Objectives Large Basedow goiter often pose challenges for endoscopic surgery due to their increase risk of bleeding and potential contraindications. This study aimed to share our experience with preoperative preparation and intraoperative techniques for effectively managing these cases


Methods Retrospective analysis were conducted on four pationts with large Basedow goiters who underwent endoscopic Thyroidectomy(TOETVA) between June, 2021- March 2024 at Vinh Duc hospital, Vietnam. Patient demographics, preoperative thyroid funtion tests, operative time, posoperative complications and long term outcomes were collected


Results THe largest goiter volume is 48 cm3, the mean operation time was 5 hours and 16 minutes. No stably, no drainage was required and there were no instance of posoperative bleeding, hoarseness or hypoglycemia... Thyroid funtion improved significantly and patients satisfaction was excellent, particularly regarding cosmeetic outcomes


Conclusions TOETVA demontrated promising results in the management of large Basedow goiter. With careful pteoperative planning and skilled of technique, endoscopis sugery can offer excellent outcomes compares to traditional open aurgery thyroidectomy. Further studies with large sample size are need to validate these findings and establish guidelines for the optimal use of TOTEVA in these pationt population.