Hand-side matching in TOETVA: assessing feasibility and surgical outcomes through learning curve and propensity score-matched cohorts - Takeaways - MDSpire

Hand-side matching in TOETVA: assessing feasibility and surgical outcomes through learning curve and propensity score-matched cohorts

  • By

  • Xiaoyong Wen

  • Wu Li

  • Shiwei Zhou

  • Yu Mao

  • Zeyang Liu

  • Hui Li

  • Yulong Tang

  • Xiaohua Song

  • Xiaowei Peng

  • Peng Wu

  • July 13, 2026

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  • 1

    TOETVA is an endoscopic thyroidectomy that avoids cervical incisions, providing a scarless neck and satisfactory exposure for central neck dissection.

  • 2

    The study compares surgical outcomes of hand-side matching versus traditional methods in TOETVA performed by right-hand-dominant surgeons.

  • 3

    Hand-side matching aims to align the surgeon's dominant hand with the operative side to improve ergonomics and reduce complications during surgery.

  • 4

    A total of 298 patients underwent unilateral TOETVA, with groups categorized based on whether the dominant hand matched the operative side.

  • 5

    Statistical analyses included propensity score matching to minimize confounding and assess outcomes between the hand-side matching and traditional approaches.

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