Transoral Endoscopic Thyroidectomy Vestibular Approach for Selected Thyroid Nodules: A Case Series
Thyroid World Congress ePoster Library. MALIWAT L. 06/22/19; 272055; 139
Dr. LAWRENCE MALIWAT
Dr. LAWRENCE MALIWAT
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Abstract
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OBJECTIVES

To present the general and perioperative data of patients who underwent TOETVA for selected thyroid nodules in a single tertiary medical center.

 

METHODS

Case series involving chart review of patients who underwent TOETVA in Quirino Memorial Medical Center from June to October 2018. A total of 7 patients underwent the procedure, in which 6 cases had a thyroid lobectomy (85.71%) and 1 case had a total thyroidectomy (14.29%). Outcomes and measures include conversion to open, operative time, intra-operative blood loss, size of the thyroid gland, post-operative hospital stay, VAS pain scores, and post-operative complications.

 

RESULTS

None of the 7 patients were converted to an open procedure. The average pre-operative thyroid size was 5.05 cm. Mean operative time for lobectomy and total thyroidectomy was 296 and 255 min, respectively. Mean intra-operative blood loss was 143 mL for lobectomy and 100 mL for total thyroidectomy. The average actual size of the thyroid gland was 4.69 cm. Mean post-operative hospital stay was 3 days. Mean VAS pain score for post-operative days 1, 2, 3, and 7 were 4, 3, 2, and 0, respectively. Among the cases, 2 had both surgical site infection and wound dehiscence, 1 had seroma, and 1 had skin burn. None had recurrent laryngeal nerve injury, hypocalcemia, or mental nerve injury in the series.

 

CONCLUSIONS

TOETVA is a novel technique that is a viable alternative to patients who are motivated by its advantages, however, unconventional complications must be considered when discussing this procedure to interested patients.

 


OBJECTIVES

To present the general and perioperative data of patients who underwent TOETVA for selected thyroid nodules in a single tertiary medical center.

 

METHODS

Case series involving chart review of patients who underwent TOETVA in Quirino Memorial Medical Center from June to October 2018. A total of 7 patients underwent the procedure, in which 6 cases had a thyroid lobectomy (85.71%) and 1 case had a total thyroidectomy (14.29%). Outcomes and measures include conversion to open, operative time, intra-operative blood loss, size of the thyroid gland, post-operative hospital stay, VAS pain scores, and post-operative complications.

 

RESULTS

None of the 7 patients were converted to an open procedure. The average pre-operative thyroid size was 5.05 cm. Mean operative time for lobectomy and total thyroidectomy was 296 and 255 min, respectively. Mean intra-operative blood loss was 143 mL for lobectomy and 100 mL for total thyroidectomy. The average actual size of the thyroid gland was 4.69 cm. Mean post-operative hospital stay was 3 days. Mean VAS pain score for post-operative days 1, 2, 3, and 7 were 4, 3, 2, and 0, respectively. Among the cases, 2 had both surgical site infection and wound dehiscence, 1 had seroma, and 1 had skin burn. None had recurrent laryngeal nerve injury, hypocalcemia, or mental nerve injury in the series.

 

CONCLUSIONS

TOETVA is a novel technique that is a viable alternative to patients who are motivated by its advantages, however, unconventional complications must be considered when discussing this procedure to interested patients.

 


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