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Video-assisted thyroidectomy under local anesthesia.

Celestino Pio Lombardi1, Marco Raffaelli, Cristina Modesti

  • 1Division of Endocrine Surgery, Department of Surgery, Università Cattolica del Sacro Cuore, L.go A. Gemelli 8, 00168 Rome, Italy. marcoraffaelli@rm.unicatt.it

American Journal of Surgery
|March 26, 2004
PubMed
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Video-assisted thyroidectomy (VAT) is feasible under local anesthesia for select patients. This minimally invasive approach offers a safe alternative with high patient satisfaction and minimal pain.

Area of Science:

  • Endocrinology
  • Surgical Oncology
  • Minimally Invasive Surgery

Background:

  • General anesthesia was a theoretical limitation for video-assisted thyroidectomy (VAT).
  • Exploring alternative anesthesia methods for thyroid surgery is crucial for patient selection and outcomes.

Purpose of the Study:

  • To describe a technique for performing video-assisted thyroidectomy (VAT) under locoregional anesthesia.
  • To evaluate the feasibility, safety, and patient satisfaction of VAT performed with local anesthesia.

Main Methods:

  • Video-assisted thyroidectomy (VAT) was performed using a superficial cervical block for locoregional anesthesia.
  • Eligibility criteria included small thyroid nodules (<2 cm), small/normal thyroid volume (≤20 mL), no prior neck surgery/irradiation, and patient consent for local anesthesia.

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  • Patients remained awake and communicative throughout the procedure.

    • Main Results:

    • The procedure was feasible and safe, with negligible intraoperative and postoperative pain.
    • No complications were reported, and the mean postoperative hospital stay was 26 hours.
    • All patients reported complete satisfaction with cosmetic results, the procedure, and surgical outcomes.

    Conclusions:

    • Video-assisted thyroidectomy (VAT) is a safe and feasible option under locoregional anesthesia for selected patients.
    • This approach expands the possibilities for minimally invasive thyroid surgery.
    • The technique offers a promising future for patient-centered thyroid procedures.