The Role of High-Resolution Ultrasound in the Assessment of Surgical Candidates for Transoral Endoscopic Thyroidectomy Via Vestibular Approach (TOETVA)
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/19038 |
Resumo: | The approach of surgical techniques has evolved significantly over the last decade, with natural orifice surgeries replacing traditional open approaches. In 2016, Angkoon Anuwong, in Thailand, demonstrated it was possible to perform thyroidectomies in a series of patients by a transoral endoscopic ap-proach – transoral endoscopy thyroidectomy vestibular approach (TOETVA) – with similar complication rates when compared to conventional surgeries. This transoral surgery has become a safe alternative with better cosmetic results, compared to conventional open-route procedures, like Kocher cervi-cotomy. Indeed, it is an option to surgically treat neoplastic and functional thyroid diseases. The technique is performed through a median incision in the oral vestibule, plus two bilateral incisions, followed by the insertion of three trocars, one centrally for a camera, and two laterally for working instruments. Although revolutionary, TOETVA has its technical limitations. Therefore, it is important to precisely define the preoperative eligibility criteria for this type of surgical approach. High-resolution ultrasound is the first imaging modality for the assessment of thyroid nodules, lymph node metastases and surgical field. The aim of this article is to outline the sonographic technique and the role of high-resolution ultrasound in the presurgical evaluation of TOETVA. |
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The Role of High-Resolution Ultrasound in the Assessment of Surgical Candidates for Transoral Endoscopic Thyroidectomy Via Vestibular Approach (TOETVA)Papel da Ecografia de Alta Resolução na Avaliação dos Candidatos a Tiroidectomia Endoscópica Trans-Oral por Acesso Vestibular (TOETVA)EndoscopyNatural Orifice Endoscopic SurgeryThyroid Neoplasms/surgeryThyroidectomyCirurgia Endoscópica de Orifício NaturalEndoscopiaNeoplasias da Tiróide/cirurgiaTiroidectomiaThe approach of surgical techniques has evolved significantly over the last decade, with natural orifice surgeries replacing traditional open approaches. In 2016, Angkoon Anuwong, in Thailand, demonstrated it was possible to perform thyroidectomies in a series of patients by a transoral endoscopic ap-proach – transoral endoscopy thyroidectomy vestibular approach (TOETVA) – with similar complication rates when compared to conventional surgeries. This transoral surgery has become a safe alternative with better cosmetic results, compared to conventional open-route procedures, like Kocher cervi-cotomy. Indeed, it is an option to surgically treat neoplastic and functional thyroid diseases. The technique is performed through a median incision in the oral vestibule, plus two bilateral incisions, followed by the insertion of three trocars, one centrally for a camera, and two laterally for working instruments. Although revolutionary, TOETVA has its technical limitations. Therefore, it is important to precisely define the preoperative eligibility criteria for this type of surgical approach. High-resolution ultrasound is the first imaging modality for the assessment of thyroid nodules, lymph node metastases and surgical field. The aim of this article is to outline the sonographic technique and the role of high-resolution ultrasound in the presurgical evaluation of TOETVA.Em muitas técnicas cirúrgicas, o acesso tem evoluído significativamente ao longo da última década, com a substituição das técnicas abertas tradicio-nais pela utilização dos orifícios naturais. Em 2016, na Tailândia, Angkoon Anuwong demonstrou, numa série de doentes, não só ser possível realizar tiroidectomias por via endoscópica oral, de que é exemplo a transoral endoscopy thyroidectomy vestibular approach (TOETVA), como também provou obter, com o mesmo acesso, taxas de complicações comparáveis às da cirurgia convencional. Esta cirurgia transoral tem-se tornado uma alternativa segura e com resultados cosméticos superiores aos procedimentos realizados pela cirurgia aberta, baseada na clássica cervicotomia de Kocher. De facto, é uma opção para o tratamento cirúrgico de doenças neoplásicas e funcionais da tiroide. A TOETVA é realizada através de uma incisão mediana no vestíbulo oral e duas incisões laterais, seguida da inserção de três trocartes, um central, que alberga a óptica e dois laterais para os instrumentos cirúrgicos de trabalho. A TOETVA, apesar de revolucionária, tem as suas limitações técnicas. Assim, é importante definir os critérios de elegibilidade numa avaliação pré-cirúrgica. A ecografia cervical de alta resolução é a modalidade de escolha na avaliação dos nódulos tiroideus, de eventuais me-tástases ganglionares e do campo cirúrgico. O objetivo deste artigo é descrever a técnica e o papel da ecografia cervical de alta-resolução na avaliação pré-cirúrgica da TOETVA.Ordem dos Médicos2023-03-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/19038Acta Médica Portuguesa; Vol. 36 No. 3 (2023): March; 212-217Acta Médica Portuguesa; Vol. 36 N.º 3 (2023): Março; 212-2171646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/19038https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/19038/15080Direitos de Autor (c) 2023 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessRebelo, BeatrizNogueira, RicardoHorta, Mariana2023-03-05T03:00:38Zoai:ojs.www.actamedicaportuguesa.com:article/19038Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:48:14.006571Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
