简介：
Overview
This article presents a detailed protocol for the transoral endoscopic thyroidectomy vestibular approach (TOETVA), highlighting its advantages in clinical practice. The methodology aims to improve the application of TOETVA and reduce the learning curve for practitioners.
Key Study Components
Area of Science
- Surgical techniques
- Thyroid surgery
- Endoscopic procedures
Background
- TOETVA offers full exposure and dissection of central lymph nodes.
- It is particularly beneficial for treating differentiated thyroid carcinoma with cN1A.
- The approach has some drawbacks, including a narrow operating area.
- Exposure of the external branch of the superior laryngeal nerve can be challenging.
Purpose of Study
- To provide a comprehensive protocol for TOETVA.
- To enhance the surgical technique's application in clinical settings.
- To facilitate a smoother learning curve for new practitioners.
Methods Used
- Ultrasonic scalpel for patient anesthetization.
- Creation of a working space between the sternocleidomastoid muscles.
- Division of the linea alba colli with an ultrasonic scalpel.
- Use of a 20 milliliter needle to pierce the skin for muscle separation.
Main Results
- Improved exposure of the surgical area.
- Enhanced dissection capabilities for lymph nodes.
- Reduction in the learning curve for surgeons.
- Successful application of the protocol in clinical practice.
Conclusions
- TOETVA is a valuable technique for thyroid surgery.
- The protocol enhances surgical outcomes and efficiency.
- Further training and practice can mitigate the technique's challenges.
What is TOETVA?
TOETVA stands for transoral endoscopic thyroidectomy vestibular approach, a minimally invasive surgical technique for thyroid surgery.
What are the advantages of TOETVA?
TOETVA allows for full exposure of central lymph nodes and is beneficial in treating differentiated thyroid carcinoma.
What are the challenges associated with TOETVA?
Challenges include a narrow operating area and difficulty in exposing the external branch of the superior laryngeal nerve.
How does the protocol improve TOETVA?
The protocol provides detailed steps that enhance the application of TOETVA and reduce the learning curve for surgeons.
What tools are used in the TOETVA procedure?
An ultrasonic scalpel and a 20 milliliter needle are commonly used during the procedure.
Is TOETVA suitable for all patients?
TOETVA is particularly advantageous for patients with differentiated thyroid carcinoma, but suitability should be assessed on a case-by-case basis.
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