ArticleAnnals of surgical treatment and research2026
Is male sex a barrier to transoral endoscopic thyroidectomy? A comparative study of surgical outcomes.
Article in Annals of surgical treatment and research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Purpose: Transoral endoscopic thyroidectomy vestibular approach (TOETVA) presents technical challenges in male patients because of their anatomical characteristics. However, the impact of sex on clinical outcomes following TOETVA remains unclear. Methods: This retrospective study analyzed the baseline characteristics and clinicopathological outcomes of male and female patients who underwent TOETVA between 2019 and 2023. Factors associated with prolonged operative time (above the 75th percentile) were examined using a multivariable logistic regression analysis. Results: Of 131 patients who underwent unilateral lobectomy via the transoral approach, 20 (15.3%) were male. Male patients had significantly higher drainage volumes (75.7 mL Conclusion: TOETVA is feasible in male patients with outcomes generally comparable to females. Surgeons should exercise caution when operating on male patients to minimize soft tissue trauma. Thyroid weight, rather than sex, is the main determinant of operative duration.
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