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Related Experiment Video

Updated: Jun 13, 2026

Mixed Reality Assisted Radical Endoscopic Thyroidectomy

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Published on: January 31, 2025

Video-assisted thyroidectomy: lessons learned after more than one decade.

C P Lombardi¹, M Raffaelli, C De Crea

¹Endocrine Surgery Unit, Department of Surgical Sciences, Pol. A. Gemelli, Rome, Italy.

Acta Otorhinolaryngologica Italica : Organo Ufficiale Della Societa Italiana Di Otorinolaringologia E Chirurgia Cervico-Facciale

|May 14, 2010

Summary

Video-assisted thyroidectomy is a safe and effective surgical option for selected patients, offering advantages over conventional methods with minimal complications. This minimally invasive approach demonstrated good outcomes in over 1300 procedures over a decade.

Keywords:

Endoscopic thyroidectomy Minimally invasive thyroidectomy Thyroidectomy

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Area of Science:

Endocrine Surgery
Minimally Invasive Surgery
Surgical Oncology

Background:

Video-assisted thyroidectomy (VAT) is an alternative to conventional open surgery.
VAT offers potential advantages in terms of cosmesis and recovery.
Patient selection is crucial for successful VAT outcomes.

Purpose of the Study:

To evaluate the outcomes of video-assisted thyroidectomy (VAT) over a 10-year period.
To assess the safety and efficacy of VAT in a selected patient cohort.
To analyze complication rates and pathological findings in VAT procedures.

Main Methods:

Retrospective analysis of 1363 video-assisted thyroidectomies performed between June 1998 and June 2009.
Inclusion criteria: specific thyroid nodule size, estimated thyroid volume, no prior neck surgery/radiation, and low-risk papillary thyroid carcinoma.
Data collected on procedure type, conversions, central neck dissections, simultaneous parathyroidectomies, and postoperative complications.

Main Results:

1363 VAT procedures were attempted with a low conversion rate (7 cases).
Successful procedures included thyroid lobectomy (157), total thyroidectomy (1175), and completion thyroidectomy (24).
Benign disease (986) and papillary thyroid carcinoma (368) were the main pathologies; complication rates were low, including transient hypocalcemia and recurrent laryngeal nerve palsy.

Conclusions:

Video-assisted thyroidectomy is a safe and validated procedure for selected patients.
VAT offers significant advantages over conventional surgery with no additional morbidity.
The technique is effective for various thyroid pathologies, including selected thyroid cancers and benign conditions.