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Minimally Invasive Video-Assisted Total Thyroidectomy (mi V.A.T.T.) - Case Series of 48 Patients
K Sapalidis1, K S Mylonas1, E Kotidis1
1Third Department of Surgery, AHEPA University Hospital, Thessaloniki, Greece.
Current Health Sciences Journal
|December 21, 2018
Summary
Minimally invasive video-assisted thyroidectomy (miVATT) is a safe and effective alternative for benign thyroid lesions. This study shows excellent patient outcomes and aesthetic results with no need for open surgery conversion.
Area of Science:
- Endocrinology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- The advent of minimally invasive video-assisted thyroidectomy (miVATT) by Miccoli in 1998 revolutionized thyroid surgery.
- This study evaluates the department's four-year experience with miVATT for benign thyroid conditions.
Observation:
- 48 adult patients with benign thyroid lesions underwent miVATT between 2009 and 2013.
- Exclusion criteria included thyroiditis, prior neck surgery, mediastinal goiter, and other clinical study involvement.
- The modified miVATT technique utilized the Harmonic Scalpel and an endoscope holder, without drains.
Findings:
- All 48 procedures were completed without conversion to open surgery.
- Mean operative time for total thyroidectomy was 71.23 minutes, with a mean hospitalization of 1.14 days.
- Transient hypocalcemia occurred in 10.4% of patients; no recurrent laryngeal nerve palsies were observed.
Implications:
- miVATT offers a safe and feasible alternative to conventional thyroidectomy for selected patients.
- The technique demonstrates excellent post-operative pain control and patient-reported aesthetic outcomes.
- Experienced surgeons can achieve successful results with miVATT in carefully selected benign thyroid cases.
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