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 journalArticlepeer-review

    16 Citations (Scopus)


    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 languageEnglish
    Pages (from-to)e94-e99
    JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
    Issue number5
    Publication statusPublished - 2018 Oct 1


    • TOETVA
    • endoscopic thyroidectomy
    • morbidity
    • pneumomediastinum
    • subcutaneous emphysema
    • transoral thyroidectomy

    ASJC Scopus subject areas

    • Surgery


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