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Inicio Cirugía Española (English Edition) Transoral endoscopic thyroidectomy vestibular approach (TOETVA)
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Vol. 100. Issue 4.
Pages 234-239 (April 2022)
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Vol. 100. Issue 4.
Pages 234-239 (April 2022)
Innovation in surgical technique
Transoral endoscopic thyroidectomy vestibular approach (TOETVA)
Tiroidectomía endoscópica transoral por vía vestibular: TOETVA
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Pablo Moreno Llorente
Corresponding author
25108pml@gmail.com

Corresponding author.
, José Manuel Francos Martínez, Arantxa García Barrasa, Mireia Pascua Solé
Unidad de Cirugía Endocrina, Hospital Universitari de Bellvitge, Universidad de Barcelona (UB), L’Hospitalet de Llobregat, Barcelona, Spain
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Table 1. Inclusion and exclusion criteria for TOETVA.
Abstract

Transoral Endoscopic Thyroidectomy Vestibular Approach (TOETVA) is a novel technique that allows the thyroid to be approached without visible scars, as it is performed through a natural orifice. It was first described and developed in Asia where due to sociocultural reasons neck scars are considered a stigma. This technique, as we now nowadays, and its preliminary results, were first reported by Angkoon Anuwong in August 2015 at the International Association of Endocrine Surgeons (IAES) world surgery congress held in Bangkok.

Here we present the TOETVA approach, step-by-step, in order it could be safely replicated, aiming also it can be spread within the therapeutic framework of endocrine surgery. However, it is important to remark that, as happens in most of remote approaches, it is only suitable for a small percentage of patients.

Keywords:
Thyroidectomy
Endoscopic surgery
Robotic surgery
Remote access
Surgical wound
Resumen

La tiroidectomía endoscópica transoral por vía vestibular (TOETVA) es una técnica novedosa que permite abordar el tiroides sin cicatrices visibles, ya que se realiza a través de un orificio natural. Tiene su origen en Asia debido a que, por motivos culturales, una cicatriz en el cuello puede ser considerada un estigma. Esta técnica, tal y como la conocemos ahora y sus resultados preliminares, fueron comunicados por primera vez por Angkoon Anuwong en agosto del 2015 en el congreso mundial de cirugía de la International Association of Endocrine Surgeons (IAES) en Bangkok.

Con el objetivo de difundir el abordaje transoral, lo explicamos paso a paso para que pueda ser reproducido con seguridad y considerado como uno más en el contexto terapéutico de la cirugía endocrina. No obstante, somos conscientes de que, como ocurre con la mayoría de los accesos remotos, solo es aplicable para un pequeño porcentaje de pacientes.

Palabras clave:
Tiroidectomía
Cirugía endoscópica
Cirugía robótica
Acceso remoto
Cicatriz

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