Three-dimensional minimally invasive video-assisted thyroidectomy: preliminary report.

Area of Science:

• Endocrinology
• Surgical Innovation
• Minimally Invasive Surgery

Background:

• Minimally Invasive Video-Assisted Thyroidectomy (MIVAT) is an evolving surgical technique.
• Three-dimensional (3D) visualization is increasingly being integrated into minimally invasive procedures.
• Evaluating the efficacy and safety of 3D MIVAT for total thyroidectomy is crucial.

Purpose of the Study:

• To assess the feasibility and preliminary outcomes of 3D MIVAT for total thyroidectomy.
• To evaluate the operative parameters and complication rates associated with 3D MIVAT.
• To determine the surgical team's perception of anatomical structure visualization during 3D MIVAT.

Main Methods:

• Three patients underwent total thyroidectomy using a 4-mm, 3D 0-degree stereoscopic endoscope.
• Data including operative time and complications were prospectively collected.
• Surgeons reported on depth perception and visualization of critical anatomical structures.

Main Results:

• Operative times for total thyroidectomy ranged from 72 to 90 minutes.
• No intra-operative or post-operative complications were reported.
• The surgical team experienced enhanced depth perception and clear identification of vascular pedicles, parathyroid glands, and laryngeal nerves.

Conclusions:

• Preliminary findings suggest that 3D MIVAT is a safe and effective approach for total thyroidectomy.
• The technology facilitates excellent visualization of critical anatomical structures.
• Further research with larger patient cohorts is warranted to establish the definitive role of 3D MIVAT.