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Related Concept Videos

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Endoscopic Procedures III: Video Capsule Endoscopy

Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers, unexplained...
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Related Experiment Video

Updated: Jun 8, 2026

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
05:12

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Published on: May 12, 2023

Video-assisted thyroidectomy for papillary thyroid carcinoma.

Celestino Pio Lombardi1, Marco Raffaelli, Carmela De Crea

  • 1Division of Endocrine Surgery, Department of Surgery, Università Cattolica del Sacro Cuore-Policlinico "A. Gemelli", L.go A. Gemelli 8, 00168 Rome, Italy.

Journal of Oncology
|October 19, 2010
PubMed
Summary

Video-assisted thyroidectomy (VAT) is effective for papillary thyroid carcinoma (PTC), achieving complete resection with low recurrence rates. This minimally invasive approach demonstrates excellent short-to-medium term outcomes in a large patient cohort.

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Area of Science:

  • Endocrinology
  • Surgical Oncology
  • Minimally Invasive Surgery

Background:

  • Papillary thyroid carcinoma (PTC) is the most common type of thyroid cancer.
  • Video-assisted thyroidectomy (VAT) is a minimally invasive surgical technique.
  • Evaluating VAT's efficacy in PTC is crucial for optimizing patient outcomes.

Purpose of the Study:

  • To assess the completeness of surgical resection in PTC patients undergoing VAT.
  • To determine the short-to-medium term recurrence rates following VAT for PTC.
  • To analyze oncologic outcomes in a large series of patients treated with VAT.

Main Methods:

  • Retrospective review of medical records for patients with PTC who underwent VAT.
  • Inclusion of 359 patients between June 1998 and May 2009.
  • Analysis of surgical resection completeness, lymph node status, and recurrence data.

Main Results:

  • Final histology confirmed 285 pT1, 26 pT2, and 48 pT3 PTC cases.
  • Lymph node metastases were identified in 27 patients.
  • Postoperative ultrasonography confirmed no residual thyroid tissue in all patients, with a mean postoperative thyroglobulin level of 5.4 ng/mL and 1.7% mean postoperative (131)I uptake.
  • Only one patient experienced lateral neck recurrence; no other recurrences were observed.

Conclusions:

  • Video-assisted thyroidectomy (VAT) is a safe and effective surgical option for papillary thyroid carcinoma (PTC).
  • VAT facilitates complete tumor resection and demonstrates a low recurrence rate.
  • The technique shows promising short-to-medium term oncologic control for PTC.