Minimally invasive video-assisted thyroidectomy: multiinstitutional experience.
- Miccoli, Paolo
- Bellantone, Rocco Domenico Alfonso (ORCID:0000-0002-0844-3469)
- Mourad, M
- Walz, Martin
- Raffaelli, Marco (ORCID:0000-0002-1259-2491)
- Berti, Piero
DOIAbstract
Abstract Minimally invasive video-assisted thyroidectomy (MIVAT) was described in 1998. In this study we collected the experience of four third-level referral centers that adopted this technique. A total of 336 patients (279 females, 57 males) were selected for MIVAT. Selection criteria were thyroid volume <15 ml, nodules not exceeding 3.5 cm of diameter, and an absence of thyroiditis, previous neck surgery, or previous irradiation. The procedure, totally gasless, is carried out through a 15 mm central incision above the sternal notch. Dissection is performed under endoscopic vision using conventional and endoscopic instruments. The mean operating time was 69.4 +/- 30.6 minutes for lobectomy (range 20-150 minutes) and 87.4 +/- 43.5 minutes...
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