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.

Lessons learned from a faulty transoral endoscopic thyroidectomy vestibular approach

Inversini D.;Bacuzzi A.;Dionigi G.
2018-01-01

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.
2018
endoscopic thyroidectomy; morbidity; pneumomediastinum; subcutaneous emphysema; TOETVA; transoral thyroidectomy; Adult; Female; Humans; Mediastinal Emphysema; Mouth; Natural Orifice Endoscopic Surgery; Operative Time; Postoperative Complications; Subcutaneous Emphysema; Thyroid Nodule; Thyroidectomy
Zhang, D.; Wu, C. -W.; Inversini, D.; Kim, H. Y.; Anuwong, A.; Bacuzzi, A.; Dionigi, G.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11383/2129629
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