Minimally invasive video-assisted thyroidectomy compared with conventional thyroidectomy in a general surgery department

2009 ◽  
Vol 23 (10) ◽  
pp. 2263-2267 ◽  
Author(s):  
Chiara Dobrinja ◽  
Giuliano Trevisan ◽  
Petra Makovac ◽  
Gennaro Liguori
Keyword(s):  
Minimally Invasive ◽  
General Surgery ◽  
Conventional Thyroidectomy ◽  
Video Assisted ◽  
Surgery Department

Minimally Invasive Video-Assisted Thyroidectomy versus Conventional Thyroidectomy in Pediatric Patients

2013 ◽  
Vol 24 (05) ◽  
pp. 398-402
Author(s):  
Claudio Spinelli ◽  
Carlo Ambrosini ◽  
Luca Tomisti ◽  
Carlotta Giani ◽  
Paolo Miccoli ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Pediatric Patients ◽  
Conventional Thyroidectomy ◽  
Video Assisted

scholarly journals Minimally invasive video-assisted thyroidectomy: a critical analysis of long-term cosmetic results using a validated tool

2019 ◽  
Vol 101 (3) ◽  
pp. 180-185 ◽  
Author(s):  
M Sahm ◽  
R Otto ◽  
M Pross ◽  
R Mantke
Keyword(s):  
Minimally Invasive ◽  
Conventional Group ◽  
Long Term Results ◽  
Cosmetic Results ◽  
Assessment Score ◽  
Conventional Thyroidectomy ◽  
Video Assisted ◽  
Scar Assessment

Introduction Since its first publication in 1997, minimally invasive video-assisted thyroidectomy (MIVAT) has developed into the predominant minimally invasive surgery of the thyroid. A major advantage over conventional thyroid surgery is the superior cosmetic result. However, there are still few data comparing the long-term cosmetic results of the two methods. This paper compares the long-term cosmetic results of the two methods, based on follow-up assessments. Methods Between 2004 and 2011, 143 preselected patients underwent a MIVAT in our department. Additionally, 134 patients underwent a conventional thyroidectomy in our hospital in 2011. A total of 117 patients from the MIVAT group and 102 patients from the conventional thyroidectomy group received follow-up assessments after 23.1 and 23.6 months, respectively, using the patient and observer scar assessment scale. Results The measurable cervical scar length averaged 1.9 cm in the MIVAT group and 3.9 cm in the conventional group (P < 0.001). Some 11.1% of the patients in the MIVAT group and 7.1% of the patients in the conventional group had developed keloid (P = 0.391). The patient scar assessment score was 10.4 for the MIVAT group compared with 9.9 for the conventional thyroidectomy group (P = 0.691) and the observer scare assessment score was 8.6 for MIVAT compared with 9.9 for conventional thyroidectomy (P = 0.011). Conclusion In the patient assessment instrument, conventional thyroidectomy had a small advantage over MIVAT in the cosmetic long-term results. This difference between the two groups was, however, not significant. Our result contradicts short-term cosmetic results of published randomized studies with improvement for MIVAT. The Observer Score demonstrates a significant advantage of the MIVAT.

scholarly journals Surgical Treatment of Low- and Intermediate-Risk Papillary Thyroid Cancer with Minimally Invasive Video-Assisted Thyroidectomy

2009 ◽  
Vol 94 (5) ◽  
pp. 1618-1622 ◽  
Author(s):  
Paolo Miccoli ◽  
Aldo Pinchera ◽  
Gabriele Materazzi ◽  
Agnese Biagini ◽  
Piero Berti ◽  
...  
Keyword(s):  
Thyroid Cancer ◽  
Minimally Invasive ◽  
Papillary Thyroid Cancer ◽  
Intermediate Risk ◽  
Papillary Thyroid ◽  
Conventional Thyroidectomy ◽  
Video Assisted ◽  
Group A ◽  
Group B

Abstract Background: Minimally invasive video-assisted thyroidectomy (MIVAT) was introduced in the clinical practice to treat small benign thyroid nodules. This method has recently been demonstrated to produce the same completeness as a conventional thyroidectomy in patients with papillary thyroid cancer (PTC). The low number of treated cases and the limited follow-up of these patients represent the major limitations of these studies. Objective: The aim of the study was to compare the outcome of two groups of PTC patients, one treated with MIVAT and the other with conventional thyroidectomy, after a median follow-up of 5 yr. Study Group: A total of 221 PTC patients were enrolled in this study according to the following criteria: 171 were treated with MIVAT (group A), and 50 were treated with conventional thyroidectomy (group B). Results: The outcome and the cumulative 131I activity administered to achieve curative status were compared. After a mean follow-up of 3.6 ± 1.5 yr (range, 1–8 yr; median, 5 yr), no differences were found between group A and group B. A similar rate of permanent hypoparathyroidism and/or nerve cord palsy was found in both groups. Conclusion: We demonstrated that PTC patients operated on with MIVAT had a good outcome after 5 yr. This was similar to the outcome of patients treated with conventional thyroidectomy and the same degree of exposure to 131I. These results, together with the evidence of a similar degree of completeness and rate of complications between the two surgical techniques, show that MIVAT is a valid option to treat low- and intermediate-risk PTC patients.

Comparison between minimally invasive video-assisted thyroidectomy and conventional thyroidectomy: A prospective randomized study

Surgery ◽  
2001 ◽  
Vol 130 (6) ◽  
pp. 1039-1043 ◽  
Author(s):  
Paolo Miccoli ◽  
Piero Berti ◽  
Marco Raffaelli ◽  
Gabriele Materazzi ◽  
Silvia Baldacci ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Randomized Study ◽  
Prospective Randomized Study ◽  
Conventional Thyroidectomy ◽  
Video Assisted

Minimally Invasive Video-Assisted Thyroidectomy for Follicular Neoplasm: Is There an Advantage Over Conventional Thyroidectomy?

2006 ◽  
Vol 13 (2) ◽  
pp. 182-186 ◽  
Author(s):  
Michael B. Ujiki ◽  
Cord Sturgeon ◽  
Daphne Denham ◽  
Linwah Yip ◽  
Peter Angelos
Keyword(s):  
Minimally Invasive ◽  
Follicular Neoplasm ◽  
Conventional Thyroidectomy ◽  
Video Assisted
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