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Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
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Six-Year Experience With Endoscopic Thyroidectomy: Outcomes and Safety Profile
William S Duke1, Jennifer R White1, Jennifer L Waller2
1Department of Otolaryngology-Head and Neck Surgery, Georgia Regents University, Augusta, Georgia, USA.
The Annals of Otology, Rhinology, and Laryngology
|June 18, 2015
Summary
Minimally invasive video-assisted thyroidectomy (MIVAT) is safe and effective, with a lower complication rate than traditional thyroid surgery. This study supports wider adoption of MIVAT in North America.
Area of Science:
- Endocrinology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Minimally invasive video-assisted thyroidectomy (MIVAT) presents advantages over conventional thyroid surgery but has seen limited adoption in North America.
- This study addresses the limited North American experience by analyzing a large series of MIVAT procedures.
Purpose of the Study:
- To analyze the safety of minimally invasive video-assisted thyroidectomy (MIVAT) in a North American academic tertiary care setting.
- To compare the complication rates of MIVAT with conventional thyroidectomy.
Main Methods:
- A prospectively maintained database of thyroid surgeries performed by a single surgeon between 2003 and 2011 was retrospectively reviewed.
- Demographic, surgical, pathological, and postoperative outcome data were analyzed for 260 MIVAT procedures and compared to conventional thyroidectomy cases.
Main Results:
- The study included 260 MIVAT procedures, with 90% performed in an outpatient setting.
- MIVAT patients were younger and predominantly female compared to conventional thyroidectomy patients.
- The overall complication rate for MIVAT was 6.5%, significantly lower than the 18.5% rate for conventional thyroidectomy (P<.0001), with no permanent hypoparathyroidism or recurrent laryngeal nerve dysfunction.
Conclusions:
- Minimally invasive video-assisted thyroidectomy (MIVAT) can be safely performed with a low complication rate in high-volume practices.
- The demonstrated safety profile of MIVAT supports its broader adoption in surgical practices across North America.
