorn
    • 1
  • Isariya Jongekkasit
    • 1
  • Thanyawat Sasanakietkul
    • 1
  • Pornpeera Jitpratoom
    • 1
  1. 1.Minimally Invasive and Endocrine Surgery Division, Department of SurgeryPolice General HospitalBangkokThailand
  2. 2.Department of SurgeryChiang Rai Prachanukroh HospitalChiang RaiThailand

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