Video-Assisted Thyroidectomy
Open accessAbstract
Objective In 1998, we developed a technique for video-assisted thyroidectomy (VAT). In this paper, we report on the entire series of patients who underwent VAT and discuss the results obtained.Methods Seventy-three patients were selected for VAT. Eligibility criteria were: thyroid nodules </=35 mm in maximum diameter; estimated thyroid volume within normal range or slightly enlarged; small, low-risk papillary carcinomas; no previous neck surgery or irradiation and no thyroiditis. The VAT procedure was totally gasless. It was performed under endoscopic vision through a single 1.5 to 2.0-cm skin incision, using a technique very similar to conventional surgery.Results Eighty-one VATs were attempted on 73 patients. Forty-five lobectomies, 24 total thyroidectomies and eight completion thyroidectomies were successfully performed. Mean operative time was 82 minutes for lobectomy, 100 minutes for total thyroidectomy and 77 minutes for completion thyroidectomy. The conversion rate was 4.9%. Postoperative complications included two transient recurrent nerve palsies, five transient symptomatic postoperative hypocalcaemias and one wound infection. The cosmetic result was considered excellent by most of the patients.Conclusion VAT is a feasible and and safe procedure that allows for excellent cosmetic results. In selected cases, it can be a valid option for the surgical treatment of thyroid diseases.
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Postoperative routine supplementation with oral calcium and calcitriol decreases development of hypocalcemic symptoms and intravenous calcium requirement, allowing for safer early discharge.
“Postoperative routine supplementation with oral calcium and calcitriol decreases development of hypocalcemic symptoms and intravenous calcium requirement, allowing for safer early discharge (211).”
From 2016 American Thyroid Association Guidelines for Diagnosis and Management of Hyperthyroidism and Other Causes of Thyrotoxicosis (2016) · cites this paper as [211]
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Cites
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- Authors
- Bellantone, R., Lombardi, C. P., Raffaelli, M., Boscherini, M., de Crea, C., Alesina, P. F., Traini, E., & Princi, P.
- Affiliations
- Università Cattolica del Sacro Cuore (IT)
- Corresponding author
- Boscherini, Mauro
- Venue
- Asian Journal of Surgery
- Publisher
- Elsevier BV
- Published
- 2002-10
- Volume
- 25
- Issue
- 4
- Pages
- 315-318
- ISSN
- 0219-3108 (ISSN-L)
- 1015-9584
- OpenAlex
- W3024662842
- Cited by
- 6
- References
- 20
- Citations by year
- 2023: 1 · 2016: 1
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Asian Journal of Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Thyroid and Parathyroid Surgery
- Health Sciences › Medicine › Surgery › Minimally Invasive Surgical Techniques
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Cancer Diagnosis and Treatment
- Keywords
- video-assisted thyroidectomy, thyroid surgery, thyroid nodules, papillary thyroid carcinoma, total thyroidectomy, lobectomy, completion thyroidectomy, gasless surgery, postoperative complications, recurrent laryngeal nerve palsy, hypocalcemia, cosmetic outcome
- MeSH terms
- Adult, Female, Humans, Male, Thyroid Diseases, Thyroid Neoplasms, Thyroidectomy, Time Factors, Treatment Outcome, Patient Selection, Video-Assisted Surgery
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