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Updated: Jul 6, 2026
05:12
Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
Published on: May 12, 2023
Minimally invasive video-assisted thyroidectomy and conventional thyroidectomy: a prospective randomized study.
Istvan Gal1, Tamas Solymosi, Zoltan Szabo
1Department of Surgery, Bugat Pal University Hospital, Dozsa Gyorgy u. 20-22, 3200, Gyongyos, Hungary. galis@t-online.hu
Surgical Endoscopy
|March 7, 2008
Summary
Minimally invasive video-assisted thyroidectomy (MIVAT) offers superior cosmetic results and reduced distress compared to conventional thyroidectomy, despite longer operative times. Complication rates are similar between the two thyroid surgery approaches.
Area of Science:
- Surgical Oncology
- Endocrine Surgery
- Minimally Invasive Surgery
Background:
- Minimally invasive totally gasless video-assisted thyroidectomy (MIVAT) has been available since 1998, but limited studies exist.
- A prospective randomized trial was conducted to compare MIVAT with conventional thyroidectomy.
Purpose of the Study:
- To evaluate the outcomes of MIVAT compared to conventional thyroidectomy.
- To assess operative time, postoperative complications, and cosmetic results.
Main Methods:
- A randomized trial included patients with thyroid nodules or hyperthyroidism.
- Exclusion criteria: nodules >35 mm, lobe volume >20 ml, thyroiditis, prior neck surgery/irradiation.
- Outcomes measured: operative time, complications, cosmetic results (verbal and numeric scales).
Main Results:
- 15 patients in each group (MIVAT vs. conventional).
- MIVAT operative time averaged 65.5 min; conventional averaged 43.3 min (P=0.001).
- MIVAT showed significantly better cosmetic results (P=0.028 and P=0.015) with no difference in complications.
Conclusions:
- Complication rates are comparable between MIVAT and conventional thyroidectomy.
- Conventional thyroidectomy has a shorter operative time.
- MIVAT provides excellent cosmetic outcomes and reduced postoperative distress for selected patients.
