Trans Oral Endoscopic Thyroidectomy Vestibular Approach (TOETVA): A Case Report as a New Procedure in Iraq

Introduction: The transoral endoscopic thyroidectomy vestibular approach; Is a new pioneering procedure, natural orifice surgery, truly scar free and involves minimal dissection, thus resulting in excellent cosmetic results and decreased post-operative complications. Case Report: A 25-year-old female presented with a benign multinodular goiter 2 years duration. She requested a surgery that would leave her with a minimal or no scar. She was scheduled to undergo transoral endoscopic thyroidectomy vestibular approach. Results: The operative time was (150 minutes), the patient was discharged from hospital on the second postoperative day, there were no intratoperative complications or mortality and the only postoperative complication that reported during this study was the mild seroma and swelling in the anterior aspect of the neck which resolved completely within two weeks. Conclusion: The transoral endoscopic thyroidectomy vestibular approach (TOETVA) is a safe, feasible and easy to performed procedure when the patient selected properly and the operating surgeon has a good experience in laparoscopic surgery and in conventional open thyroidectomy. The long operative time of this approach will decrease with experience.