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Endoscopic Thyroid Surgery Through Trans-oral Vestibular Approach (TOVA): A Case Series and Review of Literature

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Abstract

Endoscopic surgery is now standard of care for different Endocrine Disorders; the endoscopic thyroid surgery is becoming more popular and different approaches has been practice by many thyroid surgeon worldwide. Trans-orovestibular approach, based on the principle of natural orifice transluminal surgery is truly scar free thyroid surgery and has minimal dissection. We are presenting here three cases of benign solitary thyroid nodule operated endoscopically through trans-oro-vestibular approach in one male and two female patients. Described about the approach, challenges during surgery and outcome. These surgeries documented very few in literatures in live human patients. Transoral endoscopic thyroid surgery through vestibular approach is shortest and direct remote access approach. The need of limited dissection in this approach provides less complication and excellent cosmetic outcome in strictly selected patients.

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References

  1. Gagner M (1996) Endoscopic subtotal parathyroidectomy in patients with primary hyperparathyroidism. Br J Surg 83(6):875

    Article  CAS  PubMed  Google Scholar 

  2. Hüscher CS, Chiodini S, Napolitano C, Recher A (1997) Endoscopic right thyroid lobectomy. Surg Endosc 11(8):877

    Article  PubMed  Google Scholar 

  3. Wong KP, Lang Brian HH (2013) Endoscopic thyroidectomy: a literature review and update. Curr Surg Rep 1:7–15

    Article  Google Scholar 

  4. Gagner M, Inabent BW III, Biertho L (2013) Endoscopic thyroidectomy for solitary nodules. Ann Chir 128:696–701

    Article  Google Scholar 

  5. Cougard P, Osmak L, Esquis P, Ognois P (2005) Endoscopic thyroidectomy: a preliminary report including 40 patients. Ann Chir 130:81–85

    Article  CAS  PubMed  Google Scholar 

  6. Inabent WB III, Jacob BP, Gagner M (2003) Minimally invasive endoscopic thyroidectomy by cervical approach. Surg Endosc 17:1808–1811

    Article  Google Scholar 

  7. Henry JF, Sebag F (2006) Lateral endoscopic approach for thyroid and parathyroid surgery. Ann Chir 131:51–56

    Article  PubMed  Google Scholar 

  8. Shimizu K, Akira S, Jasmi AY, Kitamura Y, Kitagawa W, Akashu H (1999) Video assisted neck surgery: endoscopic resection of thyroid tumors with a very minimal neck wound. J Am Coll Surg 188:697–703

    Article  CAS  PubMed  Google Scholar 

  9. Shimizu K, Akira S, Tanaka S (1998) Video assisted neck surgery: endoscopic resection of benign thyroid tumor aiming at scar less surgery of the neck. J Surg Oncol 60:179–180

    Google Scholar 

  10. Ikeda Y, Takami H, Sasaki Y, Kan S, Nimi M (2000) Endoscopic neck surgery by the axillary approach. J Am Coll Surg 191:336–340

    Article  CAS  PubMed  Google Scholar 

  11. Ohgami M, Ishii S, Arisawa Y, Ohmori T, Noga K, Furukawa T (2000) Scar less endoscopic thyroidectomy: breast approach for better cosmoses. Surg Laparosc Endosc Percutan Tech 10:1–4

    Article  CAS  PubMed  Google Scholar 

  12. Park YL, Han WK, Bae WG (2003) 100 Cases of endoscopic thyroidectomy: breast approach. Surg Laparosc Endosc Percutan Tech 13:20–25

    Article  PubMed  Google Scholar 

  13. Sasaki A, Nakaijima J, Ikeda K, Otsuka K, Wakahayashi G (2008) Endoscopic thyroidectomy by the breast approach: a single institution’s 9-year experience. World J Surg 31:381–385

    Article  Google Scholar 

  14. Benhidjeb T, Anders S, Barlchner E (2006) Total Video-endoscopic thyroidectomy via axillo-breast approach (ABBA). Langenbecks Arch Surg 391:48–49

