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Updated: Jul 4, 2026
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Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
Published on: May 12, 2023
"Minimally invasive video-assisted thyroidectomy. Initial experience in a general surgery department"
Chiara Dobrinja1, Giuliano Trevisan, Gennaro Liguori
1Department of General and Thoracic Surgery, Division of Clinical Surgery, Hospital of Cattinara, Università degli Studi di Trieste, Trieste, Italy. ch_dobrinja@yahoo.it
Langenbeck'S Archives of Surgery
|May 29, 2008
Summary
Minimally invasive video-assisted thyroidectomy (MIVAT) is a safe and feasible procedure for thyroid surgery, even in non-specialized centers. This technique offers excellent cosmetic results and outcomes comparable to conventional thyroidectomy.
Area of Science:
- Surgical Oncology
- Endocrine Surgery
- Minimally Invasive Surgery
Background:
- Minimally invasive video-assisted thyroidectomy (MIVAT) is an evolving surgical technique.
- Assessing the feasibility of MIVAT in non-referral centers is crucial for wider adoption.
Purpose of the Study:
- To analyze preliminary results of MIVAT.
- To demonstrate the feasibility and safety of MIVAT in a general surgery setting.
Main Methods:
- Retrospective analysis of 47 patients undergoing MIVAT between May 2005 and February 2007.
- Evaluation of operative times, complications, hospital stay, and cosmetic outcomes.
Main Results:
- Successful thyroid lobectomy in 33 patients and total thyroidectomy in 14.
- Low conversion rate (6%) to standard surgery.
- Complications included transient hypocalcemia (23.4%) and temporary nerve palsies (4.2%); no recurrent nerve palsies observed.
- Excellent cosmetic results reported in most cases.
Conclusions:
- MIVAT is feasible and safe in general surgery departments with adequate training and dedicated teams.
- MIVAT outcomes are comparable to conventional thyroidectomy.
- The study supports MIVAT's applicability beyond specialized referral centers.
