Table 1 - uploaded by Konstantinos S. Mylonas
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Intraoperative and Postoperative results
Source publication
Purpose:
The first report of miVATT was published in 1998 by Miccoli, leading to a revolution in the field of thyroid surgery. This prospective study aims to evaluate the technique with regard to our department's experience over a four-year period.
Material-methods:
Between September 2009 and October 2013, 48 adult patients (37 females, 11 males...
Context in source publication
Citations
... (13) (Table 1 and Figure 6). Evaluation of the patient's status post-operatively was achieved according to (1) Duration of hospital stay (2) Assessment of postoperative pain, on a 10-point Visual Analogue Scale (VAS) on the first day post-operatively (14) (3) Seroma formation, defined as central neck swelling in the postoperative period, and confirmed by aspiration of serous fluid (15) (4) Recurrent Laryngeal Nerve (RLN) status, by assessment of voice changes and/or difficulty in breathing, confirmed by indirect laryngoscopy (16) (5) Parathyroid gland status by measurement of postoperative serum calcium at 12 hours postoperatively (17) (6) Cosmetic results of the wound with follow-up of the scar at the first day, 3 months and 6 months post-operatively, using patient and observer scar assessment scale (POSAS) (18,19) Histopathological examination of the excised specimen was performed to determine the nature of thyroid disease. ...
The history of thyroid surgery reflects evolution of surgery itself, but shifting focus towards less invasive techniques has resulted in the emergence of minimally invasive approaches for the thyroid compartment. Objectives: This study was conducted to determine the safety and efficacy of minimally invasive flapless thyroidectomy (MIFT) in comparison to conventional thyroidectomy in management of benign thyroid disease. Methods: This study included 60 patients with benign thyroid disease, indicated for thyroidectomy and admitted to Patients were distributed into 2 groups of 30 patients each. Patients in Group A were submitted to conventional thyroidectomy, while those in Group B were submitted to MIFT. Data collected prospectively included demographics, the incision length, the time of the procedure, the intraoperative blood loss, post-operative pain and cosmetic outcome (POSAS score) were recorded. Results: The mean incision length was shorter in Group B than in Group A (2.65±0.30 cm versus 9.08±0.91 cm respectively) (p<0.001). The mean operative time was longer in Group A than in Group B (109.33±21.44 minutes versus 87.0±33.88 minutes respectively) (p=0.002). The mean volume of intraoperative bleeding in Group A was more than in Group B (82.5±7.51 ml versus 58.83±15.01 ml respectively) (p<0.001). Post-operative pain assessed using VAS, the mean score was 6.91±0.83 in Group A versus 5.79±1.07 in Group B (p<0.001). The cosmetic results assessed using POSAS, at day 1, 3 months and 6 months post-operatively. Group A had a mean of 21.43±4.23, 15.87±4.29, and 10.43±4.72 versus 9.93±3.75, 6.73±3.16 and 3.73±2.98, respectively (p<0.001). In conclusion, MIFT is a safe and feasible alternative to conventional thyroidectomy in management of benign thyroid disease, with shorter incision, less bleeding, reduced operative time and better cosmetic results.
Background: We report on minimally invasive thyroidectomy (MIT) through a 2–4cm incision hypothesize similar clinical results to standard open thyroidectomy. Methods: Between January 2019 and March 2020, 61 MIT were evaluated for clinical outcomes, and patient satisfaction on a 1–10 scale. Results: The 61 study patients underwent MIT procedure. The final diagnoses were benign nodular goitre (63%), and papillary thyroid carcinoma (37%). Five patients had temporary recurrent laryngeal nerve paresis and four patients had temporary hypocalcemia. Conclusion: In selected patients, MIT through a 1,5–3cm incision assistance is a safe alternative to standard open thyroidectomy in the hands of an experienced surgeon. The clinical results are equivalent and patient satisfaction is significantly improved.
