Evidence map›Paper›PMID 38748236›Full record

ArticleLangenbeck's archives of surgery2024

Feasibility and complications after transoral endoscopic thyroidectomy via vestibular approach (TOETVA) - a single-center first experience case series.

Sam Kinet, M A Spiekerman van Weezelenburg, A Pijnenburg, J H M B Stoot, J van Bastelaar

Registry-linked trialAbstract read
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In one paragraph

Article in Langenbeck's archives of surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05396703 (Feasibility and Complications After Transoral Endoscopic Thyroidectomy Via Vestibular Approach), which is not on this map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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.

NCT05396703 completednot on this map

Feasibility and Complications After Transoral Endoscopic Thyroidectomy Via Vestibular Approach (TOETVA) - a Single-Center First Experience Case Series and Systematic Review

TypeobservationalSponsorZuyderland Medisch CentrumRan2019 to 2023Enrolled18ConditionsThyroid Gland Disease, SurgeryArmsTOETVA
3 · Its place in the literature

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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

5 authors.

Sam KinetFaculty of Medicine, KU Leuven, Herestraat 49, Leuven, 3000, Belgium. sam.kinet@a-kinetics.be.ORCID http://orcid.org/0000-0001-7220-3489
M A Spiekerman van Weezelenburg *Department of Surgery, Zuyderland Medical Centre, Dr. H. van der Hoffplein 1, Sittard-Geleen, 6162 BG, The Netherlands.
A Pijnenburg *Department of Surgery, Zuyderland Medical Centre, Dr. H. van der Hoffplein 1, Sittard-Geleen, 6162 BG, The Netherlands.
J H M B Stoot *Department of Surgery, Zuyderland Medical Centre, Dr. H. van der Hoffplein 1, Sittard-Geleen, 6162 BG, The Netherlands.
J van Bastelaar *Department of Surgery, Zuyderland Medical Centre, Dr. H. van der Hoffplein 1, Sittard-Geleen, 6162 BG, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis paper reports on the first experience after implementation of a transoral endoscopic thyroidectomy via vestibular approach (TOETVA) as an alternative to (partial) thyroidectomy or isthmusectomy in a single center. Feasibility, implementation and specific complications are addressed.

methodsAll patients who underwent a TOETVA procedure in our center between November 2019 and March 2023 were included. The surgical technique was performed as described by Anuwong et al. All procedures were performed by two dedicated head- and neck surgeons.

resultsA total of 20 patients were included. All patients underwent TOETVA surgery as planned and no conversions were needed. Observed complications were post-operative wound infections (POWI) (2/20; 10%), clinically significant seroma (1/20, 5%) and unilateral hemiparesis of the larynx (3/20; 15%). Permanent mental nerve damage was seen in 3/20 patients (15%), and 4 other patients (20%) experienced transient neuropraxia.

conclusionsTOETVA is a feasible alternative to (partial) thyroidectomy or isthmusectomy in selected patients. Special care should be taken when placing the trocars in the oral vestibulum to prevent mental nerve damage. Experience and training are essential for implementing the TOETVA procedure.

trial registrationThis study was registered to ClinicalTrials.gov. TRIAL REGISTRATION NUMBER: NCT05396703.

Indexed as

Feasibility StudiesNatural Orifice Endoscopic SurgeryPostoperative ComplicationsThyroidectomyAdultAgedFemaleHumansMaleMiddle AgedMouthRetrospective StudiesThyroid NeoplasmsTreatment OutcomeCase seriesEndocrineNOTESSurgeryThyroidTOETVA

Identifiers

PMID38748236

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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.