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Modified version of minimally invasive open thyroidectomy using an unilateral incision
Soo Young Kim1, Hee Jun Kim2, Hojin Chang3
1Department of Surgery, Ajou University of Medicine, Suwon, Republic of Korea.
Asian Journal of Surgery
|April 5, 2021
Summary
This study introduces a modified minimally invasive open thyroidectomy (MIT) technique, showing it is a safe alternative to conventional open thyroidectomy. Patients undergoing MIT experienced shorter operative times and earlier discharge with comparable complication rates.
Area of Science:
- Endocrine Surgery
- Surgical Innovation
Background:
- Conventional open thyroidectomy often results in noticeable scarring and sensory disturbances.
- Minimally invasive techniques aim to reduce these adverse effects.
Purpose of the Study:
- To describe a modified minimally invasive open thyroidectomy (MIT) technique.
- To compare the outcomes of MIT with conventional thyroidectomy.
Main Methods:
- A retrospective analysis of 880 patients undergoing thyroidectomy between January 2016 and December 2016.
- Modified MIT was performed on 249 patients, while 631 underwent conventional thyroidectomy.
Main Results:
- No significant difference in complication rates between MIT (2.4%) and conventional thyroidectomy (1.3%).
- MIT resulted in shorter operative times (77.99 ± 34.5 min vs. 91.23 ± 36.58 min).
- Patients undergoing MIT had earlier discharge (2.4 ± 0.8 days vs. 3.2 ± 0.8 days).
Conclusions:
- Modified MIT is a safe and effective alternative to standard open thyroidectomy.
- This technique facilitates bilateral total thyroidectomy with central compartment neck dissection.
