Evidence map›Paper›PMID 31719772›Full record

SynthesisJSLS : Journal of the Society of Laparoendoscopic Surgeons

Transoral Endoscopic Thyroidectomy Vestibular Approach.

Gustavo Fernandez-Ranvier, Aryan Meknat, Daniela E Guevara, William B Inabnet

Registry-linked trialAbstract readSystematic Review
In one paragraph

Synthesis in JSLS : Journal of the Society of Laparoendoscopic Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04268407 (2-day Prophylactic Antibiotic is Effective in Transoral Endoscopic Thyroidectomy), which is not on this map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 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.

NCT04268407 nacompletednot on this map

2-day Prophylactic Antibiotic is Effective in Transoral Endoscopic Thyroidectomy

TypeinterventionalSponsorChang Gung Memorial HospitalRan2020 to 2021Enrolled60ConditionsThyroid NoduleArmsAmoxicillin Clavulanate
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  17. Transoral thyroidectomy: A reflexive opinion on the technique.Archives of endocrinology and metabolism · 2021
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  18. Article
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

4 authors.

Gustavo Fernandez-RanvierDivision of Metabolic, Endocrine and Minimally Invasive Surgery, Department of Surgery, Mount Sinai Hospital, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Aryan MeknatDepartment of Surgery, Brookdale University Hospital and Medical Center, Brooklyn, New York, USA.
Daniela E GuevaraDepartment of Surgery, Mount Sinai Hospital, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
William B InabnetDivision of Metabolic, Endocrine and Minimally Invasive Surgery, Department of Surgery, Mount Sinai Hospital, Icahn School of Medicine at Mount Sinai, New York, New York, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRemote-access thyroid surgery has gained popularity and has advanced significantly over the past two decades, given the patient desire to avoid cosmetically displeasing scarring. It has only been recently that natural-orifice transluminal endoscopic surgery (NOTES) techniques have been geared for thyroidectomies. The transoral endoscopic thyroidectomy vestibular approach has been categorized as a NOTES procedure-given the approach to the thyroid gland via incisions in the oral cavity. Our aim is to provide a review of the current literature on the transoral endoscopic thyroidectomy vestibular approach (TOETVA), to present the worldwide experience of this novel procedure, and to outline whether individual patients have characteristics that would make the procedure feasible for this technique.

methodsA literature review was done to compile articles detailing the international experience with TOETVA. Our experience combined with what has been published in the literature was used to establish which pathological and patient characteristics make this particular technique feasible for a thyroidectomy.

resultsWe detail in the provided tables both feasibility for this surgical technique and the international experience.

conclusionTOETVA represents the latest remote-access endoscopic technique for the excision of the thyroid gland. TOETVA is being performed at various international institutions and multiple hospitals in the United States.

Indexed as

HumansNatural Orifice Endoscopic SurgeryPostoperative ComplicationsThyroidectomyThyroid Neoplasms

Identifiers

PMID31719772
PMCPMC6830499

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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.