The Role of High-Resolution Ultrasound in the Assessment of Surgical Candidates for Transoral Endoscopic Thyroidectomy Via Vestibular Approach (TOETVA) Papel da Ecografia de Alta Resolução na Avaliação dos Candidatos a Tiroidectomia Endoscópica Trans-Oral por Acesso Vestibular (TOETVA) |
title |
The Role of High-Resolution Ultrasound in the Assessment of Surgical Candidates for Transoral Endoscopic Thyroidectomy Via Vestibular Approach (TOETVA) |
spellingShingle |
The Role of High-Resolution Ultrasound in the Assessment of Surgical Candidates for Transoral Endoscopic Thyroidectomy Via Vestibular Approach (TOETVA) Rebelo, Beatriz Endoscopy Natural Orifice Endoscopic Surgery Thyroid Neoplasms/surgery Thyroidectomy Cirurgia Endoscópica de Orifício Natural Endoscopia Neoplasias da Tiróide/cirurgia Tiroidectomia |
title_short |
The Role of High-Resolution Ultrasound in the Assessment of Surgical Candidates for Transoral Endoscopic Thyroidectomy Via Vestibular Approach (TOETVA) |
title_full |
The Role of High-Resolution Ultrasound in the Assessment of Surgical Candidates for Transoral Endoscopic Thyroidectomy Via Vestibular Approach (TOETVA) |
title_fullStr |
The Role of High-Resolution Ultrasound in the Assessment of Surgical Candidates for Transoral Endoscopic Thyroidectomy Via Vestibular Approach (TOETVA) |
title_full_unstemmed |
The Role of High-Resolution Ultrasound in the Assessment of Surgical Candidates for Transoral Endoscopic Thyroidectomy Via Vestibular Approach (TOETVA) |
title_sort |
The Role of High-Resolution Ultrasound in the Assessment of Surgical Candidates for Transoral Endoscopic Thyroidectomy Via Vestibular Approach (TOETVA) |
author |
Rebelo, Beatriz |
author_facet |
Rebelo, Beatriz Nogueira, Ricardo Horta, Mariana |
author_role |
author |
author2 |
Nogueira, Ricardo Horta, Mariana |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Rebelo, Beatriz Nogueira, Ricardo Horta, Mariana |
dc.subject.por.fl_str_mv |
Endoscopy Natural Orifice Endoscopic Surgery Thyroid Neoplasms/surgery Thyroidectomy Cirurgia Endoscópica de Orifício Natural Endoscopia Neoplasias da Tiróide/cirurgia Tiroidectomia |
topic |
Endoscopy Natural Orifice Endoscopic Surgery Thyroid Neoplasms/surgery Thyroidectomy Cirurgia Endoscópica de Orifício Natural Endoscopia Neoplasias da Tiróide/cirurgia Tiroidectomia |
description |
The approach of surgical techniques has evolved significantly over the last decade, with natural orifice surgeries replacing traditional open approaches. In 2016, Angkoon Anuwong, in Thailand, demonstrated it was possible to perform thyroidectomies in a series of patients by a transoral endoscopic ap-proach – transoral endoscopy thyroidectomy vestibular approach (TOETVA) – with similar complication rates when compared to conventional surgeries. This transoral surgery has become a safe alternative with better cosmetic results, compared to conventional open-route procedures, like Kocher cervi-cotomy. Indeed, it is an option to surgically treat neoplastic and functional thyroid diseases. The technique is performed through a median incision in the oral vestibule, plus two bilateral incisions, followed by the insertion of three trocars, one centrally for a camera, and two laterally for working instruments. Although revolutionary, TOETVA has its technical limitations. Therefore, it is important to precisely define the preoperative eligibility criteria for this type of surgical approach. High-resolution ultrasound is the first imaging modality for the assessment of thyroid nodules, lymph node metastases and surgical field. The aim of this article is to outline the sonographic technique and the role of high-resolution ultrasound in the presurgical evaluation of TOETVA. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-03-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/19038 |
url |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/19038 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/19038 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/19038/15080 |
dc.rights.driver.fl_str_mv |
Direitos de Autor (c) 2023 Acta Médica Portuguesa info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Direitos de Autor (c) 2023 Acta Médica Portuguesa |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Ordem dos Médicos |
publisher.none.fl_str_mv |
Ordem dos Médicos |
dc.source.none.fl_str_mv |
Acta Médica Portuguesa; Vol. 36 No. 3 (2023): March; 212-217 Acta Médica Portuguesa; Vol. 36 N.º 3 (2023): Março; 212-217 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799130952987836416 |