ArticleWorld journal of surgery2023
Transoral Thyroidectomy: Initial Results of the European TOETVA Study Group.
Article in World journal of surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 23 citations in OpenAlex.
- Enhanced cosmetic outcomes with central venous catheter drainage in transoral vestibular endoscopic thyroidectomy: a prospective randomized-controlled trial.Journal of robotic surgery · 2025Trial
- Trial
- Is male sex a barrier to transoral endoscopic thyroidectomy? A comparative study of surgical outcomes.Annals of surgical treatment and research · 2026Article
- Implementation of transoral robotic thyroid surgery in a European tertiary center.Journal of surgical case reports · 2026Article
- Comparison of transoral and bilateral axillo-breast approach endoscopic thyroidectomy: multicentre study.BJS open · 2026Article
- Preliminary experience with the transoral endoscopic thyroidectomy vestibular approach in selected complex cases: a case series and literature review.Frontiers in surgery · 2026Article
- Evolving patient preferences from surgery to thermal ablation in solitary thyroid nodule treatment.Scientific reports · 2025Article
- Comparative short- and long-term outcomes of TOETVA, ETGUA, and COT in thyroid cancer: a propensity score-matched study.Frontiers in oncology · 2025Article
- [Indications and technique for transoral thyroid gland and parathyroid gland surgery].Chirurgie (Heidelberg, Germany) · 2024Review
- Feasibility and complications after transoral endoscopic thyroidectomy via vestibular approach (TOETVA) - a single-center first experience case series.Langenbeck's archives of surgery · 2024Article
- The impact of body mass index on operative time in transoral endoscopic thyroidectomy vestibular approach for thyroid cancer.Endocrine · 2024Article
- A prospective study comparing the gasless endoscopic thyroidectomy trans-axillary approach to conventional open thyroidectomy: health and quality of life outcomes.Surgical endoscopy · 2024Observational
- Complication and conversion outcomes in transoral endoscopic thyroidectomy vestibular approach (TOETVA): a retrospective multicenter propensity score-matched cohort study.Updates in surgery · 2024Article
- TOETVA: a single surgeon's learning curve and a case report of CASTLE thyroid tumor.Langenbeck's archives of surgery · 2023Article
- TOETVA parathyroid autofluorescence detection: hANDY-i endoscopy attachment.Frontiers in endocrinology · 2023Article
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe aim of this study was to evaluate a new surgical technique by the European Transoral Endoscopic Thyroidectomy Vestibular Approach (TOETVA) Study Group.
methodsThis study included 391 patients (47 [(12%]) male and 344 [(88%)] female) who had undergone endoscopic thyroid or parathyroid surgery via the vestibular approach between February 2016 and May 2022 at nine centers. The data were analyzed with regard to complications, surgery time and specimen retrieval.
resultsOverall, 376 (96.2%) TOETVA and 15 (3.8%) transoral endoscopic parathyroidectomy vestibular approach interventions were performed with an average surgery time of 145 (± 61.2) minutes and 509 nerves at risk. The specimens were retrieved via a transoral vestibular and retroauricular approach in 66 (16.9%) patients and via a transaxillary approach in 8 (2%). Benign histology including Grave's disease was identified in 272 (69.6%) patients, 1 (0.3%) presented noninvasive follicular thyroid neoplasms with papillary-like nuclear features, and 103 (26.3%) showed differentiated thyroid carcinoma. Solitary parathyroid adenoma were removed in 15 (3.8%) patients. Conversion to open surgery was necessary in 13 (3.3%) and revision had to be performed in 2 (0.5%) patients. Transient recurrent laryngeal nerve palsy (RLNP) was present in 18 (4.6%) and permanent RLNP in 2 (0.5%) patients. Fifteen (3.8%) patients experienced transient hypoparathyroidism after thyroidectomy. No case of permanent hypoparathyroidism was observed. Postoperative surgical site infection occurred in 1 (0.3%) patient. Despite a higher rate of sensory and motor disorders and skin discoloration at discharge, permanent disorders were present in only 3 (0.8%) and 16 (4.1%) patients, respectively.
conclusionOur results show that transoral endoscopic surgery, performed by experienced endocrine surgeons, is a safe alternative to conventional thyroid surgery.
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