Transoral Endoscopic Vestibular Approach Technique: Steps, Tips, and Pearls

Since transoral endoscopic thyroidectomy vestibular approach (TOETVA) has been reported to be safe and feasible in 2016 by Anuwong and the team, this technique is becoming widespread across the world. This chapter is going to tell you about how TOETVA should be set up in many aspects, including patient selection and contraindications. The operating room set up is also key to successful surgery. Each step of thyroid lobectomy, total thyroidectomy, central neck lymph node dissection, and reoperation is described separately and in detail with pictures of the critical area. This article will update the management of conditions that may cause complications during surgery and after surgery according to new evidence.