Article Sidebar
Views pdf: 52
TRANSORAL ENDOSCOPIC THYROIDECTOMY VESTIBULAR APPROACH FOR THE TREATMENT OF BENIGN THYROID TUMOURS
Main Article Content
Abstract
Objective: Currently, the frequenghiên cứuy of thyroid tumors detected by ultrasound can be up to 19% - 68%. Most benign thyroid tumors do not require intervention. Surgery is only indicated when the tumor is large, causing compression or loss of aesthetics. Transoral endoscopic thyroidectomy (TOETVA) is a new thyroidectomy technique and is inghiên cứureasingly popular in the world. In Vietnam, K Hospital has successfully applied this technique and has been routinely deployed on a large number of patients, however, there has been no comprehensive study evaluating the effectiveness of the method when applied here. In this study, we report the results of the TOETVA method on 116 patients. Patients and Methods: At K Hospital from January 2020 to June 2024, we performed 116 patients diagnosed with benign thyroid tumors underwent endoscopic surgery using the TOETVA. Outcomes were analyzed from a prospectively maintained database. Results: The average age was 30 ± 8,4 years. Majority of patients were female (95,7%). A tumor located in the right lobe accounted for 56,1%, in the left lobe contribute to 40,5% and in the isthmus accounted for 3,4%. 102 patients underwent lobectomy with 85,4 minutes for the mean operative time. 14 patients underwent tumor resection with an average surgical time of 63.3 minutes. The rate of complications was low. All patients were highly satisfied with the surgical outcome, especially, cosmetic results. Conclusion: The TOETVA is a safe and reproducible procedure. For selected patients, this technique is a viable alternative to conventional thyroidectomy.
Article Details
Keywords
TOETVA, endoscopic surgery, transoral endoscopic thyroidectomy, vestibular approach
References
2. Guth S., Theune U., Aberle J. và cộng sự. (2009). Very high prevalenghiên cứue of thyroid nodules detected by high frequenghiên cứuy (13 MHz) ultrasound examination. Eur J Clin Invest, 39(8), 699–706.
3. Diagnostic approach to and treatment of thyroid nodules in adults - UpToDate. , accessed: 28/08/2024.
4. Russell J.O., Razavi C.R., Shaear M. và cộng sự. (2021). Transoral Thyroidectomy: Safety and Outcomes of 200 Consecutive North American Cases. World J Surg, 45(3), 774–781.
5. Shimazu K., Shiba E., Tamaki Y. và cộng sự. (2003). Endoscopic thyroid surgery through the axillo-bilateral-breast approach. Surg Laparosc Endosc Percutan Tech, 13(3), 196–201.
6. Lee KE, Kim HY, Park WS, Choe JH, Kwon MR, Oh SK, Youn YK. Postauricular and axillary approach endoscopic neck surgery: a new technique. World J Surg. 2009 Apr;33(4):767-72. doi: 10.1007/s00268-009-9922-8. PMID: 19198933.
7. Anuwong A. (2016). Transoral Endoscopic Thyroidectomy Vestibular Approach: A Series of the First 60 Human Cases. World J Surg, 40(3), 491–497.
8. Anuwong A., Ketwong K., Jitpratoom P. và cộng sự. (2018). Safety and Outcomes of the Transoral Endoscopic Thyroidectomy Vestibular Approach. JAMA Surg, 153(1), 21–27.
9. Nguyen H.X., Nguyen H.X., Le A.D. và cộng sự. (2022). Comparison of Transoral Endoscopic Thyroidectomy Vestibular Approach and Conventional Open Thyroidectomy in Benign Thyroid Tumors. Indian J Surg Onghiên cứuol, 13 (1), 178–183.
10. Wang Y., Zhou S., Liu X. và cộng sự. (2021). Transoral endoscopic thyroidectomy vestibular approach vs conventional open thyroidectomy: Meta-analysis. Head & Neck, 43(1), 345–353.