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Transoral endoscopic thyroidectomy vestibular approach (Toetva): Surgical outcomes and learning curve
- Title
- Transoral endoscopic thyroidectomy vestibular approach (Toetva): Surgical outcomes and learning curve
- Authors
- Chai Y.J.; Chae S.; Oh M.Y.; Kwon H.; Park W.S.
- Ewha Authors
- 권형주
- SCOPUS Author ID
- 권형주
- Issue Date
- 2021
- Journal Title
- Journal of Clinical Medicine
- ISSN
- 2077-0383
- Citation
- Journal of Clinical Medicine vol. 10, no. 4, pp. 1 - 15
- Keywords
- Minimally invasive surgery; Thyroid; Transoral endoscopic thyroidectomy vestibular approach
- Publisher
- MDPI
- Indexed
- SCIE; SCOPUS
- Document Type
- Article
- Abstract
- The transoral endoscopic thyroidectomy vestibular approach (TOETVA) has excellent cos-metic effects and its popularity is increasing worldwide. We present our experience with TOETVA and its short-term outcomes. This study included 110 consecutive patients who underwent TOETVA at a single institution between July 2016 and June 2020. We analyzed clinicopathologic data, short-term postoperative outcomes, and learning curve using cumulative summation (CUSUM) analysis. Of the 110 patients who underwent TOETVA, 101 had malignant disease and 100 (90.9%) underwent lobectomy. The mean age was 39.7 ± 9.7 years, and the mean tumor size was 1.0 ± 0.7 cm (range, 0.3–3.6 cm). Operation time was 168.0 ± 63.4 min for total thyroidectomy, 111.0 ± 27.7 min for lobectomy, and 73.7 ± 18.1 min for isthmusectomy. Five patients (4.5%) experienced transient vocal cord palsy (VCP) and one (0.9%) had permanent VCP. The swallowing impairment index-6 score was 2.18 ± 3.21 at postoperative three months, and 0.97 ± 1.72 at postoperative six months. The learning curve for lobectomy was 58 cases in CUSUM analysis. TOETVA is a safe and feasible approach with an acceptable operation time and a low complication rate. This approach is a surgical option for patients who desire excellent cosmesis. © 2021 by the authors. Licensee MDPI, Basel, Switzerland.
- DOI
- 10.3390/jcm10040863
- Appears in Collections:
- 의과대학 > 의학과 > Journal papers
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