The transoral endoscopic thyroidectomy vestibular approach (TOETVA) represents a new remote access endoscopic technique for thyroid gland excision. Remote access or “hidden scar” endoscopic thyroid surgery comprises a constellation of approaches to the thyroid gland in which incisions are strategically placed in inconspicuous locations away from the neck and a laparoscopic camera is used to visualize the operative field.1-3 While several large case series have shown the efficacy of the transaxillary endoscopic thyroidectomy (TET), retroauricular, and bilateral axillo-breast approach (BABA) techniques, the Achilles’ heel of these approaches is the considerable dissection that is required to gain access to the thyroid gland, which leads to increased operative time. Moreover, these operations are often performed using a robotic platform that raises a host of health care concerns, such as increased cost, lack of standardized training and credentialing, and compromised access to care based on availability of the robotic system.
Inabnet WB, Fernandez-Ranvier G, Suh H. Transoral Endoscopic Thyroidectomy—An Emerging Remote Access Technique for Thyroid Excision. JAMA Surg. 2018;153(4):376–377. doi:10.1001/jamasurg.2017.5306
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: