Department of Head and Neck Surgery, Vietnam National Cancer Hospital, Thanh Tri District.
Hanoi Medical University, Dong Da District, Hanoi, Vietnam.
Surg Laparosc Endosc Percutan Tech. 2020 Jun;30(3):209-213. doi: 10.1097/SLE.0000000000000764.
Transoral endoscopic thyroidectomy vestibular approach (TOETVA) can be applied to many health facilities worldwide, even in places whose medical facilities have not developed yet. To that end, our hospital is the first hospital to deploy this novel technique in Vietnam. In the study, the authors will evaluate the safety and efficacy of TOETVA, which was initially performed on patients in Vietnam.
A TOETVA research was conducted on 28 patients in hospital K from January 1, 2018 to May 31, 2019. The surgical outcomes, cosmetic results, and complications were evaluated.
The mean operative time was 91 minutes (70 to 130 min). There were no cases with temporary and permanent hypoparathyroidism in the patients. One patient had temporary mental nerve injury recovered completely after 14-day surgery. No case used drains in patients. All patients were highly satisfied with the surgical outcome, especially, cosmetic results.
TOETVA is a safe and feasible technique with acceptable complication rates and good outcomes. The authors will carry on this procedure for selected patients. TOETVA should not only be performed in some countries with well-developed health care systems but also be done in other developing countries worldwide.
经口内镜甲状腺手术（TOETVA）可在世界范围内应用于许多医疗机构，甚至在医疗设施尚未发展的地方。为此，我们医院是越南第一家采用这种新技术的医院。在这项研究中，作者将评估 TOETVA 在越南患者中初步应用的安全性和有效性。
对 2018 年 1 月 1 日至 2019 年 5 月 31 日期间在 K 医院接受 TOETVA 的 28 例患者进行了研究。评估了手术结果、美容效果和并发症。
平均手术时间为 91 分钟（70 至 130 分钟）。患者中无暂时性和永久性甲状旁腺功能减退症病例。1 例患者术后 14 天出现暂时性喉返神经损伤，完全恢复。患者均未使用引流管。所有患者对手术结果均非常满意，尤其是美容效果。
TOETVA 是一种安全可行的技术，其并发症发生率可接受，效果良好。作者将继续为选定的患者开展此项手术。TOETVA 不仅应在医疗保健系统发达的国家开展，也应在全球其他发展中国家开展。
