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Minimally invasive video-assisted thyroidectomy.

P Miccoli1, P Berti, M Raffaelli

  • 1Dipartimento di Chirurgia, Via Roma 67, 56100, Pisa, Italy. p.miccoli@dc.med.unipi.it

American Journal of Surgery
|August 22, 2001
PubMed
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Minimally invasive video-assisted thyroidectomy (MIVAT) is a safe and feasible technique for select patients. This study shows encouraging results for MIVAT, suggesting potential for wider application in thyroid surgery.

Area of Science:

  • Endocrine Surgery
  • Minimally Invasive Surgery
  • Surgical Technology

Background:

  • Describes a personal technique for minimally invasive video-assisted thyroidectomy (MIVAT).
  • Focuses on the application and outcomes of MIVAT in a specific patient cohort.

Purpose of the Study:

  • To evaluate the safety and feasibility of a novel minimally invasive video-assisted thyroidectomy (MIVAT) technique.
  • To assess the outcomes and applicability of MIVAT in a series of patients undergoing thyroid surgery.

Main Methods:

  • Sixty-seven patients meeting specific criteria (nodule size <30mm, thyroid volume <20mL, no thyroiditis or prior neck surgery/irradiation) were selected.
  • A totally gasless MIVAT procedure was performed through a 15-mm central incision using endoscopic vision and instruments.

Related Experiment Videos

  • Procedures included 51 lobectomies and 15 total thyroidectomies.

    • Main Results:

    • Mean operative times were 73.6 minutes for lobectomy and 109.6 minutes for total thyroidectomy.
    • Conversion to open surgery was required in 3% of cases (2 patients).
    • Transient complications included hypocalcemia (2 cases) and recurrent laryngeal nerve palsy (1 case).

    Conclusions:

    • MIVAT is demonstrated as a safe and feasible surgical option for selected thyroidectomy patients.
    • While current indications are limited, the encouraging outcomes suggest potential for expanded use of MIVAT.
    • The cosmetic results were highly satisfactory among the patients who underwent the procedure.