Minimally invasive video-assisted thyroidectomy

Background: In this paper we describe the results of our personal technique for minimally invasive video-assisted thyroidectomy (MIVAT). Methods: Sixty-seven patients were selected for MIVAT. Selection criteria were nodule size less than 30 mm, thyroid volume less than 20 mL, no thyroiditis, no prev...

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Bibliographic Details
Published in:The American journal of surgery 2001-06, Vol.181 (6), p.567-570
Main Authors: Miccoli, Paolo, Berti, Piero, Raffaelli, Marco, Conte, Massimo, Materazzi, Gabriele, Galleri, David
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Biological and medical sciences
Biopsy
Cancer
Cicatrix - prevention & control
Dissection
Endoscopy
Female
Goiter
Histology
Humans
Hypocalcemia
Irradiation
Male
Medical sciences
Middle Aged
Minimally Invasive Surgical Procedures
Minimally invasive thyroidectomy
Paralysis
Patients
Skin
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of endocrine glands
Thoracic surgery
Throat
Thyroid
Thyroid gland
Thyroid Nodule - pathology
Thyroid Nodule - surgery
Thyroid surgery
Thyroidectomy
Thyroidectomy - methods
Thyroiditis
Treatment Outcome
Tumors
Ultrasonic imaging
Video-Assisted Surgery - methods
Video-assisted technique
Video-assisted thyroidectomy
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Summary:Background: In this paper we describe the results of our personal technique for minimally invasive video-assisted thyroidectomy (MIVAT). Methods: Sixty-seven patients were selected for MIVAT. Selection criteria were nodule size less than 30 mm, thyroid volume less than 20 mL, no thyroiditis, no previous neck surgery or irradiation. The procedure, totally gasless, is carried out through a 15-mm central incision above the sternal notch. Dissection is performed under endoscopic vision, using conventional and endoscopic instruments. Results: We performed 51 lobectomies and 15 total thyroidectomies. Mean operative time was 73.6 minutes for lobectomy and 109.6 minutes for total thyroidectomy. Conversion to open procedure was required twice (3%). We observed 2 cases of transient postoperative hypocalcemia and 1 case of transient recurrent laryngeal nerve palsy. The cosmetic result was considered excellent by most patients. Conclusions: MIVAT is safe and feasible. The indications are limited at present, but the results are encouraging, and we are optimistic about the future expansion of its applicability.
ISSN:0002-9610
1879-1883
DOI:10.1016/S0002-9610(01)00625-0