    Google Scholar 

  15. Bärlehner E, Benhindjeb T (2008) Cervical scarles endoscopic thyroidectomy: axillo-bilateral-breast-approach (ABBA). Surg Endosc. 22(1):154–157

    Article  PubMed  Google Scholar 

  16. Shimazu K, Shiba E, Tamaki Y, Takiguchi S, Taniguchi E, Ohashi S (2003) Endoscopic thyroid surgery through the axillary bilateral breast approach. Surg Laparosc Endosc Percutan Tech 13:196–201

    Article  PubMed  Google Scholar 

  17. Witzel K, Von Rahden BHA, Kaminski C, Stein HJ (2008) Transoral access for endoscopic thyroid resection. Surg Endosc 22:1871–1875

    Article  CAS  PubMed  Google Scholar 

  18. Benhindjeb T, Wilhelm T, Harlaar J, Kleinrensink GJ, Schneider TA, Stark M (2009) Natural orifice surgery on thyroid gland: totally transoral video-assisted thyroidectomy (TOVAT): report of first experimental result of a new surgical method. Surg Endosc 23:119–1120

    Article  Google Scholar 

  19. Chung YS, Choe JH, Kang KH et al (2007) Endoscopic thyroidectomy for thyroidectomy for thyroid malignancies: comparison with conventional open thyroidectomy. World J Surg 31:2302–2306

    Article  PubMed  Google Scholar 

  20. Li ZY, Wang P, Wang Y, Xu SM, Cao LP et al (2010) Endoscopic thyroidectomy via breast approach for patients with Grave’s disease. World J Surg 34:2228–2232

    Article  PubMed  Google Scholar 

  21. Bellantone R, Lombardi CP, Raffaelli M et al (2003) Video assisted thyroidectomy for papillary thyroid carcinoma. Surg Endosc 17:1604–1608

    Article  CAS  PubMed  Google Scholar 

  22. Yamamoto M, Sasaki A, Asahi H et al (2001) Endoscopic subtotal thyroidectomy for patients with Grave’s disease. Surg Today 31:1–4

    Article  CAS  PubMed  Google Scholar 

  23. Miccoli P, Minuto MN, Ugolini C et al (2008) Minimally invasive video assisted thyroidectomy for benign thyroid disease: an evidence-based review. World J Surg 32:1333–1340

    Article  PubMed  Google Scholar 

  24. Wilhelm T, Metzing A (2011) Endoscopic minimally invasive thyroidectomy (eMIT): a prospective proof-of-concept study in humans. World J Surg 35:343–551. doi:10.1007/s00268-010-0846-0

    Google Scholar 

  25. Nkajo A, Arima H, Hirata M et al (2013) Trans-oral video-assisted neck surgery (TOVANS). A new transoral technique of endoscopic thyroidectomy with gasless premandible approach. Surg Endosc 27:1105–1110

    Article  Google Scholar 

  26. Wang C, Jung JH, Liu W et al (2014) Thyroidectomy: a novel endoscopic oral vestibular approach. Surgery 1555:33–38

    Article  Google Scholar 

  27. Anuwong A et al (2016) Transoral endoscopic thyroidectomy vestibular approach: a series of the first 60 human cases. World J Surg 40:491–497

    Article  PubMed  Google Scholar 

  28. Pai VM, Muthukumar P et al (2015) Transoral endoscopic thyroidectomy: a case report. Inter J Surg Case Reports 12:99–101

    Article  Google Scholar 

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Correspondence to Gyan Chand.

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Chand, G., Johri, G. & Mishra, S.K. Endoscopic Thyroid Surgery Through Trans-oral Vestibular Approach (TOVA): A Case Series and Review of Literature. Indian J Otolaryngol Head Neck Surg 70, 162–166 (2018). https://doi.org/10.1007/s12070-017-1174-6

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  • DOI: https://doi.org/10.1007/s12070-017-1174-6

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