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Related Experiment Video

Updated: Jun 26, 2026

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
05:12

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy

Published on: May 12, 2023

Defining the learning curve for video-assisted thyroidectomy.

G Dionigi1, L Boni, F Rovera

  • 1Endocrine Surgery Research Center, Department of Surgical Sciences, University of Insubria, Viale Borri 57, 21100 Varese, Italy. gianlorenzo.dionigi@uninsubria.it

International Journal of Surgery (London, England)
|January 3, 2009
PubMed
Summary
This summary is machine-generated.

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Video-assisted thyroidectomy (VAT) is feasible for junior surgeons, with success rates and operative efficiency improving significantly after approximately 30 procedures. Surgeon age did not negatively impact outcomes in this study.

Area of Science:

  • Endocrine Surgery
  • Minimally Invasive Surgery
  • Surgical Training

Background:

  • Endoscopic thyroidectomy is recognized as a safe surgical modality.
  • Video-assisted thyroidectomy (VAT) offers a minimally invasive approach to thyroid surgery.

Purpose of the Study:

  • To assess the feasibility of video-assisted thyroidectomy (VAT) when performed by a junior surgeon.
  • To determine the learning curve and required experience for safe VAT performance.

Main Methods:

  • A study of 67 consecutive gasless VAT procedures performed by a surgeon under 35 years old, tutored by an experienced surgeon.
  • Procedures were divided into three groups of approximately 30 lobectomies to analyze learning curve progression.
  • Key outcomes included operative time, hospitalization duration, incision length, complication rates, and conversion to open surgery.

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Last Updated: Jun 26, 2026

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
05:12

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy

Published on: May 12, 2023

Identification and Protection of the Recurrent Laryngeal Nerve during Transoral Robotic Thyroidectomy
05:25

Identification and Protection of the Recurrent Laryngeal Nerve during Transoral Robotic Thyroidectomy

Published on: October 24, 2025

Main Results:

  • VAT success rates improved chronologically: 90% (Group 1), 97% (Group 2), and 100% (Group 3).
  • Mean operative time decreased significantly with experience (111 min to 86 min).
  • Incidence of temporary hypoparathyroidism was 8.9%, and temporary recurrent laryngeal nerve (RLN) injury was 2.9%.

Conclusions:

  • Surgeon's age is not a limiting factor for successful VAT outcomes.
  • A minimum of 30 lobectomies appears necessary to achieve a safe and efficient VAT technique.
  • Improved operative variables and technique safety are strongly associated with cumulative surgical experience.