Cic edizioni internazionali
Il Giornale di Chirurgia

Transoral video assisted thyroidectomy: a systematic review

Review, 276 - 283
doi: 10.11138/gchir/2018.39.5.276
Tag this article
Full text PDF
Introduction. The aim of this study is to perform a review of the English-language international literature concerning thyroid surgery performed through the transoral vestibular approach, to evaluate its flessibility and safety in terms of complications.
Materials and method. The review was carried out on 17 studies of 17 different Authors. The following variables were taken into consideration: first Author's name, nationality, year of publication, number of cases, hospital stay, conversion rate, type of surgical approach, total number of total thyroidectomies and loboisthmectomies, operative time range, intraoperative blood loss range, number and percentage of complications.
Results. 736 procedures were performed: 289 total thyroidectomies and 447 loboisthmectomies. Surgical approach was trivestibular in 15 cases and combined (oro-vestibular) in 2 cases. The operative time varies from 43 minutes for a loboisthmectomy to 345 for a total thyroidectomy.
Intraoperative blood loss ranges from 3 to 300 ml. Ten cases were converted into open surgery. The hospital stay varies from 1 to 10 days. Complications were: transient recurrent laryngeal nerve palsy in 34 cases, permanent in 2 cases; transient hypoparathyroidism in 62 cases.
One case of postoperative bleeding, 22 postoperative seroma, 20 cases of mental nerve injury, 8 cases of operative wound infection.
Conclusions. Transoral endoscopic thyroidectomy vestibular approach (TOETVA) is a new surgical method, the use of which exclusively meets the aesthetic needs of some patients. Its specific complication is the injury of the mental nerves. Further studies, however, seem to be necessary, on numerically broader cases, to ascertain the real validity of the method.

Vol. XXXIX (No. 6) 2018 November - December

  1. Women in surgery. Myth, history, actuality
    Di Matteo G.
    doi: 10.11138/gchir/2018.39.6.337
  2. Surgery for colorectal cancer in elderly patients: is there such a thing as being too old?
    M. Banysch, Akkaya T., Gurenkko P., Papadakis M., Heuer T., Kasim E., Tavarajah S., Kaiser G.M.
    doi: 10.11138/gchir/2018.39.6.355
  3. Ocular motility alterations in orbital fractures: pre-post evaluation in maxillofacial surgical treatment
    Arrico L., Migliorini R., Bianchini D., Salducci M., Collini S., Malagola R.
    doi: 10.11138/gchir/2018.39.6.363
  4. Ventriculoperitoneal shunt malfunction: analysis of abdominal causes
    Dobran M., Nasi D., Mancini F., Gladi M., Ruscelli P., Scerrati M.
    doi: 10.11138/gchir/2018.39.6.368
  5. Right pneumothorax secondary to colonoscopic perforation: a case
    Crocetti D., Fiori E., Costi U., De Gori A., Miccini M., Valabrega S., Cavallaro G., De Toma G.
    doi: 10.11138/gchir/2018.39.6.375
  6. Pseudoangiomatous stromal hyperplasia (PASH) presenting as axillary lump: case report and review of the literature
    Canu G.L., Medas F., Ravarino A., Furcas S., Loi G., Cerrone G., Rossi C., Erdas E., Calò P.G.
    doi: 10.11138/gchir/2018.39.6.378
  7. Small bowel adenocarcinoma in a patient with a 5-year history of untreated Crohn’s disease: a case report
    Fedele S., Delvecchio A., De Giorgi C, Duda L., Guglielmi A., Martines G.
    doi: 10.11138/gchir/2018.39.6.383
  8. Effective of laparoscopy for post-operative small bowel adhesion in children
    Mattone E., Magazù S., Menconi G., Schembari E., Palumbo V., Di Carlo I.
    doi: 10.11138/gchir/2018.39.6.388
  9. Benign pneumatosis intestinalis with massive portomesenteric venous gas in a very old man. A case report
    Capone O., D'Alò G.L., Aniballi M., Pletto S., Villa M., De Majo A., Venditti D., Grande M.
    doi: 10.11138/gchir/2018.39.6.391
  10. Complicated duodenal-jejunal diverticulosis: case report
    Minafra M., Laforgia R., Riccelli U., Volpi A., Punzo C., Carbotta G., Pisicchio S., Papagni V., Panebianco A., Palasciano N.
    doi: 10.11138/gchir/2018.39.6.395
  11. A novel reconstructive strategy for pancreaticoduodenectomy following Roux-en-Y distal gastrectomy
    Fedele S., Bizzoca C., Delvecchio A., Lafrancechina S., Papagni V., Picciariello A., Pisicchio S., Basile R., Vincenti L.
    doi: 10.11138/gchir/2018.39.6.399
Last Viewed articles: la lista degli ultimi x visitati.
  1. Transoral video assisted thyroidectomy: a systematic review
    Tartaglia F., Maturo A., Di Matteo F.M., De Anna L., Karpathiotakis M., Pelle F., Tromba L., Carbotta S., Carbotta G., Biancucci A., Galiffa G., Livadoti G., Falbo F., Esposito A., Donello C., Ulisse S.
    doi: 10.11138/gchir/2018.39.5.276