Evidence map›Paper›PMID 28717869›Full record

ArticleSurgical endoscopy2018

Transoral endoscopic thyroidectomy vestibular approach (TOETVA): indications, techniques and results.

Angkoon Anuwong, Thanyawat Sasanakietkul, Pornpeera Jitpratoom, Khwannara Ketwong, Hoon Yub Kim, Gianlorenzo Dionigi, Jeremy D Richmon

Abstract read
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In one paragraph

Article in Surgical endoscopy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 122 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
122citing papers in PubMed, 10 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

122 citing papers in PubMed, 10 syntheses or guidelines pooled it.

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  5. Facelift thyroid surgery: a systematic review of indications, surgical and functional outcomes.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale · 2023
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  10. Transoral Endoscopic Thyroidectomy Vestibular Approach.JSLS : Journal of the Society of Laparoendoscopic Surgeons
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62 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Angkoon AnuwongMinimally-Invasive and Endocrine Surgery Division, Department of Surgery, Police General Hospital, 492/1 Rama I Road, Pathumwan, Bangkok, 10330, Thailand. noii167@hotmail.com.
Thanyawat SasanakietkulMinimally-Invasive and Endocrine Surgery Division, Department of Surgery, Police General Hospital, 492/1 Rama I Road, Pathumwan, Bangkok, 10330, Thailand.
Pornpeera JitpratoomMinimally-Invasive and Endocrine Surgery Division, Department of Surgery, Police General Hospital, 492/1 Rama I Road, Pathumwan, Bangkok, 10330, Thailand.
Khwannara KetwongMinimally-Invasive and Endocrine Surgery Division, Department of Surgery, Police General Hospital, 492/1 Rama I Road, Pathumwan, Bangkok, 10330, Thailand.
Hoon Yub KimDepartment of Surgery, KUMC Thyroid Center, Korea University Hospital, Korea University College of Medicine, Seoul, South Korea.
Gianlorenzo DionigiDivision of Endocrine Surgery, Department of Human Pathology in Adulthood and Childhood "G. Barresi", Department of Surgical Oncology, University Hospital - Policlinico "G.Martino", University of Messina, Via Consolare Valeria, 98125, Messina, Italy.
Jeremy D RichmonDepartment of Otolaryngology Head Neck Surgery, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe Transoral Neck Surgery (TONS) Study Group was established at the 1st International Thyroid NOTES Conference in February 2016 with the intention of standardizing and refining thyroid NOTES techniques, including both transoral endoscopic and robotic thyroidectomy approaches. Herein, the authors report the modification of indications, preparation, and step-by-step explanations for operative techniques, as well as results and postoperative care for transoral endoscopic thyroidectomy vestibular approach (TOETVA).

methodsBetween February 2015 and December 2015, a total of 200 patients comprising 8 males (4%) and 192 females (96%) underwent TOETVA using 3 laparoscopic ports inserted at the oral vestibule. Of these patients, 111 presented with single thyroid nodules (55.5%), while 66 patients had multinodular goiters (33%), 12 had Graves' disease (6%) and 11 had papillary microcarcinoma (5.5%). The CO

resultsTOETVA was performed on 200 consecutive patients. No conversion to conventional open surgery was necessary. Average tumor size was 4.1 ± 1.78 cm (1-10 cm). Median operative time was 97 ± 40.5 min (45-300 min). Median blood loss was 30 ± 46.25 mL (6-300 mL). Mean visual analog scale measurements were 2.41 ± 2.04 (2-7), 1.17 ± 1.4 (0-5), and 0.47 ± 0.83 (0-3) on the first, second, and third days, respectively. Temporary hoarseness and hypoparathyroidism occurred in 8 patients (4%) and 35 patients (17.5%), respectively. No permanent hoarseness or hypoparathyroidism occurred. Mental nerve injury occurred in 3 patients (1.5%). One patient (0.5%) developed a post-operative hematoma that required open surgery. No infection was identified.

conclusionTOETVA was shown to be safe and feasible with a reasonable surgical duration and minimal pain scores. This approach shows promise for those patients who are motivated to avoid a neck scar.

Indexed as

AdolescentAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedMouthNatural Orifice Endoscopic SurgeryNeckOperative TimePain MeasurementPostoperative CarePostoperative ComplicationsThailandEndoscopic thyroidectomyThyroidectomyTOETVATransoralTransoral endoscopic thyroidectomyTransoral neck surgery

Identifiers

PMID28717869

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.