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Minimally invasive video-assisted thyroidectomy: seven-year experience with 240 cases

INTRODUCTION: Minimally invasive video-assisted thyroidectomy (MIVAT) has gained acceptance in recent years as an alternative to conventional thyroid surgery. AIM: Assessment of our 7-year experience with MIVAT. MATERIAL AND METHODS: A retrospective study of 240 consecutive patients who underwent MI...

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Autores principales: Barczyński, Marcin, Konturek, Aleksander, Stopa, Małgorzata, Papier, Aleksandra, Nowak, Wojciech
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Termedia Publishing House 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3516984/
https://www.ncbi.nlm.nih.gov/pubmed/23256022
http://dx.doi.org/10.5114/wiitm.2011.28871
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author Barczyński, Marcin
Konturek, Aleksander
Stopa, Małgorzata
Papier, Aleksandra
Nowak, Wojciech
author_facet Barczyński, Marcin
Konturek, Aleksander
Stopa, Małgorzata
Papier, Aleksandra
Nowak, Wojciech
author_sort Barczyński, Marcin
collection PubMed
description INTRODUCTION: Minimally invasive video-assisted thyroidectomy (MIVAT) has gained acceptance in recent years as an alternative to conventional thyroid surgery. AIM: Assessment of our 7-year experience with MIVAT. MATERIAL AND METHODS: A retrospective study of 240 consecutive patients who underwent MIVAT at our institution between 01/2004 and 05/2011 was conducted. The inclusion criterion was a single thyroid nodule below 30 mm in diameter within the thyroid of 25 ml or less in volume. The exclusion criteria were previous thyroid or parathyroid surgery, T2 or higher thyroid cancer, N1 stage, and thyroiditis. The Miccoli technique was used. The analysis included indications, eligibility rate, operative time, morbidity and cosmetic effects. RESULTS: Of 6,574 patients referred for thyroid surgery, 240 (3.6%) were eligible for MIVAT. In the final pathology report, there were 206 follicular adenomas, 21 papillary thyroid cancers, 9 cases of Graves’ disease and 4 follicular cancers. Reasons for exclusion were as follows: thyroid volume above 25 ml in 5401 (85.3%), thyroid cancer larger than stage T1 in 392 (6.2%), thyroiditis in 358 (5.6%), and previous neck surgery in 183 patients (2.9%). Minimally invasive video-assisted thyroidectomy operations consisted of 210 lobectomies and 30 total thyroidectomies, including 15 one-stage parathyroidectomies. Mean operative time was 38.6 ±15.1 min. Transient versus permanent recurrent laryngeal nerve injury was found in 8 (3.0%) vs. 2 (0.7%) nerves at risk, respectively. Cosmetic effects were assessed after 1 and 6 months of follow-up as very good or excellent by 89.6% and 95.8% of patients, respectively. CONCLUSIONS: Minimally invasive video-assisted thyroidectomy is suitable for surgeons experienced in thyroid and video-assisted surgery. It is feasible for well-selected patients including cases of T1 thyroid cancer, Graves’ disease and concomitant parathyroid adenoma.
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spelling pubmed-35169842012-12-19 Minimally invasive video-assisted thyroidectomy: seven-year experience with 240 cases Barczyński, Marcin Konturek, Aleksander Stopa, Małgorzata Papier, Aleksandra Nowak, Wojciech Wideochir Inne Tech Maloinwazyjne Original Paper INTRODUCTION: Minimally invasive video-assisted thyroidectomy (MIVAT) has gained acceptance in recent years as an alternative to conventional thyroid surgery. AIM: Assessment of our 7-year experience with MIVAT. MATERIAL AND METHODS: A retrospective study of 240 consecutive patients who underwent MIVAT at our institution between 01/2004 and 05/2011 was conducted. The inclusion criterion was a single thyroid nodule below 30 mm in diameter within the thyroid of 25 ml or less in volume. The exclusion criteria were previous thyroid or parathyroid surgery, T2 or higher thyroid cancer, N1 stage, and thyroiditis. The Miccoli technique was used. The analysis included indications, eligibility rate, operative time, morbidity and cosmetic effects. RESULTS: Of 6,574 patients referred for thyroid surgery, 240 (3.6%) were eligible for MIVAT. In the final pathology report, there were 206 follicular adenomas, 21 papillary thyroid cancers, 9 cases of Graves’ disease and 4 follicular cancers. Reasons for exclusion were as follows: thyroid volume above 25 ml in 5401 (85.3%), thyroid cancer larger than stage T1 in 392 (6.2%), thyroiditis in 358 (5.6%), and previous neck surgery in 183 patients (2.9%). Minimally invasive video-assisted thyroidectomy operations consisted of 210 lobectomies and 30 total thyroidectomies, including 15 one-stage parathyroidectomies. Mean operative time was 38.6 ±15.1 min. Transient versus permanent recurrent laryngeal nerve injury was found in 8 (3.0%) vs. 2 (0.7%) nerves at risk, respectively. Cosmetic effects were assessed after 1 and 6 months of follow-up as very good or excellent by 89.6% and 95.8% of patients, respectively. CONCLUSIONS: Minimally invasive video-assisted thyroidectomy is suitable for surgeons experienced in thyroid and video-assisted surgery. It is feasible for well-selected patients including cases of T1 thyroid cancer, Graves’ disease and concomitant parathyroid adenoma. Termedia Publishing House 2012-06-25 2012-08 /pmc/articles/PMC3516984/ /pubmed/23256022 http://dx.doi.org/10.5114/wiitm.2011.28871 Text en Copyright © 2012 Sekcja Wideochirurgii TChP http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial 3.0 Unported License, permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Paper
Barczyński, Marcin
Konturek, Aleksander
Stopa, Małgorzata
Papier, Aleksandra
Nowak, Wojciech
Minimally invasive video-assisted thyroidectomy: seven-year experience with 240 cases
title Minimally invasive video-assisted thyroidectomy: seven-year experience with 240 cases
title_full Minimally invasive video-assisted thyroidectomy: seven-year experience with 240 cases
title_fullStr Minimally invasive video-assisted thyroidectomy: seven-year experience with 240 cases
title_full_unstemmed Minimally invasive video-assisted thyroidectomy: seven-year experience with 240 cases
title_short Minimally invasive video-assisted thyroidectomy: seven-year experience with 240 cases
title_sort minimally invasive video-assisted thyroidectomy: seven-year experience with 240 cases
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3516984/
https://www.ncbi.nlm.nih.gov/pubmed/23256022
http://dx.doi.org/10.5114/wiitm.2011.28871
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