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Abstract
Background: The transoral endoscopic thyroid surgery vestibular approach (TOETVA) is one of the newest techniques that does not result in scarring on the front of the neck.
Purpose: We report here on our initial experience with TOETVA and its short-term outcomes in patients with thyroid gland tumors.
Methods: This series of cases consisted of 60 patients with thyroid gland tumours who transferred TOETVA to A.F. Tsyba MRNTC between June 2022 and August 2022. In 36 patients, the neoplasm is represented by a thyroid follicular tumor measuring from 1 cm to 5 cm 24 - papillary thyroid cancer, the prevalence of cT1a - 20 patients, cT1b - 4 patients. We looked back at clinical pathological data and short-term postoperative results.
Results: Among the 60 cases of TOETVA, 15 were thyroidectomies, 45 were hemythrioelectomy. The average age was 32.1 years, the average time of surgery was 110 21.4 minutes. The size of the tumor varied from 0.5 to 5 cm. One patient had transient speech paresis. Among the 15 patients with thyroidectomy, 3 developed transient hypocalcemia. There was no mental nerve damage, no surgical infection, no seroma.
Conclusion: Transoral thyroid surgery can be an alternative surgical option for carefully selected patients with thyroid tumours, including thyroid cancer.
References
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