Abstract
Abstract
Introduction:
Transoral endoscopic thyroidectomy by a vestibular approach (TOETVA) is a novel technique for thyroid cancer operation. Compared with other endoscopic approaches including transaxillar or bilateral axillobreast approach, it requires substantial dissection to reach the thyroid and provides the shortest access to the target organ.
Material and Methods:
The aim of this video is to provide detailed instruction of the TOETVA. A 22-year-old euthyroid female patient presented for routine checkup. Ultrasonography showed a 1.1 cm suspicious nodule on the right thyroid gland. Fine needle aspiration biopsy revealed Category VI papillary thyroid carcinoma. TOETVA was performed. A specially designed endoscopic retractor for transoral thyroidectomy was used.
Results:
Right thyroid lobectomy with central compartment neck dissection was performed effectively through this novel endoscopic approach without any intraoperative complications such as recurrent laryngeal nerve injury or blood loss. The specially designed endoscopic retractor that retracts the strap muscles enables two-handed dissection. Final pathologic result showed papillary carcinoma and a microcarcinoma of 1.2 and 0.1 cm, and all of the five retrieved central nodes were free from tumor. The patient had an excellent cosmetic outcome without complications.
Conclusions:
TOETVA is safe and feasible and provides an excellent cosmetic outcome.
No competing financial interests exist.
Runtime of video: 6 mins 42 secs
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