Minimally Invasive Thyroidectomy: Transoral Endoscopic Thyroidectomy by Vestibular Approach (TOETVA)

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发表日期：

2024年

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Lucas Ribeiro Tenório,
Marianne Yumi Nakai,
Júlio Patrocínio Moraes,
Antonio Augusto Tupinambá Bertelli,
Marcelo Benedito Menezes,
Antônio José Gonçalves

摘要

Introduction To date, TOETVA (transoral endoscopic thyroidectomy by vestibular approach) is the most widely adopted remote access technique for thyroid surgery. The technique consists of making a surgical access to the central neck through the oral vestibule, followed by an endoscope-guided thyroidectomy while running CO2 insufflation. Besides the technical differences between TOETVA and the open technique, the main steps of the thyroidectomy are the same. TOETVA has similar complication rates regarding the laryngeal nerves and parathyroid glands when compared to open surgery. Material and Methods: We recorded this video of TOETVA for treating papillary thyroid cancer in a young woman. The patient involved in the case gave written informed consent to participate in this study. Results: This case had a successful development, without complications. Conclusion: This video illustrates a typical case of TOETVA for the treatment of PTC.