Trans Oral Endoscopic Thyroidectomy Vestibular Approach (TOETVA) in Brazil : Safety and complications during learning curve
OBJECTIVE: The aim of this study was to address the first cases of TOETVA done in Brazil, by TOETVA-Bra study group, regarding safety and complications.
METHODS: Series of the first 93 TOETVAs cases in Brazil. All authors except LPK, AJG JOR and RPT received TOETVA training including cadaveric hands-on in Thailand or United States (Johns Hopkins Medicine) during 2017. After they came back to Brazil and started doing their first TOETVA cases in the cities of Rio de Janeiro, Sao Paulo and Chapecó they agreed to collaborate and gather data using an online spreadsheet. All patients were submitted to the technique described by Anuwong.
RESULTS: A total of 93 patients underwent TOETVA. Most patients (58.1%) were submitted to total thyroidectomy and 59.1% had benign disease. Two patients (2.2%) needed conversion to open surgery. Five patients (9.3%) developed transient hypoparathyroidism and there were 3 (2.0%) temporary recurrent laryngeal nerve palsy. There was one (0.7%) permanent unilateral palsy. Twenty patients had some sort of complication, 16.1% were minor and 5.4% were major. A total of 73 patients (78.5%) had an uneventful recovery.
CONCLUSION: The technique is reproducible with a low complication rate. While further studies are needed to confirm equivalency, early efforts suggest that TOETVA is not inferior to traditional open thyroidectomy in appropriately selected patients.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:65 |
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| Enthalten in: |
Archives of endocrinology and metabolism - 65(2021), 3 vom: 29. Juni, Seite 259-264 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Bertelli, Antonio Augusto Tupinambá [VerfasserIn] |
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| Links: |
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| Themen: |
Endoscopic |
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| Anmerkungen: |
Date Completed 02.07.2021 Date Revised 03.04.2023 published: Print Citation Status MEDLINE |
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| doi: |
10.20945/2359-3997000000380 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM327382643 |
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| 100 | 1 | |a Bertelli, Antonio Augusto Tupinambá |e verfasserin |4 aut | |
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| 500 | |a Date Revised 03.04.2023 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a OBJECTIVE: The aim of this study was to address the first cases of TOETVA done in Brazil, by TOETVA-Bra study group, regarding safety and complications | ||
| 520 | |a METHODS: Series of the first 93 TOETVAs cases in Brazil. All authors except LPK, AJG JOR and RPT received TOETVA training including cadaveric hands-on in Thailand or United States (Johns Hopkins Medicine) during 2017. After they came back to Brazil and started doing their first TOETVA cases in the cities of Rio de Janeiro, Sao Paulo and Chapecó they agreed to collaborate and gather data using an online spreadsheet. All patients were submitted to the technique described by Anuwong | ||
| 520 | |a RESULTS: A total of 93 patients underwent TOETVA. Most patients (58.1%) were submitted to total thyroidectomy and 59.1% had benign disease. Two patients (2.2%) needed conversion to open surgery. Five patients (9.3%) developed transient hypoparathyroidism and there were 3 (2.0%) temporary recurrent laryngeal nerve palsy. There was one (0.7%) permanent unilateral palsy. Twenty patients had some sort of complication, 16.1% were minor and 5.4% were major. A total of 73 patients (78.5%) had an uneventful recovery | ||
| 520 | |a CONCLUSION: The technique is reproducible with a low complication rate. While further studies are needed to confirm equivalency, early efforts suggest that TOETVA is not inferior to traditional open thyroidectomy in appropriately selected patients | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Thyroid cancer | |
| 650 | 4 | |a endoscopic | |
| 650 | 4 | |a goiter | |
| 650 | 4 | |a surgery | |
| 650 | 4 | |a thyroidectomy | |
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| 700 | 1 | |a Lira, Renan Bezerra |e verfasserin |4 aut | |
| 700 | 1 | |a Tesseroli, Marco Antonio Scirea |e verfasserin |4 aut | |
| 700 | 1 | |a Santos, Izabella Costa |e verfasserin |4 aut | |
| 700 | 1 | |a Silva, Guilherme Duque |e verfasserin |4 aut | |
| 700 | 1 | |a Gomes, Michelle Azevedo |e verfasserin |4 aut | |
| 700 | 1 | |a Tenório, Lucas Ribeiro |e verfasserin |4 aut | |
| 700 | 1 | |a Kowalski, Luiz Paulo |e verfasserin |4 aut | |
| 700 | 1 | |a Gonçalves, Antonio José |e verfasserin |4 aut | |
| 700 | 1 | |a Russel, Jonathon Owen |e verfasserin |4 aut | |
| 700 | 1 | |a Tufano, Ralph Patrick |e verfasserin |4 aut | |
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