Transoral Endoscopic Modified Radical Neck Dissection for Papillary Thyroid Carcinoma

Background Recently, transoral endoscopic thyroidectomy via the vestibular approach (TOETVA) has become popular worldwide.1–3 After controlling for technique, authors used to modified radical neck dissection (MRND) papillary thyroid carcinoma with clinically positive lymph nodes in lateral compartments. To best of their knowledge, report first case TOETVA MRND. Patient A 27-year-old woman had a diagnosis cT1aN1bM0 right (metastatic small level 4 node). Therefore, total thyroidectomy, bilateral central dissection, and MRND levels 2, 3, were performed approach. Methods Total node dissections based on three-trocar Anuwong technique.4 Then, fourth incision was made near sixth teeth oral area insertion 5-mm trocar, which expose compartment perform easily. Results The operation completed successfully without conversion open surgery. operative time 170 min, operating 55 min. numbers harvested 7 8 compartments, respectively. metastatic 2 1 No major postoperative complications occurred. Conclusion Transoral can be feasible safe highly selected patients.