Benefits and Limitations in Transoral Endoscopic Thyroidectomy

Transoral endoscopic thyroidectomy (TOET) is the recent remote access approach which leaves no cutaneous scar in the body. It has advantages in minimize the surgical dissection, could perform total thyroidectomy and central lymph node dissection easily under a good surgical view. TOET has gained popularity in both the East and Western countries since the first large series report by Dr. Anuwong in 2016. In this article we described and critically analyze the indications and contraindications, advantages and limitations, landmarks for recurrent laryngeal nerve and strategies for superior pole dissection in transoral thyroidectomy.