Completion thyroidectomy via the transoral endoscopic vestibular approach

Gland Surgery
Christopher R RazaviJonathon O Russell

Abstract

The safety and efficacy of the transoral endoscopic thyroidectomy vestibular approach (TOETVA) continues to be verified with the growing literature in regards to the procedure. While early cases were thyroid lobectomies performed for benign disease, the indications for TOETVA have now expanded to include total thyroidectomy for select small well-differentiated thyroid cancers (DTCs). Oncologic efficacy of this procedure remains unproven at this time, as the procedure was described only recently. Furthermore, as many of the cases completed via TOETVA are often diagnostic lobectomies, the appropriate management for patients requiring or opting for further surgical intervention per American Thyroid Association (ATA) guidelines has not been established. Here we present a case of a diagnostic lobectomy via TOETVA followed by interval completion thyroidectomy via the same approach for minimally invasive Hurthle cell carcinoma. Postoperative ultrasound demonstrated no evidence of thyroid remnant and serum thyroglobulin without circulating anti-thyroid antibodies was 0.3 ng/mL (reference range, 1.5-38.5 ng/mL) following the patient's completion thyroidectomy.

Citations

Mar 13, 2019·The Journal of Clinical Endocrinology and Metabolism·Jonathon O RussellRalph P Tufano
Aug 22, 2018·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Christopher R RazaviJonathon O Russell
Aug 10, 2019·Current Otorhinolaryngology Reports·Christopher R RazaviJonathon O Russell
Jul 1, 2020·Current Oncology Reports·Irit DuekDan M Fliss
Aug 9, 2020·Head & Neck·Lena W ChenJonathon O Russell
Nov 19, 2020·World Journal of Surgery·Jonathon O RussellRalph P Tufano
May 1, 2021·Journal of Clinical Medicine·JungHak KwakKyu Eun Lee
Aug 31, 2021·Frontiers in Endocrinology·Lisa H de VriesMenno R Vriens
Apr 1, 2021·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Yi-Ju WuKun-Ta Wu

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