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Video-assisted surgery of the thyroid diseases
M Ruggieri1, A Straniero, F M Pacini
1Department of Surgical Sciences and Applied Medical Technologies Francisco Durante, University of Rome La Sapienza, Rome, Italy.
European Review for Medical and Pharmacological Sciences
|April 8, 2004
Summary
Minimally invasive and video-assisted (MIVA) thyroid surgery offers excellent patient outcomes, including reduced pain and shorter hospital stays. This endoscopic approach is suitable for selected patients with specific thyroid conditions, providing cosmetic benefits.
Area of Science:
- Endocrinology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Minimally invasive and video-assisted (MIVA) neck surgery has evolved since the first endoscopic parathyroidectomy in 1996.
- Patients for MIVA hemithyroidectomy and thyroidectomy are selected based on specific criteria.
Purpose of the Study:
- To evaluate the efficacy and outcomes of minimally invasive and video-assisted thyroidectomy.
- To compare the MIVA approach with traditional open thyroidectomy regarding patient comfort and cosmetic results.
Main Methods:
- A completely gasless endoscopic procedure using a small central incision (15-30 mm) above the sternal notch.
- Dissection performed under endoscopic vision with conventional instruments.
- The study included 5 female patients with a mean age of 56 years.
Main Results:
- Procedures included three total thyroidectomies and two hemithyroidectomies.
- Average operative time was 189 minutes.
- No complications or conversions to open surgery were reported in this series.
Conclusions:
- MIVA thyroid surgery offers significantly smaller incisions compared to open thyroidectomy, leading to reduced postoperative pain and improved cosmetic outcomes.
- Suitable for selected patients with nodular goiter and small papillary thyroid carcinomas without lymph node involvement.
- Demonstrates excellent patient cure rates, comfort, short hospital stays, and aesthetic results in carefully selected cases.