Long-term cosmetic results after minimally invasive video-assisted thyroidectomy

2011 ◽  
Vol 25 (10) ◽  
pp. 3202-3208 ◽  
Author(s):  
Maik Sahm ◽  
Beate Schwarz ◽  
Sybille Schmidt ◽  
Matthias Pross ◽  
Hans Lippert
Keyword(s):  
Minimally Invasive ◽  
Cosmetic Results ◽  
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.

Reply to: Long-term cosmetic results after minimally invasive video-assisted thyroidectomy

2013 ◽  
Vol 28 (4) ◽  
pp. 1399-1400 ◽  
Author(s):  
Maik Sahm ◽  
Matthias Pross ◽  
Hans Lippert
Keyword(s):  
Minimally Invasive ◽  
Cosmetic Results ◽  
Video Assisted

Video-Assisted Minimally Invasive Parathyroidectomy: Benefits and Long-Term Results

2009 ◽  
Vol 33 (11) ◽  
pp. 2266-2281 ◽  
Author(s):  
Celestino P. Lombardi ◽  
Marco Raffaelli ◽  
Emanuela Traini ◽  
Carmela De Crea ◽  
Salvatore M. Corsello ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Minimally Invasive Parathyroidectomy ◽  
Long Term Results ◽  
Invasive Parathyroidectomy ◽  
Video Assisted

scholarly journals Preliminary results from minimally invasive video-assisted thyroidectomy

2005 ◽  
Vol 123 (6) ◽  
pp. 298-299 ◽  
Author(s):  
Rogério Aparecido Dedivitis ◽  
André Vicente Guimarães
Keyword(s):  
Minimally Invasive ◽  
Length Of Hospital Stay ◽  
Postoperative Outcome ◽  
Postoperative Recovery ◽  
Day Length ◽  
Safe Procedure ◽  
Cosmetic Results ◽  
Preliminary Results ◽  
Video Assisted ◽  
Duration Of Surgery

CONTEXT AND OBJECTIVE: Minimally invasive video-assisted gasless thyroidectomy (MIVAT) has mainly been described in Italy and has been demonstrated to be a safe procedure with additional advantages regarding cosmetic results and postoperative outcome. The aim of this work is to analyze our preliminary results from minimally invasive video-assisted thyroidectomy. DESIGN AND SETTING: Retrospective study at the Head and Neck Surgery Service of Hospital Ana Costa, Santos. METHODS: Twelve patients underwent hemithyroidectomy and another three underwent total thyroidectomy by means of minimally invasive video-assisted thyroidectomy between June and September 2004. Gender, age, goiter volume, major diameter of the dominant nodule, duration of surgery, pain complaints during the first postoperative day, length of hospital stay, cosmetic result and complications were retrospectively analyzed. RESULTS: All the patients were women, with median age of 34. The median goiter volume was 16.5 ml, and the median major diameter of the nodule was 2.3 cm. Ten patients reported mild pain at the surgical site. The median scar size was 2.0 cm and all patients considered the cosmetic results excellent. The median duration of surgery was 55 minutes, all patients were discharged on the first postoperative day, and there were no complications. CONCLUSIONS: The outcome from minimally invasive video-assisted thyroidectomy is good in terms of cosmetic results, analgesia and postoperative recovery. The scar is shorter than in the conventional procedure.

Video-Assisted Thoracoscopic versus Robotic-Assisted Thoracoscopic Thymectomy

2017 ◽  
Vol 12 (4) ◽  
pp. 259-264 ◽  
Author(s):  
Matthew Fok ◽  
Mohamad Bashir ◽  
Amer Harky ◽  
David Sladden ◽  
Mariano DiMartino ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Hospital Stay ◽  
Thoracoscopic Surgery ◽  
Meta Analysis ◽  
Length Of Hospital Stay ◽  
Perioperative Outcomes ◽  
Robotic Assisted ◽  
Video Assisted ◽  
Thoracic Surgical Procedures

Objective Minimally invasive thoracic surgical procedures, performed with or without the assistance of a robot, have gained popularity over the last decade. They have increasingly become the choice of intervention for a number of thoracic surgical operations. Minimally invasive surgery decreases postoperative pain, hospital stay and leads to a faster recovery in comparison with conventional open methods. Minimally invasive techniques to perform a thymectomy include video-assisted thoracoscopic surgery (VATS) or robotic-assisted thoracoscopic surgery (RATS). In this study, we aim to systematically review and interrogate the literature on minimally invasive thymectomy and draw a meta-analysis on the outcomes between the two approaches. Methods An extensive electronic health database search was performed on all articles published from inception to May 2015 for studies describing outcomes in VATS and RATS thymectomy. Results A total of 350 patients were included in this study, for which 182 and 168 patients underwent RATS and VATS thymectomy, respectively. There were no recorded in-hospital deaths for either procedure. There was no statistical difference in conversion to open, length of hospital stay, or postoperative pneumonia. Operational times for RATS thymectomy were longer. Conclusions The VATS and RATS thymectomy offer good and safe operative and perioperative outcomes. There is little difference between the two groups. However, there is poor evidence basis for the long-term outcomes in minimally invasive procedures for thymectomy. It is imperative that future studies evaluate oncological outcomes both short and long term as well as those related to safety.

Long-term cosmetic results of video-assisted thyroidectomy: a comparison with conventional surgery

2021 ◽  
Author(s):  
P. F. Alesina ◽  
W. Wahabie ◽  
B. Meier ◽  
J. Hinrichs ◽  
W. Mohmand ◽  
...  
Keyword(s):  
Conventional Surgery ◽  
Cosmetic Results ◽  
Video Assisted
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