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. 2017 Sep 8;74(3):251-255.
doi: 10.31053/1853.0605.v74.n3.15593.

[Minimally Invasive Video-assisted Thyroidectomy. Experience the same working group]

[Article in Spanish]
Luis Gramática  1 , Rodolfo Raúl Cecenarro, Evelin Sofía Lorenz, Facundo Jorge Antueno
Affiliations

[Minimally Invasive Video-assisted Thyroidectomy. Experience the same working group]

[Article in Spanish]
Luis Gramática et al. Rev Fac Cien Med Univ Nac Cordoba. .

Abstract
in English, Spanish

Different thyroidectomy techniques have been developed to improve the aesthetic results, postoperative pain and to reduce hospital stay.

Objective: To demonstrate the feasibility, safety and efficacy of minimally invasive video-assisted thyroidectomy (MIVAT). Design: Retrospective

Methods: Ninety six patients with thyroid nodules were selected for MIVAT if they presented nodules under 35 mm in diameter, thyroid volume below 30 ml and absence of high-risk malignant tumor, lateral cervical lymphadenopathy or prior cervical surgery. Indirect laryngoscopy was performed before and after surgery to all patients. Surgery was performed through a midline incision of 1.5 cm above the sternal notch, without carbon dioxide and with magnification endoscopy. We evaluated postoperative complications, pain after surgery, the cosmetic outcome and length of stay.

Results: Ninety patients underwent total thyroidectomy or near-total thyroidectomy. The average operative time was 54 ± 9 minutes. The average diameter of the nodule was 20 ± 6 mm. The average volume was 19 ± 6 ml. We documented six (6.2%) hyperparathyroidism and one recurrent laryngeal nerve palsy (0.96%), both transient and none of them permanent. The postoperative pain was minimal and all patients were discharged within 24 hours. Conclusion: In our experience the MIVAT is a safe and feasible technique for the treatment of thyroid disease, with clear advantages over conventional thyroidectomy in selected patients.

Conclusion: In our experience the MIVAT is a safe and feasible technique for the treatment of thyroid disease, with clear advantages over conventional thyroidectomy in selected patients.

Distintas técnicas de tiroidectomía han sido desarrolladas con el fin de mejorar los resultados estéticos, el dolor post operatorio y reducir la estadía hospitalaria

Objetivo: Mostrar nuestra experiencia realizando la tiroidectomía mini-invasiva video asistida (TMIV) en el tratamiento de nódulos tiroideos en pacientes seleccionados.Diseño: Retrospectivo

Material y métodos: Noventa y seis pacientes portadores de nódulos tiroideos fueron seleccionados para TMIV según presentaran nódulos menores de 35 mm de diámetro, volumen tiroideo inferior a 30 ml, ausencia de tumor maligno de alto riesgo, adenopatías cervicales laterales y cirugía cervical previa. Realizamos una laringoscopía indirecta pre y post operatoria a todos los pacientes. La cirugía se realizó a través de una incisión central de 1,5 cm por arriba de la horquilla esternal, sin anhídrido carbónico y con magnificación endoscópica.

Resultados: Resultados: A los 96 pacientes se les practicó una tiroidectomía total o casi- total. El tiempo quirúrgico promedio fue de 54 ± 9 minutos. El diámetro promedio del nódulo fue de 20 ± 6 mm. El volumen promedio fue 19 ± 6 ml. Registramos seis (6,2%) hipoparatiroidismos y una parálisis del nervio recurrente laríngeo (0,96%), ambas transitorias y ninguna definitiva. El dolor postquirúrgico fue mínimo y todos los pacientes tuvieron el alta antes de las 24 horas.

Conclusión: según nuestra la TMIV es una técnica segura y factible para el tratamiento de la enfermedad tiroidea en pacientes bien seleccionados, aportando además menor dolor, alta precoz y un resultado estético satisfactorio.

Keywords: thyroidectomy; thyroid nodule; recurrent laryngeal nerve palsy; hypoparathyroidism; postoperative pain.

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