Lessons learned from a faulty transoral endoscopic thyroidectomy vestibular approach

Daqi Zhang; Che Wei Wu; Davide Inversini; Hoon Yub Kim; Angkoon Anuwong; Alessandro Bacuzzi; Gianlorenzo Dionigi

doi:10.1097/SLE.0000000000000555

Lessons learned from a faulty transoral endoscopic thyroidectomy vestibular approach

Daqi Zhang, Che Wei Wu, Davide Inversini, Hoon Yub Kim, Angkoon Anuwong, Alessandro Bacuzzi, Gianlorenzo Dionigi

Research output: Contribution to journal › Article › peer-review

16 Citations (Scopus)

Abstract

Background: Transoral endoscopic thyroidectomy via vestibular approach (TOETVA) is currently considered the most promisingly scarless approach to the thyroid and has gained more acceptance. Materials and Methods: We described a case of faulty TOETVA. Results: The faulty TOETVA resulted in pneumomediastinum, diffuse subcutaneous emphysema, prolonged surgery, and anesthesia. Conclusions: The important technical considerations during TOETVA, including the use of external retraction, the identification of the subplatysmal plane of dissection, CO 2 insufflation settings, the learning curve, and patient selection, were described and discussed.

Original language	English
Pages (from-to)	e94-e99
Journal	Surgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume	28
Issue number	5
DOIs	https://doi.org/10.1097/SLE.0000000000000555
Publication status	Published - 2018 Oct 1

Keywords

TOETVA
endoscopic thyroidectomy
morbidity
pneumomediastinum
subcutaneous emphysema
transoral thyroidectomy

ASJC Scopus subject areas

Surgery

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10.1097/SLE.0000000000000555

Cite this

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abstract = "Background: Transoral endoscopic thyroidectomy via vestibular approach (TOETVA) is currently considered the most promisingly scarless approach to the thyroid and has gained more acceptance. Materials and Methods: We described a case of faulty TOETVA. Results: The faulty TOETVA resulted in pneumomediastinum, diffuse subcutaneous emphysema, prolonged surgery, and anesthesia. Conclusions: The important technical considerations during TOETVA, including the use of external retraction, the identification of the subplatysmal plane of dissection, CO 2 insufflation settings, the learning curve, and patient selection, were described and discussed.",

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AU - Zhang, Daqi

AU - Wu, Che Wei

AU - Inversini, Davide

AU - Kim, Hoon Yub

AU - Anuwong, Angkoon

AU - Bacuzzi, Alessandro

AU - Dionigi, Gianlorenzo

PY - 2018/10/1

Y1 - 2018/10/1

N2 - Background: Transoral endoscopic thyroidectomy via vestibular approach (TOETVA) is currently considered the most promisingly scarless approach to the thyroid and has gained more acceptance. Materials and Methods: We described a case of faulty TOETVA. Results: The faulty TOETVA resulted in pneumomediastinum, diffuse subcutaneous emphysema, prolonged surgery, and anesthesia. Conclusions: The important technical considerations during TOETVA, including the use of external retraction, the identification of the subplatysmal plane of dissection, CO 2 insufflation settings, the learning curve, and patient selection, were described and discussed.

AB - Background: Transoral endoscopic thyroidectomy via vestibular approach (TOETVA) is currently considered the most promisingly scarless approach to the thyroid and has gained more acceptance. Materials and Methods: We described a case of faulty TOETVA. Results: The faulty TOETVA resulted in pneumomediastinum, diffuse subcutaneous emphysema, prolonged surgery, and anesthesia. Conclusions: The important technical considerations during TOETVA, including the use of external retraction, the identification of the subplatysmal plane of dissection, CO 2 insufflation settings, the learning curve, and patient selection, were described and discussed.

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Lessons learned from a faulty transoral endoscopic thyroidectomy vestibular approach

Abstract

Keywords

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