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Minimally invasive video-assisted thyroidectomy: four-year experience of a single team in a General Surgery Unit.

AbstractAIM:
Minimally invasive video-assisted thyroidectomy (MIVAT) is a surgical technique that has showed increasingly good results, particularly in endocrine surgery centers. The aim of this prospective, non-randomized study was to evaluate feasibility, advantages and critical aspects of MIVAT in a general surgery unit.
METHODS:
Two hundred twenty-four patients underwent total thyroidectomy for benign thyroid disease from May, 2008 to April, 2011. They were divided into two groups: one underwent conventional thyroidectomy (CT), and the other underwent MIVAT. The inclusion criteria were thyroid volume ≤35 mL and main nodule size ≤35 mm. For each patient, socio-demographic variables, hospitalization data and outcome measures (complication rate, operating time, post-operative pain, observer and patient scar assessment scale [OSAS and PSAS, respectively]) were collected. Multivariate regression analyses were done to assess the principal covariates affecting these outcome measures.
RESULTS:
There were 125 MIVATs and 99 CTs performed. The two groups were characterized by difference in age (38.4 vs. 50.9 years) and thyroid volume (18.6 vs. 23.3 mL). OSAS/PSAS scores were statistically significant in the MIVAT group (P<0.001 and P<0.001, respectively) even after adjusting for age and thyroid volume. Complication rate was similar in the two groups.
CONCLUSION:
MIVAT significantly decreased postoperative pain and improved cosmetic results. It can be performed in younger patients and in all cases in which there is a clear indication for the procedure. Its advantages were confirmed in a general surgery unit where correct indications were followed.
AuthorsG Scerrino, N C Paladino, V Di Paola, G Morfino, A Inviati, E Amodio, G Gulotta, S Bonventre
JournalMinerva chirurgica (Minerva Chir) Vol. 68 Issue 3 Pg. 307-14 (Jun 2013) ISSN: 0026-4733 [Print] Italy
PMID23774096 (Publication Type: Controlled Clinical Trial, Journal Article)
Topics
  • Adult
  • Female
  • General Surgery
  • Humans
  • Male
  • Middle Aged
  • Minimally Invasive Surgical Procedures
  • Pain, Postoperative
  • Prospective Studies
  • Surgery Department, Hospital
  • Thyroidectomy (methods)
  • Time Factors
  • Video-Assisted Surgery

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