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Updated: Aug 7, 2026
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Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
Published on: May 12, 2023
Preliminary experience in minimally invasive videoassisted thyroidectomy (MIVAT)
Paolo Del Rio1, Lucia Sommaruga, Giovanni Ferreri
1Department of Surgical Sciences, General Surgery and Organ Transplantation, University of Parma, Italy. mailpaolo.delrio@unipr.it
Acta Bio-Medica : Atenei Parmensis
|July 22, 2006
Summary
Minimally Invasive Video-assisted Technique (MIVAT) offers a safe and effective approach for thyroidectomy, demonstrating excellent cosmetic results and reduced postoperative discomfort in initial patient experiences.
Area of Science:
- Endocrinology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Reports initial experience with Minimally Invasive Video-assisted Technique (MIVAT) for thyroid disease treatment.
- Introduced by Miccoli, MIVAT represents a novel surgical approach.
Purpose of the Study:
- To evaluate the safety and efficacy of MIVAT in thyroidectomy.
- To assess postoperative outcomes, including pain, cosmetic results, and complications.
Main Methods:
- MIVAT thyroidectomy performed on 5 patients between July and September 2005.
- Procedure involves a small incision (15-20 mm) at the sternal notch.
- Dedicated instruments used for thyroid gland removal.
Main Results:
- Successfully treated 3 follicular hyperplasias, 1 Hurthle adenoma, and 1 papillary carcinoma.
- Mean thyroidectomy time was 98 +/- 14 minutes.
- Excellent cosmetic results and minimal postoperative pain reported; no hypocalcemia or nerve palsy.
Conclusions:
- MIVAT is a safe and reproducible technique for select thyroidectomy candidates.
- The technique is associated with significantly improved postoperative comfort.
- MIVAT is indicated for a minority of patients requiring thyroidectomy.
