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. 2020 Jan;9(Suppl 1):S1-S5.
doi: 10.21037/gs.2019.12.05.

Minimally invasive video-assisted thyroidectomy (MIVAT)

Paolo Miccoli  1 , Lorenzo Fregoli  1 , Leonardo Rossi  1 , Piermarco Papini  1 , Carlo Enrico Ambrosini  1 , Sohail Bakkar  1 , Luigi De Napoli  1 , Alexander Aghababyan  1 , Valeria Matteucci  1 , Gabriele Materazzi  1
Affiliations

Minimally invasive video-assisted thyroidectomy (MIVAT)

Paolo Miccoli et al. Gland Surg. 2020 Jan.

Abstract

Background: Minimally invasive video-assisted thyroidectomy (MIVAT) was first described in 1999 and it has become a widespread technique performed worldwide. Although initially limited to benign thyroid nodules, MIVAT was progressively adopted for all types of thyroid diseases, while remaining within the selection criteria. It is reported that, in selected cases, MIVAT is comparable to standard open thyroidectomy (SOT) in terms of oncologic radicality, time, costs and complications rate, with the advantage of a better cosmetic result and a lower post-operative pain.

Methods: The authors conducted a retrospective analysis about patients who underwent MIVAT between 1998 and 2019 in the Endocrine Surgery Unit of the University Hospital in Pisa. Indications and contraindications are mentioned and strictly followed.

Results: Total thyroidectomy was performed in 1,862 cases (69%) and hemithyroidectomy was performed in 763 cases (28.3%). Conversion occurred in 43 cases (1.6%). In 188 cases (7%) a postoperative transient hypoparathyroidism was reported, whereas definitive hypoparathyroidism was reported in 12 cases (0.4%). Thirty-eight patients (1.4%) suffered from a definitive postoperative recurrent laryngeal nerve palsy. No definitive bilateral recurrent laryngeal nerve palsy occurred.

Conclusions: From our multi-years' experience which spreads over 20 years, we can reaffirm the concept that MIVAT is a safe procedure which is not burdened by an increase complications rate or additional costs. Furthermore, this technique offers advantages in terms of cosmetic results and post-operative pain.

Keywords: Minimally invasive video-assisted thyroidectomy (MIVAT); endoscopic; thyroidectomy.

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Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

References

    1. Miccoli P, Berti P, Conte M, et al. Minimally invasive surgery for thyroid small nodules: preliminary report. J Endocrinol Invest 1999;22:849-51. 10.1007/BF03343657 - DOI - PubMed
    1. Scerrino G, Melfa G, Raspanti C, et al. Minimally Invasive Video-Assisted Thyroidectomy: Analysis of Complications From a Systematic Review. Surg Innov 2019;26:381-7. 10.1177/1553350618823425 - DOI - PubMed
    1. Berti P, Materazzi G, Conte M, et al. Visualization of the external branch of the superior laryngeal nerve during video-assisted thyroidectomy. J Am Coll Surg 2002;195:573-4. 10.1016/S1072-7515(02)01338-8 - DOI - PubMed
    1. Lai SY, Walvekar RR, Ferris RL. Minimally invasive video-assisted thyroidectomy: expanded indications and oncologic completeness. Head Neck 2008;30:1403-7. 10.1002/hed.20883 - DOI - PMC - PubMed
    1. Miccoli P, Biricotti M, Matteucci V, et al. Minimally invasive video-assisted thyroidectomy: reflections after more than 2400 cases performed. Surg Endosc 2016;30:2489-95. 10.1007/s00464-015-4503-4 - DOI - PubMed