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Artigo Acesso aberto Produção Nacional
BIBTEX RIS

Transoral endoscopic thyroidectomy by vestibular approach (TOETVA): initial experience in an academic hospital

2019; Volume: 48; Issue: 3 Linguagem: Inglês

10.4322/ahns.2019.0016

ISSN

2595-2544

Autores

Antônio Augusto Tupinambá Bertelli, Leonardo Rangel, Giancarlo Artese Araújo, Rolando Costa Monteiro, Luiz Cláudio Bosco Massarollo, Jonathon O. Russell, Ralph P. Tufano, Antônio José Gonçalves,

Tópico(s)

Airway Management and Intubation Techniques

Resumo

Introduction: Transoral endoscopic thyroidectomy vestibular approach (TOETVA) is being adopted in many centers around the world for many reasons especially because it depends only on laparoscopic instruments. Objective: To describe the initial results of TOETVA after its adoption in a large academic hospital. Methods: Fifteen patients underwent TOETVA and were evaluated regarding its indication, operative time and complications. Results: Nine lobectomies and six total thyroidectomies were performed, with mean operative time of 107 minutes (64-150min). Ten patients did not have any surgical complications and five patients experienced some sort of complication (1 mental nerve temporary numbness, 1 vocal fold temporary paralysis, 1 temporary hypoparathyroidism and 2 small skin burns). We observed a progressive decrease of operative time. Conclusion: The initial results of TOETVA show that it could be instituted safely and effectively in a Brazilian academic center with a short learning curve.

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