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Minimally Invasive Video-Assisted Thyroidectomy: Analysis of Complications From a Systematic Review

Gregorio Scerrino1, Giuseppina Melfa1, Cristina Raspanti1

  • 11 University of Palermo, Palermo, Italy.

Surgical Innovation
|January 12, 2019
PubMed
Abstract

Insights

Minimally invasive video-assisted thyroidectomy (MIVAT) shows a complication rate similar to conventional thyroidectomy. This safe surgical technique is recommended for high-volume centers when indications are strictly followed.

Area of Science:

  • Surgical Oncology
  • Endocrine Surgery

Background:

  • Minimally invasive video-assisted thyroidectomy (MIVAT) is a recognized safe and effective thyroid surgery option.
  • A comprehensive assessment of MIVAT's complication profile compared to conventional thyroidectomy is needed.

Purpose of the Study:

  • To systematically review and estimate the early and late complication rates of MIVAT versus conventional thyroidectomy.
  • To analyze complications including laryngeal nerve palsy, hypocalcemia, cervical hematoma, and scarring.

Main Methods:

  • Systematic review conducted following PRISMA criteria.
  • Searches performed in PubMed and Embase using terms: 'minimally invasive,' 'video-assisted,' and 'thyroidectomy.'
  • Included randomized clinical trials, nonrandomized trials, and noncontrolled trials.

Main Results:

  • Thirty-two articles were included in the analysis.
  • MIVAT demonstrated a complication rate comparable to the conventional technique.
  • One study noted increased overall skin complications with MIVAT, and another found a significant increase in serologic hypocalcemia, but no difference in symptomatic or definitive hypocalcemia.

Conclusions:

  • MIVAT is confirmed as a safe thyroidectomy procedure.
  • The technique is suitable for adoption in high-volume thyroidectomy centers.
  • Strict adherence to patient selection criteria is essential for optimal outcomes.
Keywords:
MIVATconventional thyroidectomydefinitive complicationsminimally invasive video-assisted thyroidectomyreviewtransient complications

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