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Transoral endoscopic total thyroidectomy vestibular approach: A case series and literature review

 Associate Professor in Fellowship of Minimal Access Surgey, Siva Hospital, Institute of Minimal Access Surgery, Kanyakumari, Tamil Nadu, India

Date of Submission09-Jan-2017
Date of Acceptance30-Apr-2017
Date of Web Publication23-Oct-2017

Correspondence Address:
T Sivakumar,
Siva Hospital, West Coast Road, Eathamozhi, Kanyakumari, Tamil Nadu
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Source of Support: None, Conflict of Interest: None


Conventional open thyroidectomy is often associated with post-operative complications including nerve damage, voice disturbances, paraesthesias, adhesions and prominent scarring. Several endoscopic surgical techniques have been reported as alternatives to conventional thyroidectomy. Natural orifice transluminal endoscopic surgery is a promising approach which leaves no scar, produces few complications and affords faster discharge from care. Several studies have explored its utility in total thyroidectomy in patients with benign or malignant thyroid disease. Herein, we present a case series on the successful application of transoral endoscopic total thyroidectomy vestibular approach (TOETVA) in benign and malignant diseases of the thyroid. We performed TOETVA in 11 patients presenting with benign or malignant thyroid nodules in our hospital, between 1st January 2015 and 30th June 2016. The surgery was completed successfully in all patients with a pre-operative diagnosis of multinodular goitre. The surgery was performed under general anaesthesia and the mean operative time was 130 min. The mean blood loss was 2–3 cc. No incidence of recurrent laryngeal nerve injury, damage to mental nerve, parathyroid damage or peri-incisional adhesion occurred in the study participants. No visible scarring occurred in the patients following surgery. The patients had an uneventful recovery after the surgery and were discharged after 4 days. TOETVA is safe and effective in the surgical management of multinodular goitre and offers a scar-free alternative to conventional surgery.

Keywords: Multinodular goitre, thyroidectomy, transoral endoscopic total thyroidectomy

How to cite this URL:
Sivakumar T, Amizhthu R A. Transoral endoscopic total thyroidectomy vestibular approach: A case series and literature review. J Min Access Surg [Epub ahead of print] [cited 2018 Jan 23]. Available from:



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2004 Journal of Minimal Access Surgery
Published by Wolters Kluwer - Medknow
Online since 15th August '04