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Updated: Jun 26, 2026
05:12
Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
Published on: May 12, 2023
Video-assisted thyroidectomy performed in a one-day surgery setting.
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 27, 2009
Summary
Video-assisted thyroidectomy (VAT) is safe and effective for same-day surgery. This study shows VAT in an ambulatory setting has low complication rates and high patient satisfaction, making it a viable option.
Area of Science:
- Endocrinology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Video-assisted thyroidectomy (VAT) demonstrates favorable outcomes in safety, morbidity, cure rates, pain, and cosmesis.
- Ambulatory surgery settings offer potential benefits for patient recovery and healthcare efficiency.
Purpose of the Study:
- To evaluate the performance and safety of video-assisted thyroidectomy (VAT) within a one-day (ambulatory) surgery framework.
- To assess the feasibility of same-day discharge after VAT.
Main Methods:
- 43 patients underwent VAT for select thyroid conditions (nodules <30 mm, gland volume <20 ml, low-risk papillary carcinoma) between September 2007 and July 2008.
- Intraoperative neuromonitoring (IONM) was utilized for recurrent laryngeal nerve (RLN) identification.
- Early postoperative intact parathyroid hormone (iPTH) levels were measured at 6 hours.
Main Results:
- No conversions to open surgery or extended hospital stays (>24 hours) were required.
- The incidence of temporary hypoparathyroidism was 11.6% (5/43), with no symptomatic hypocalcemia.
- A 2.3% incidence of temporary RLN injury was observed, with no permanent or bilateral injuries. Patient satisfaction was high.
Conclusions:
- Video-assisted thyroidectomy (VAT) can be safely performed in an ambulatory setting.
- Integration of new technologies like IONM and early iPTH measurement enhances the quality and safety of same-day VAT.
- This approach demonstrates a safe and effective model for thyroid surgery with improved patient recovery.
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