Related Experiment Video
Updated: Jul 8, 2026
Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
Published on: May 12, 2023
Minimally invasive video-assisted thyroidectomy: a multi-institutional North American experience
David J Terris1, Peter Angelos, David L Steward
1Department of Otolaryngology-Head and Neck Surgery, Medical College of Georgia, 1120 15th St, Augusta, GA 30912-4060, USA. dterris@mcg.edu
Objective:
To report the results of a multi-institutional experience with the minimally invasive video-assisted thyroidectomy, which was conceived in Europe and Asia and has only recently been embraced in the United States.
Design:
Prospective, nonrandomized analysis.
Setting:
Four academic thyroid surgical practices.
Patients:
Consecutive series of 228 patients who required thyroid surgery and were deemed at surgeon discretion to be eligible for a minimal access surgery.
Interventions:
Minimally invasive video-assisted thyroidectomy was performed in 216 patients.
Main Outcome Measures:
The data, which were recorded prospectively, included age, sex, indication for surgery, incision length, and complications of surgery.
Results:
Because conversion to an open approach was required in 12 of the 228 patients, the study group comprised 216 patients (25 men and 191 women; mean [SD] age, 44.5 [14.1] years). There were no hematomas and no cases of permanent hypoparathyroidism or permanent vocal cord paralysis. Nine patients had a transient vocal cord paresis (3.2% of nerves at risk); 5 patients experienced temporary hypocalcemia (8.1% of total thyroidectomies); 1 patient reported a change in voice pitch; and 1 patient required a scar revision.
Conclusions:
Use of the minimally invasive video-assisted thyroidectomy technique has been adopted cautiously in the United States. The safety of the procedure represented by the data from this multi-institutional experience would support its expanded adoption by high-volume thyroid surgeons.
