Hand-side matching in TOETVA: assessing feasibility and surgical outcomes through learning curve and propensity score-matched cohorts - Report - MDSpire
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Hand-side matching in TOETVA: assessing feasibility and surgical outcomes through learning curve and propensity score-matched cohorts
Clinical Report: Evaluating Hand-Side Matching in TOETVA Surgical Outcomes
Overview
This study investigates the feasibility of a hand-side matching strategy in transoral endoscopic thyroidectomy via the vestibular approach (TOETVA) and compares surgical outcomes between dominant-hand and non-dominant-hand approaches.
Background
Transoral endoscopic thyroidectomy via the vestibular approach (TOETVA) is a minimally invasive technique that avoids cervical incisions, addressing cosmetic concerns while providing adequate exposure for central neck dissection. However, the unique ergonomic challenges of TOETVA necessitate careful consideration of surgical technique, particularly for right-hand-dominant surgeons operating on the left lobe.
Data Highlights
No numerical data provided in the article.
Key Findings
Hand-side matching strategy was proposed to improve ergonomic efficiency in TOETVA.
Right-hand-dominant surgeons performed left-lobe key steps with the left hand in the NDH-TOETVA group.
All procedures were conducted by the same lead surgeon to maintain consistency.
Inclusion and exclusion criteria were strictly adhered to, ensuring a focused patient cohort.
Outcomes measured included operative time, estimated blood loss, and complications such as recurrent laryngeal nerve palsy.
Clinical Implications
The study presents findings on hand-side matching in TOETVA.
Conclusion
The findings support the feasibility of a hand-side matching approach in TOETVA.
