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 / D. Zhang, C. Wu, D. Inversini, H. Yub Kim, A. Anuwong, A. Bacuzzi, G. Dionigi. - In: SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES. - ISSN 1530-4515. - 28:5(2018), pp. e94-e99. [10.1097/SLE.0000000000000555]

Lessons Learned From a Faulty Transoral Endoscopic Thyroidectomy Vestibular Approach

G. Dionigi
Ultimo
2018

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.
endoscopic thyroidectomy; morbidity; pneumomediastinum; subcutaneous emphysema; TOETVA; transoral thyroidectomy
Settore MED/18 - Chirurgia Generale
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/884962
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