Patient Eligibility for Transoral Endoscopic Thyroidectomy Vestibular Approach in an Endemic Region

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dc.authoridTürk, Yiğit/0000-0001-9755-8163
dc.authoridözdemir, Murat/0000-0002-4717-4337
dc.authoridTurk, Yigit/0000-0001-9755-8163
dc.authorwosidTürk, Yiğit/AAQ-1937-2020
dc.authorwosidözdemir, Murat/AHA-1645-2022
dc.authorwosidTurk, Yigit/GLQ-8984-2022
dc.contributor.authorKose, Ozgun Cevdet
dc.contributor.authorTurk, Yigit
dc.contributor.authorOzdemir, Murat
dc.contributor.authorMakay, Ozer
dc.contributor.authorIcoz, Gokhan
dc.date.accessioned2023-01-12T20:10:50Z
dc.date.available2023-01-12T20:10:50Z
dc.date.issued2021
dc.departmentN/A/Departmenten_US
dc.description.abstractObjective: Transoral endoscopic thyroidectomy vestibular approach ( TOETVA) is a scarless method that enables thyroidectomyusing natural orifice of the body. The opinion which is even common among TOETVA performing surgeons is that this surgery involves a small percentage of thyroidectomy applied patients. In this study, based on the currently accepted exclusion criteria, we aimed to determine what percentage of patients, who underwent thyroidectomy in an endemic area are actually suitable for TOETVA. Methods: Between January 2017 and December 2019, 1197 consecutive patients who underwent surgery for thyroid pathology in our clinic were analyzed retrospectively. Pre-operative evaluations were made according to the current exclusion criteria and as a result, patients with no previous neck surgery, no history of radiotherapy, no retrosternal thyroid extension, and none lymph node dissection operation been made and whose thyroid gland diameter is <10 cm and gland volume is not more than 45 ml, malignant nodule diameter is <2 cm, and benign nodule diameter is <4 cm are involved to this study by being considered appropriate for TOETVA procedure. Results: According to the criteria, 513 patients (42.8%) were found suitable for TOETVA. A total of 421 (82%) of these patients were female and 92 (18%) were male. The mean age was 46.2 +/- 13.2. A total of 192 (37%) of these patients were operated due to the benign reasons, and 321 (63%) of these patients operated due to the malignancy or suspicion of malignancy. Average nodule size was 1.9 cm, and the average thyroid volume was 23.8 ml among benign patients. Whereas among malignant patients, the average nodule size was 1.7 cm and the average thyroid volume was 21.8 ml. A total of 462 (90.1%) of the patients were applied to the total thyroidectomy and 51 (9.9%) of the patients were applied to the hemithyroidectomy. In the same period, 29 patients operated through TOETVA and 4 patients operated through bilateral axillary breast approach thyroidectomy. When the final pathology, results of the patients were examined, papillary thyroid carcinoma was seen in 301 (58.7%) patients, benign pathologies were seen in 192 (37.4%) patients, and 20 (3.9%) patients were diagnosed with other pathologies (follicular thyroid carcinoma, poorly differentiated carcinoma and Hurthle cell neoplasia, etc.). Conclusion: Although patient willingness factor could not be included in the study, TOETVA eligible patient repository is wider contrary to popular belief. In our humble opinion, TOETVA method is going to pursue its spread and become a part of the routine surgical training session due to its effectiveness in terms of credibility in today's world where cosmetic concerns gradually gain prominence.en_US
dc.identifier.doi10.14744/SEMB.2021.87160
dc.identifier.endpage309en_US
dc.identifier.issn1302-7123
dc.identifier.issn1308-5123
dc.identifier.issue3en_US
dc.identifier.pmid34712070en_US
dc.identifier.startpage304en_US
dc.identifier.trdizinid485010en_US
dc.identifier.urihttps://doi.org/10.14744/SEMB.2021.87160
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/485010
dc.identifier.urihttps://hdl.handle.net/11454/77953
dc.identifier.volume55en_US
dc.identifier.wosWOS:000702751500004en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherKare Publen_US
dc.relation.ispartofMedical Bulletin of Sisli Etfal Hospitalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectMinimally invasive endoscopic thyroidectomyen_US
dc.subjectScarless thyroidectomyen_US
dc.subjectTransoral endoscopic thyroidectomy vestibular approachen_US
dc.subjectSurgeryen_US
dc.subjectSafetyen_US
dc.subjectScaren_US
dc.titlePatient Eligibility for Transoral Endoscopic Thyroidectomy Vestibular Approach in an Endemic Regionen_US
dc.typeArticleen_US

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