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

Kornwalee Koichusakul; Khwannara Ketwong

doi:doi:10.11648/j.ass.20210902.11

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

Kornwalee Koichusakul, Khwannara Ketwong

Published in Advances in Surgical Sciences (Volume 9, Issue 2)

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

[1]	Anuwong A, Ketwong K, Jitpratoom P, Sasanakietkul T, Duh QY. Safety and outcomes of the transoral endoscopic thyroidectomy vestibular approach. JAMA Surg. 2018; 153 (1): 21-27.
[2]	Jongekkasit I, Jitpratoom P, Sasanakietkul T, et al. Transoral Endoscopic Thyroidectomy for Thyroid Cancer. Endocrinol Metab Clin North Am [Internet]. 2019 Mar [cited 2021 May]; 48 (1): 165-180. Available from: https://www.sciencedirect.com/science/article/abs/pii/S0889852918305966?via%3Dihub DOI: 10.1016/j.ecl.2018.11.009.
[3]	Liu Z, Peng X, Li Z, et al. Postoperative drain after transoral endoscopic thyroidectomy vestibular approach (TOETVA) with single incision. Surg Endosc [Internet]. 2021 Jan [cited 2021 May]; 35 (1): 358-366. Available from: https://dx.doi.org/10.1007/s00464-020-07408-8 DOI: 10.1007/s00464-020-07408-8.
[4]	Jitpratoom P, Ketwong K, Sasanakietkul T, Anuwong A. Trans- oral endoscopic thyroidectomy vestibular approach (TOETVA) for Graves' disease: a comparison of surgical results with open thyroidectomy. Gland Surg. 2016; 5 (6): 546-552.
[5]	Chen YH, Kim HY, Anuwong A, Huang TS, Duh QY. Transoral robotic thyroidectomy versus transoral endoscopic thyroidectomy: a propensity-score-matched analysis of surgical outcomes. Surg Endosc [Internet]. 2020 Oct 27 [cited 2021 May]. Available from: https://link.springer.com/article/10.1007%2Fs00464-020-08114-1 DOI: 10.1007/s00464-020-08114-1.
[6]	Pérez-Soto RH, Ponce de León-Ballesteros G, Montalvo- Hernández J, et al. Transoral endoscopic thyroidectomy by ves- tibular approach-initial experience and comparative analysis in the first reported Mexican cohort. J Laparoendosc Adv Surg Tech A. 2019; 29 (12): 1526-1531.
[7]	Wang Y, Zhou S, Liu X, et al. Transoral endoscopic thyroidectomy vestibular approach vs conventional open thyroidectomy: Meta-analysis. Head Neck [Internet]. 2021 Jan [cited 2021 May]; 43 (1): 345-353. Available from: https://onlinelibrary.wiley.com/doi/epdf/10.1002/hed.26486 DOI: 10.1002/hed.26486.
[8]	Wang C, Feng Z, Li J, et al. Endoscopic thyroidectomy via are- ola approach: summary of 1,250 cases in a single institution. Surg Endosc. 2015; 29 (1): 192-201.
[9]	Dionigi G, Chai YJ, Tufano RP, Anuwong A, Kim HY. Trans- oral endoscopic thyroidectomy via a vestibular approach: why and how? Endocrine. 2018; 59 (2): 275-279.
[10]	Sun H, Zheng H, Wang X, Zeng Q, Wang P, Wang Y. Compari- son of transoral endoscopic thyroidectomy vestibular approach, total endoscopic thyroidectomy via areola approach, and con- ventional open thyroidectomy: a retrospective analysis of safety, trauma, and feasibility of central neck dissection in the treatment of papillary thyroid carcinoma. Surg Endosc. 2020; 34 (1): 268-274.
[11]	Kasemsiri P, Trakulkajornsak S, Bamroong P, Mahawerawat K, Piromchai P, Ratanaanekchai T. Comparison of quality of life between patients undergoing trans-oral endoscopic thyroid surgery and conventional open surgery. BMC Surg. 2020; 20 (1): 18.
[12]	Wang C, Zhai H, Liu W, et al. Thyroidectomy: a novel endo- scopic oral vestibular approach. Surgery. 2014; 155 (1): 33-38.
[13]	Shan L, Liu JA. Systemic review of transoral thyroidectomy. Surg Laparosc Endosc Percutan Tech. 2018; 28 (3): 135-138.
[14]	Camenzuli C, Schembri Wismayer P, Calleja Agius J. Transoral endoscopic thyroidectomy: a systematic review of the practice so far. JSLS. 2018; 22 (3): e2018.00026.
[15]	Anuwong A, Sasanakietkul T, Jitpratoom P, et al. Transoral endoscopic thyroidectomy vestibular approach (TOETVA): indications, techniques and results. Surg Endosc. 2018; 32 (1): 456-465.
[16]	Tesseroli MAS, Spagnol M, Sanabria A. Transoral endoscopic thyroidectomy by vestibular approach (TOETVA): initial experience in Brazil. Rev Col Bras Cir. 2018; 45 (5): e1951.
[17]	Anuwong A. Transoral Endoscopic Thyroidectomy Vestibular Approach: A Series of the First 60 Human Cases. World J Surg. 2016 Mar; 40 (3): 491-7.
[18]	Deroide G, Honigman I, Berthe A, et al. Trans oral endoscopic thyroidectomy (TOETVA): First French experience in 90 patients. J Visc Surg [Internet]. 2021 Apr [cited 2021 May]; 158 (2): 103-110. Available from: https://www.sciencedirect.com/science/article/pii/S1878788621000230?via%3Dihub DOI: 10.1016/j.jviscsurg.2021.02.001.
[19]	Anuwong A, Kim HY, Dionigi G. Transoral endoscopic thyroidectomy using vestibular approach: updates and evidences. Gland Surg [Internet]. 2017 Jun [cited 2021 May]; 6 (3): 277-284. Available from: https://gs.amegroups.com/article/view/14691/14873 DOI: 10.21037/gs.2017.03.16.

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APA Style

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

Kornwalee Koichusakul

Department of Surgery, Chiangrai Prachanukroh Hospital, Chiang Rai, Thailand
Khwannara Ketwong

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

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APA Style

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}
}

Copy | Download

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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