TY - JOUR AU - Dionigi, Gianlorenzo AU - Bacuzzi, Alessandro AU - Lavazza, Matteo AU - Inversini, Davide AU - Pappalardo, Vincenzo AU - Boni, Luigi AU - Rausei, Stefano AU - Barczynski, Marcin AU - Tufano, Ralph P. AU - Kim, Hoon Yub AU - Anuwong, Angkoon PY - 2016 TI - Transoral endoscopic thyroidectomy via vestibular approach: operative steps and video JF - Gland Surgery; Vol 5, No 6 (December 28, 2016): Gland Surgery (New Techniques and Technologies for the Treatment of Surgical Endocrine Diseases Part II) Y2 - 2016 KW - N2 - In this video we describe transoral endoscopic thyroidectomy vestibular approach (TOETVA). Inclusion criteria are (I) patients who had a ultrasonographically (US) estimated thyroid diameter not larger than 10 cm; (II) US estimated gland volume ≤45 mL; (III) nodule size ≤50 mm; (IV) a benign tumor, such as a thyroid cyst, single-nodular goiter, or multinodular goiter; (V) follicular neoplasm; (VI) papillary microcarcinoma without evidence of metastasis. The procedure is carried out through three-port technique placed at the oral vestibule, one 10-mm port for 30° endoscope and two additional 5-mm ports for dissecting and coagulating instruments. CO 2 insufflation pressure is set at 6 mmHg. An anterior cervical subplatysmal space is created from the oral vestibule down to the sternal notch, laterally to the sterncleidomuscles. Thyroidectomy is done fully endoscopically using conventional endoscopic instruments and intraoperative neuromonitoring (IONM). UR - https://gs.amegroups.org/article/view/12957