Transoral endoscopic thyroidectomy vestibular approach (TOETVA). Recommendations of the AFCE (Francophone Association of Endocrine Surgery) with the SFE (French Society of Endocrinology) and the SFMN (French Society of Nuclear Medicine) - Université de Lille Accéder directement au contenu
Article Dans Une Revue (Article De Synthèse) Journal of Visceral Surgery Année : 2023

Transoral endoscopic thyroidectomy vestibular approach (TOETVA). Recommendations of the AFCE (Francophone Association of Endocrine Surgery) with the SFE (French Society of Endocrinology) and the SFMN (French Society of Nuclear Medicine)

Résumé

Transoral endoscopic thyroidectomy vestibular approach (TOETVA) can be proposed for selected patients with a thyroid volume < 45 mL and/or a nodule < 4 cm (for Bethesda category II, III or IV lesions), or < 2 cm (for Bethesda category V or VI lesions), with no suspicion of lateral nodal involvement or mediastinal extension who wish to avoid a cervical scar. Such patients should have satisfactory dental status, have been educated on the specific risks of the transoral route and the need for perioperative oral care, and also fully informed regarding the lack of proof of TOETVA effectiveness in terms of quality of life and patient satisfaction. The patient should be made aware of the possibility of postoperative pain in the neck cervical and chin, which may persist for several days to a few weeks after the intervention. Transoral endoscopic thyroidectomy should be performed in centers with expertise in thyroid surgery.
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Dates et versions

hal-04564106 , version 1 (30-04-2024)

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Nathalie Chereau, Nunzia Cinzia Paladino, Claire Nomine Criqui, Christophe Tresallet, Grégoire Deroide, et al.. Transoral endoscopic thyroidectomy vestibular approach (TOETVA). Recommendations of the AFCE (Francophone Association of Endocrine Surgery) with the SFE (French Society of Endocrinology) and the SFMN (French Society of Nuclear Medicine). Journal of Visceral Surgery, 2023, Journal of Visceral Surgery, 160 (3), pp.S130-S133. ⟨10.1016/j.jviscsurg.2023.04.014⟩. ⟨hal-04564106⟩
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