Transoral Endoscopic Thyroidectomy Vestibular Approach (TOETVA): Surgical Outcomes and Learning Curve
- 주제(키워드) transoral endoscopic thyroidectomy vestibular approach , minimally invasive surgery , thyroid
- 주제(기타) Medicine, General & Internal
- 설명문(일반) [Chai, Young Jun] Seoul Natl Univ, Boramae Med Ctr, Dept Surg, Seoul 07061, South Korea; [Chae, Sumin; Park, Won Seo] Kyung Hee Univ, Coll Med, Med Ctr, Dept Surg, 23 Kyungheedae Ro, Seoul 02447, South Korea; [Oh, Moon Young] Seoul Natl Univ Hosp, Dept Surg, Seoul 03080, South Korea; [Kwon, Hyungju] Ewha Womans Univ, Med Ctr, Dept Surg, Seoul 07985, South Korea
- 등재 SCIE, SCOPUS
- 발행기관 MDPI
- 발행년도 2021
- 총서유형 Journal
- URI http://www.dcollection.net/handler/ewha/000000181474
- 본문언어 영어
- Published As http://dx.doi.org/10.3390/jcm10040863
초록/요약
The transoral endoscopic thyroidectomy vestibular approach (TOETVA) has excellent cosmetic 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.
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