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Updated: Jun 12, 2026

Minimal Invasive Resection of Large Retrosternal Thyroid Goiter
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Wound morbidity in mini-invasive thyroidectomy.

Gianlorenzo Dionigi1, Luigi Boni, Francesca Rovera

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

Surgical Endoscopy
|June 8, 2010
PubMed
Summary
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Video-assisted thyroidectomy (VAT) significantly reduces wound morbidity (WM) and surgical-site infections (SSIs) compared to conventional thyroidectomy (CT). This minimally invasive approach offers a safer alternative for patients undergoing thyroid surgery.

Area of Science:

  • Surgical Oncology
  • Minimally Invasive Surgery
  • Endocrine Surgery

Background:

  • Conventional thyroidectomy (CT) has a 2-7% incidence of wound morbidity (WM).
  • Surgical-site infections (SSIs) are a significant concern in thyroid surgery.

Purpose of the Study:

  • To evaluate the rate of wound morbidity (WM) after video-assisted thyroidectomy (VAT).
  • To compare WM and surgical-site infections (SSIs) between VAT and CT.

Main Methods:

  • A prospective, randomized surveillance analysis of 112 patients undergoing thyroidectomy.
  • Patients were randomized to either VAT or CT, with no antibiotic prophylaxis or drains used.
  • Follow-up focused on the incidence and characteristics of wound morbidity.

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Last Updated: Jun 12, 2026

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Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
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Main Results:

  • Wound morbidity was significantly lower in the VAT group (1 patient) compared to the CT group (8 patients).
  • The incidence of surgical-site infections (SSIs) was 0% after VAT versus 5.3% after CT.
  • Staphylococcus aureus was the most common pathogen in CT-associated SSIs.

Conclusions:

  • Video-assisted thyroidectomy (VAT) significantly reduces wound morbidity compared to conventional thyroidectomy (CT).
  • The reduced surgical trauma in VAT is associated with a lower incidence of surgical-site infections (SSIs).
  • VAT represents a safer alternative for thyroid surgery regarding wound complications.