Using thiel embalmed cadavers for training in transoral endoscopic thyroidectomy vestibular approach (TOETVA) : is it feasible?

Abstract

Transoral endoscopic thyroidectomy through a vestibular approach (TOETVA) is a relatively new technique that has been increasing in its importance when compared with other endoscopic platforms for thyroidectomy. The advantages that this technique offers over other endoscopic procedures for thyroidectomy include the absence of a scar and the short length that needs to be dissected so that the target organ is reached. Throughout the world there are increasing limitations in the amount of time trainees are allowed to stay in hospitals during their formative years. This has resulted in an appreciable strain on the training quality of surgeons. Thiel embalming has been shown to offer a good alternative for surgical training experience in conventional thyroid surgery. This study aimed to reproduce the published technique of TOETVA in Thiel embalmed cadavers to assess the feasibility of this setup for training surgeons.