• Ear Nose Throat J · Aug 2020

    Transoral Endoscopic Thyroidectomy via Vestibular Approach With 4 Trocars: A New Technique.

    • Duy Quoc Ngo, Toan Duc Tran, Quy Xuan Ngo, and Quang Van Le.
    • Department of Head and Neck Surgery, Vietnam National Cancer Hospital, Hanoi, Vietnam.
    • Ear Nose Throat J. 2020 Aug 14: 145561320943358.

    ObjectivesThe objective of this study was to report the feasibility and safety of a novel 4-trocar approach for transoral endoscopic thyroidectomy via the vestibular.MethodsIn this study, we first used 4 trocars via vestibular area to perform transoral endoscopic thyroidectomy. We reported the safety and surgical feasibility of transoral endoscopic thyroidectomy using a 4-trocar technique in our institute from February 1, 2020, to May 10, 2020.ResultsTransoral endoscopic thyroidectomy via the vestibular approach using 4 trocars was carried out in 5 patients. No complications such as bleeding, mental nerve injury, recurrent laryngeal nerve injury, or hypoparathyroidism were reported. All patients were completely satisfied with the cosmetic results.ConclusionsTransoral endoscopic thyroidectomy with 4 trocars via vestibular approach is an effective and feasible method. Markedly, this technique can assist surgeons to expose and preserve both parathyroid glands and recurrent laryngeal nerve easily when performing transoral endoscopic thyroidectomy.

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