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Surgical Results of Transoral Endoscopic Thyroidectomy Vestibular Approach (TOETVA) Compared to Open Thyroidectomy in Patient with Benign Thyroid Nodule

Received: 4 August 2021     Accepted: 16 August 2021     Published: 4 September 2021
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Abstract

Background: Transoral endoscopic thyroidectomy vestibular approach (TOETVA) is an innovative technique to perform thyroidectomy which provides excellent cosmetic and surgical outcomes. Methods: Between June 2018 to January 2020 all patients pathological diagnosis with benign thyroid nodule in Chiangrai Prachanukroh Hospital were reviewed retrospectively. TOETVA and Open thyroidectomy were performed in 55 cases per each group, respectively. Patient baseline characteristics and surgical results, including postoperative pain, estimate blood loss, operative time, length of hospital stay and postoperative complications, were investigated and compared. Results: TOETVA and open thyroidectomy was performed on 110 consecutive patients. The baseline characteristics were similar in both groups. The mean postoperative visual analog scale for pain score in the first three days was comparable for both groups (4.43 [2.01] vs 3.73 [2.5], P=0.126). Mean estimate blood loss was not statistically different for both groups (20 [76.19] vs 30 [44.28] ml, P=0.302). But the median operative time was longer for the TOETVA group compared to the open thyroidectomy group (120 [61.55] vs 60 [33.70] mins, P=0.00003). Mean length of stay was comparable for both groups (3.7 [0.98] vs 3.43 [1.05] days, P=0.072). For the postoperative complication, 3 patients (5.45%) in TOETVA and 6 patients (10.91%) in open thyroidectomy group has recurrent laryngeal nerve injury. One patient (1.82%) had hypocalcemia in both groups. In TOETVA group, one patient (1.82%) had wound infection and one patient (1.82%) had transient mental nerve injury. Conclusion: TOETVA is an effective and safe surgical approach for benign thyroid nodule with excellent cosmetic outcome. This technique is a reasonable optional treatment for patients who demanded a scarless wound. The surgical outcomes and complication rates were similar but TOETVA is associated with longer operative time.

Published in Advances in Surgical Sciences (Volume 9, Issue 2)
DOI 10.11648/j.ass.20210902.11
Page(s) 15-19
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

TOETVA, Thyroidectomy, Transoral Endoscopic Thyroidectomy Vestibular Approach, Benign Thyroid Nodule

References
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    Kornwalee Koichusakul, Khwannara Ketwong. (2021). Surgical Results of Transoral Endoscopic Thyroidectomy Vestibular Approach (TOETVA) Compared to Open Thyroidectomy in Patient with Benign Thyroid Nodule. Advances in Surgical Sciences, 9(2), 15-19. https://doi.org/10.11648/j.ass.20210902.11

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    ACS Style

    Kornwalee Koichusakul; Khwannara Ketwong. Surgical Results of Transoral Endoscopic Thyroidectomy Vestibular Approach (TOETVA) Compared to Open Thyroidectomy in Patient with Benign Thyroid Nodule. Adv. Surg. Sci. 2021, 9(2), 15-19. doi: 10.11648/j.ass.20210902.11

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    AMA Style

    Kornwalee Koichusakul, Khwannara Ketwong. Surgical Results of Transoral Endoscopic Thyroidectomy Vestibular Approach (TOETVA) Compared to Open Thyroidectomy in Patient with Benign Thyroid Nodule. Adv Surg Sci. 2021;9(2):15-19. doi: 10.11648/j.ass.20210902.11

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  • @article{10.11648/j.ass.20210902.11,
      author = {Kornwalee Koichusakul and Khwannara Ketwong},
      title = {Surgical Results of Transoral Endoscopic Thyroidectomy Vestibular Approach (TOETVA) Compared to Open Thyroidectomy in Patient with Benign Thyroid Nodule},
      journal = {Advances in Surgical Sciences},
      volume = {9},
      number = {2},
      pages = {15-19},
      doi = {10.11648/j.ass.20210902.11},
      url = {https://doi.org/10.11648/j.ass.20210902.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ass.20210902.11},
      abstract = {Background: Transoral endoscopic thyroidectomy vestibular approach (TOETVA) is an innovative technique to perform thyroidectomy which provides excellent cosmetic and surgical outcomes. Methods: Between June 2018 to January 2020 all patients pathological diagnosis with benign thyroid nodule in Chiangrai Prachanukroh Hospital were reviewed retrospectively. TOETVA and Open thyroidectomy were performed in 55 cases per each group, respectively. Patient baseline characteristics and surgical results, including postoperative pain, estimate blood loss, operative time, length of hospital stay and postoperative complications, were investigated and compared. Results: TOETVA and open thyroidectomy was performed on 110 consecutive patients. The baseline characteristics were similar in both groups. The mean postoperative visual analog scale for pain score in the first three days was comparable for both groups (4.43 [2.01] vs 3.73 [2.5], P=0.126). Mean estimate blood loss was not statistically different for both groups (20 [76.19] vs 30 [44.28] ml, P=0.302). But the median operative time was longer for the TOETVA group compared to the open thyroidectomy group (120 [61.55] vs 60 [33.70] mins, P=0.00003). Mean length of stay was comparable for both groups (3.7 [0.98] vs 3.43 [1.05] days, P=0.072). For the postoperative complication, 3 patients (5.45%) in TOETVA and 6 patients (10.91%) in open thyroidectomy group has recurrent laryngeal nerve injury. One patient (1.82%) had hypocalcemia in both groups. In TOETVA group, one patient (1.82%) had wound infection and one patient (1.82%) had transient mental nerve injury. Conclusion: TOETVA is an effective and safe surgical approach for benign thyroid nodule with excellent cosmetic outcome. This technique is a reasonable optional treatment for patients who demanded a scarless wound. The surgical outcomes and complication rates were similar but TOETVA is associated with longer operative time.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Surgical Results of Transoral Endoscopic Thyroidectomy Vestibular Approach (TOETVA) Compared to Open Thyroidectomy in Patient with Benign Thyroid Nodule
    AU  - Kornwalee Koichusakul
    AU  - Khwannara Ketwong
    Y1  - 2021/09/04
    PY  - 2021
    N1  - https://doi.org/10.11648/j.ass.20210902.11
    DO  - 10.11648/j.ass.20210902.11
    T2  - Advances in Surgical Sciences
    JF  - Advances in Surgical Sciences
    JO  - Advances in Surgical Sciences
    SP  - 15
    EP  - 19
    PB  - Science Publishing Group
    SN  - 2376-6182
    UR  - https://doi.org/10.11648/j.ass.20210902.11
    AB  - Background: Transoral endoscopic thyroidectomy vestibular approach (TOETVA) is an innovative technique to perform thyroidectomy which provides excellent cosmetic and surgical outcomes. Methods: Between June 2018 to January 2020 all patients pathological diagnosis with benign thyroid nodule in Chiangrai Prachanukroh Hospital were reviewed retrospectively. TOETVA and Open thyroidectomy were performed in 55 cases per each group, respectively. Patient baseline characteristics and surgical results, including postoperative pain, estimate blood loss, operative time, length of hospital stay and postoperative complications, were investigated and compared. Results: TOETVA and open thyroidectomy was performed on 110 consecutive patients. The baseline characteristics were similar in both groups. The mean postoperative visual analog scale for pain score in the first three days was comparable for both groups (4.43 [2.01] vs 3.73 [2.5], P=0.126). Mean estimate blood loss was not statistically different for both groups (20 [76.19] vs 30 [44.28] ml, P=0.302). But the median operative time was longer for the TOETVA group compared to the open thyroidectomy group (120 [61.55] vs 60 [33.70] mins, P=0.00003). Mean length of stay was comparable for both groups (3.7 [0.98] vs 3.43 [1.05] days, P=0.072). For the postoperative complication, 3 patients (5.45%) in TOETVA and 6 patients (10.91%) in open thyroidectomy group has recurrent laryngeal nerve injury. One patient (1.82%) had hypocalcemia in both groups. In TOETVA group, one patient (1.82%) had wound infection and one patient (1.82%) had transient mental nerve injury. Conclusion: TOETVA is an effective and safe surgical approach for benign thyroid nodule with excellent cosmetic outcome. This technique is a reasonable optional treatment for patients who demanded a scarless wound. The surgical outcomes and complication rates were similar but TOETVA is associated with longer operative time.
    VL  - 9
    IS  - 2
    ER  - 

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Author Information
  • Department of Surgery, Chiangrai Prachanukroh Hospital, Chiang Rai, Thailand

  • Department of Surgery, Chularat 3 International Hospital, Samut Prakan, Thailand

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