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Updated: Apr 4, 2026
05:12
Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
Published on: May 12, 2023
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Minimally invasive video-assisted thyroidectomy: reflections after more than 2400 cases performed
P Miccoli1, M Biricotti1, V Matteucci1
1Department of Surgery, University of Pisa, Pisa, Italy.
Surgical Endoscopy
|September 4, 2015
Summary
Minimally invasive video-assisted thyroidectomy (MIVAT) is a safe and effective surgical approach for thyroid cancer. This technique demonstrates comparable oncologic outcomes and complication rates to open thyroidectomy for low- and intermediate-risk papillary carcinomas.
Area of Science:
- Endocrinology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Minimally invasive video-assisted thyroidectomy (MIVAT) was introduced in 1998 for thyroid disease.
- The technique has expanded from benign conditions to include low- and intermediate-risk thyroid carcinomas.
- MIVAT offers oncologic radicality comparable to open surgery when patient selection criteria are met.
Purpose of the Study:
- To evaluate the safety and efficacy of MIVAT for thyroid cancer.
- To compare MIVAT outcomes with traditional open thyroidectomy.
- To assess the long-term cure rates for papillary thyroid carcinoma treated with MIVAT.
Main Methods:
- A retrospective analysis of 2412 MIVAT procedures performed between 1998 and 2014.
- Focus on 528 patients with low- or intermediate-risk papillary carcinoma who underwent MIVAT between 2000 and 2009.
- Mean follow-up duration of 7.5 years.
Main Results:
- MIVAT demonstrated an 85% cure rate (undetectable thyroglobulin) for papillary carcinoma.
- This cure rate is comparable to the 80% rate observed in patients who underwent open thyroidectomy.
- Complication rates for MIVAT were comparable to open thyroidectomy.
Conclusions:
- MIVAT is a safe surgical option for thyroid cancer with outcomes comparable to open thyroidectomy.
- Strict adherence to inclusion criteria is crucial for achieving optimal oncologic results with MIVAT.
- MIVAT provides a high cure rate for selected thyroid cancer patients.
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