@article{GS12529,
author = {Pornpeera Jitpratoom and Khwannara Ketwong and Thanyawat Sasanakietkul and Angkoon Anuwong},
title = {Transoral endoscopic thyroidectomy vestibular approach (TOETVA) for Graves’ disease: a comparison of surgical results with open thyroidectomy},
journal = {Gland Surgery},
volume = {5},
number = {6},
year = {2016},
keywords = {},
abstract = {Background: Transoral endoscopic thyroidectomy vestibular approach (TOETVA) provides excellent cosmetic results from its potential for scar-free operation. The procedure has been applied successfully for Graves’ disease by the authors of this work and compared with the standard open cervical approach to evaluate its safety and outcomes.
Methods: From January 2014 to November 2016, a total of 97 patients with Graves’ disease were reviewed retrospectively. Open thyroidectomy (OT) and TOETVA were performed in 49 patients and 46 patients, respectively. For TOETVA, a three-port technique through the oral vestibule was utilized. The thyroidectomy was done endoscopically using conventional laparoscopic instruments and an ultrasonic device. Patient demographics and surgical variables, including operative time, blood loss, and complications, were investigated and compared.
Results: TOETVA was performed successfully in all 45 patients, although conversion to open surgery was deemed necessary in one patient. All patient characteristics for both groups were similar. Operative time was shorter for the OT group compared to the TOETVA group, which totaled 101.97±24.618 and 134.11±31.48 minutes, respectively (P},
issn = {2227-8575}, url = {https://gs.amegroups.org/article/view/12529}
}