Evidence map›Paper›PMID 26546193›Full record

ArticleWorld journal of surgery2016

Transoral Endoscopic Thyroidectomy Vestibular Approach: A Series of the First 60 Human Cases.

Angkoon Anuwong

3 registry-linked trialsAbstract read
PubMed Publisher
In one paragraph

Article in World journal of surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 228 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
228citing papers in PubMed, 8 pooled it
28.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03048539 unknown statusnot on this mapstarted 2017, after this paper: background citation

Comparison of Quality of Life Between Patients Underwent Transoral Endoscopic Thyroid Surgery and Conventional Surgery

TypeobservationalSponsorKhon Kaen UniversityRan2017 to 2019Enrolled38ConditionsQuality of Life, Transoral Endoscopic Thyroidectomy, Conventional ThyroidectomyArmsTransoral endoscopic thyroidectomy
NCT03158961 nacompletednot on this mapstarted 2017, after this paper: background citation

A Prospective Evaluation of the Feasibility and Safety of the Transoral Endoscopic Thyroidectomy Vestibular Approach (TOETVA) as a Treatment for Benign Thyroid Nodules

TypeinterventionalSponsorThe University of Hong KongRan2017 to 2019Enrolled10ConditionsThyroid DiseasesArmsTransoral endoscopic thyroidectomy vestibular approach
NCT03295955 naunknown statusnot on this mapstarted 2017, after this paper: background citation

Comparing Efficacy of Postoperative Antibiotic Use in Transoral Thyroidectomy: a Prospective Randomized Controlled Trial Study

TypeinterventionalSponsorSeoul National University HospitalRan2017 to 2018Enrolled50ConditionsSurgical Wound Infection, Thyroid NoduleArmsAmoxicillin Clavulanate
3 · Its place in the literature

Who cites it

228 citing papers in PubMed, 8 syntheses or guidelines pooled it, 547 citations in OpenAlex.

  1. [Progress in the application of robotic technology in thyroid surgery].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2025
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  8. Transoral vestibule approach for thyroid disease: a systematic review.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2019
    Pooled it
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  10. A comparison of efficacy and quality of life between transoral endoscopic thyroidectomy vestibular approach (TOETVA) and endoscopic thyroidectomy axillo-breast approach (ETABA) in thyroid surgery: non-randomized clinical trial.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2021
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168 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

Angkoon AnuwongDepartment of Surgery, Police General Hospital, Faculty of Medicine, Siam University, 492/1, Rama I Road, Pathumwan, Bangkok, 10330, Thailand. noii167@hotmail.com.
Police General Hospital · TH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNatural orifice transluminal endoscopic surgery has been adopted for thyroid surgery because of its potential for scar-free operation. However, the previous technique still has some limitations. Thus, we present our initial experience in transoral endoscopic thyroidectomy vestibular approach (TOETVA).

methodsFrom April 2014 to January 2015, we used a three-port technique through the oral vestibule, one 10-mm port for laparoscope and two additional 5-mm ports for instruments. The CO2 insufflation pressure was set at 6 mm Hg. An anterior cervical subplatysmal space was created from the oral vestibule down to the sternal notch. The thyroidectomy was done endoscopically using conventional laparoscopic instruments and an ultrasonic device.

resultsA series of 60 procedures were accomplished successfully. 42 patients had single-thyroid nodules, and a lobectomy was performed. 22 patients had multinodular goiters and two patients had Graves' disease, with total thyroidectomy or Hartley-Dunhill procedures performed. Two had papillary thyroid carcinoma, and total thyroidectomy with central node dissection was performed. The median operative time was 115.5 min (range 75-300 min). The median blood loss was 30 mL (range 8-130 mL). Two patients experienced a transient hoarseness, which was resolved within 2 months. One patient experienced a late postoperative hematoma, which was treated conservatively. No mental nerve injury or infections were found. The patients were discharged in an average of 3.6 days (range 2-7 days) postoperatively.

conclusionTOETVA is safe and feasible, resulting in no visible scarring. This technique may provide a method for ideal cosmetic results.

Indexed as

AdultAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedMouthNatural Orifice Endoscopic SurgeryOperative TimeRetrospective StudiesThyroid DiseasesThyroidectomyYoung Adult

Identifiers

PMID26546193
OpenAlexW2143924845

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.