Related Experiment Video
Updated: May 12, 2026
Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
Published on: May 12, 2023
Prophylactic total thyroidectomy using the minimally invasive video-assisted approach in children with multiple
Ronan W Glynn1, Emma C Cashman, Jaime Doody
1Department of Otorhinolaryngology, Royal Victoria Eye and Ear Hospital, Adelaide Road, Dublin, Republic of Ireland.
Background:
There have been few reports of prophylactic thyroidectomy using the minimally invasive video-assisted thyroidectomy (MIVAT) approach in children with multiple endocrine neoplasia 2 (MEN2).
Methods:
We conducted a retrospective review of a prospectively maintained database of patients who underwent MIVAT for total thyroidectomy.
Results:
Six children underwent MIVAT; RET codon mutations identified were 634, 620, 611, and 918. Mean operative time was 93 minutes (range, 68-105 minutes). Five patients were discharged on the first postoperative day; however, 1 patient had a postoperative hematoma and was discharged 2 days postoperatively. There were no cases of laryngeal nerve palsy or postoperative hypoparathyroidism. High levels of satisfaction with postoperative cosmesis were reported. Calcitonin levels have been undetectable at follow-up thus far (mean follow-up, 42.8 months).
Conclusion:
Although our outcomes are similar to those reported using the traditional approach, it is important to note that MIVAT is essentially the same operation, just performed through a smaller incision, with resulting benefits in terms of pain, cosmesis and, perhaps, morbidity.
