AI Article Synopsis
- Transoral endoscopic thyroidectomy and parathyroidectomy via the vestibular approach (TOET/PVA) is a new surgical technique that avoids visible scars by accessing the central neck through the mouth.
- Since its inception in 2015, TOET/PVA has gained popularity due to its short learning curve, minimal risks, and few limitations on patient eligibility.
- Over 2,000 procedures have been performed worldwide, with significant adoption in North America, reflecting its effectiveness and ongoing improvements in safety.
Article Abstract
Transoral endoscopic thyroidectomy and parathyroidectomy via the vestibular approach (TOET/PVA or TOETVA-TOEPVA) is the latest remote-access technique employed in the central neck. As the only approach that does not leave any cutaneous incision, (TOET/PVA) has become popular in both the Far East and Western series since its original description in 2015. More than just a "scarless" surgery, (TOET/PVA) has been associated with a short learning curve, access to the bilateral central neck compartments, few surgical contraindications, minimal complications, and minimal additional instrumentation. To date, more than 2,000 cases have been completed, including more than 400 in North America, demonstrating brisk utilization of a novel technique relative to earlier remote access central neck approaches. Herein, we describe updates that continue to improve the safety and efficacy of the procedure.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7225468 | PMC |
| http://dx.doi.org/10.21037/gs.2020.03.05 | DOI Listing |
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