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Issue: Vol. 56
Section: Research Article
DOI: 10.47972/vjcts.v56i.1797
Date Published: 31/07/2026
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How to Cite
Nong, H. T., Tran, H. Q., Nguyen, V. C., & Dang, L. H. N. (2026). Transoral Endoscopic Thyroidectomy: Early Outcomes at Military Hospital 175. The Vietnam Journal of Cardiovascular and Thoracic Surgery, 56, 94 - 101. https://doi.org/10.47972/vjcts.v56i.1797

Transoral Endoscopic Thyroidectomy: Early Outcomes at Military Hospital 175

Huu Tho Nong1, , Hong Quang Tran1, Viet Cuong Nguyen1, Le Hong Ngan Dang2
1 Department of Thoracic Surgery, Military Hospital 175
2 Cardiothoracic Intensive Care Unit, Tam Anh General Hospital

Main Article Content

Abstract

Background: Transoral endoscopic thyroidectomy vestibular approach (TOETVA) offers genuinely scarless access to the thyroid gland, yet institutional data from Vietnam remain sparse. We report the early outcomes at Military Hospital 175 following introduction of the technique in January 2024.


Methods: A prospective descriptive case series of 65 consecutive patients undergoing TOETVA at Military Hospital 175 between November 2025 and May 2026. Primary endpoints were operative time, estimated blood loss, length of hospital stay, early complication rates, postoperative pain assessed by visual analogue scale (VAS) on day 1, and cosmetic satisfaction (VAS at 1 month post-operatively).


Results: The cohort was predominantly female (86.2%; mean age 31 ± 9.7 years). Mean operative time was 90 min (range 70–120), mean blood loss 6.67 ± 2.3 mL, and mean hospital stay 7.1 ± 1.8 days. Transient complications included mental nerve paraesthesia (12.3%), temporary hoarseness (7.7%), delayed vocal recovery (3.1%), and cervical seroma (4.6%). One patient developed transient hypocalcaemia (1.5%). Two cases (3.1%) required conversion to open surgery, both due to uncontrolled intraoperative haemorrhage. No permanent complications were observed. Cosmetic satisfaction VAS at 1 month was 7.4 ± 0.9, with 55.4% of patients reporting very high satisfaction (VAS ≥ 8).


Conclusion: TOETVA is safe and feasible during the early institutional implementation phase, with a complication profile comparable to published international series and high patient-reported cosmetic satisfaction. Expansion within the Vietnamese military and civilian healthcare system is warranted for appropriately selected patients.

Keywords

TOETVA, thyroid surgery, transoral endoscopic thyroidectomy, early outcomes, cosmetic satisfaction, Military Hospital 175

Article Details

References

1. Tran NQ, Le BH, Hoang CK, Nguyen HT, Thai TT. Prevalence of Thyroid Nodules and Associated Clinical Characteristics: Findings from a Large Sample of People Undergoing Health Checkups at a University Hospital in Vietnam. Risk Manag Healthc Policy. 2023 May 17;16:899–907. doi:10.2147/RMHP.S410964 PubMed PMID: 37220482; PubMed Central PMCID: PMC10200104.
2. Sethukumar P, Ly D, Awad Z, Tolley NS. Scar satisfaction and body image in thyroidectomy patients: prospective study in a tertiary referral centre. J Laryngol Otol. 2018 Jan;132(1):60–7. doi:10.1017/S0022215117002158 PubMed PMID: 29143715.
3. Miccoli P, Berti P, Raffaelli M, Conte M, Materazzi G, Galleri D. Minimally invasive video-assisted thyroidectomy. Am J Surg. 2001 Jun;181(6):567–70. doi:10.1016/s0002-9610(01)00625-0 PubMed PMID: 11513788.
4. Anuwong A. Transoral Endoscopic Thyroidectomy Vestibular Approach: A Series of the First 60 Human Cases. World J Surg. 2016 Mar;40(3):491–7. doi:10.1007/s00268-015-3320-1 PubMed PMID: 26546193.
5. Russell JO, Razavi CR, Shaear M, Liu RH, Chen LW, Pace-Asciak P, et al. Transoral Thyroidectomy: Safety and Outcomes of 200 Consecutive North American Cases. World J Surg. 2021 Mar;45(3):774–81. doi:10.1007/s00268-020-05874-8 PubMed PMID: 33205227.
6. Xuan Nguyen H, Nguyen HX, Thi Hoang H, Van Le Q. Quality of Life and Surgical Outcome of Transoral Endoscopic Thyroidectomy Vestibular Approach (TOETVA) versus Open Thyroid Surgery: Experience from a Single Center in Vietnam. J Thyroid Res. 2022 Oct 11;2022:2381063. doi:10.1155/2022/2381063 PubMed PMID: 36268522; PubMed Central PMCID: PMC9578921.
7. Delgado DA, Lambert BS, Boutris N, McCulloch PC, Robbins AB, Moreno MR, et al. Validation of Digital Visual Analog Scale Pain Scoring With a Traditional Paper-based Visual Analog Scale in Adults. J Am Acad Orthop Surg Glob Res Rev. 2018 Mar;2(3):e088. doi:10.5435/JAAOSGlobal-D-17-00088 PubMed PMID: 30211382; PubMed Central PMCID: PMC6132313.
8. Razavi CR, Vasiliou E, Tufano RP, Russell JO. Learning Curve for Transoral Endoscopic Thyroid Lobectomy. Otolaryngol--Head Neck Surg Off J Am Acad Otolaryngol-Head Neck Surg. 2018 Oct;159(4):625–9. doi:10.1177/0194599818795881 PubMed PMID: 30126330; PubMed Central PMCID: PMC6214162.
9. Lira RB, De Cicco R, Rangel LG, Bertelli AA, Duque Silva G, de Medeiros Vanderlei JP, et al. Transoral endoscopic thyroidectomy vestibular approach: Experience from a multicenter national group with 412 patients. Head Neck. 2021 Nov;43(11):3468–75. doi:10.1002/hed.26846 PubMed PMID: 34382715.