Minimally invasive video-assisted thyroidectomy: reflections after more than 2400 cases performed

Surgical Endoscopy
P MiccoliGabriele Materazzi

Abstract

The minimally invasive video-assisted approach was developed for primary hyperparathyroidism in 1997 and the year after for thyroid disease. Since then, the technique has been adopted worldwide, and indications moved from the initial benign disease to low-risk and intermediate-risk carcinoma, demonstrating a level of oncologic radicality comparable to the conventional open approach when inclusion criteria are strictly respected. Between 1998 and 2014, 2412 minimally invasive video-assisted thyroidectomies (MIVAT) were performed in our department. The indication for surgery in 825 patients (34.3 %) was a malignant tumor, in particular, a papillary carcinoma in 800 patients. Among them, 528 patients operated on between 2000 and 2009 had a mean complete follow-up of 7.5 (standard deviation, 2.3) years. A total thyroidectomy was performed in 1788 patients (74.1 %) and a hemithyroidectomy in 564 (23.4 %). Also performed was central compartment lymphadenectomy in 31 patients (1.3 %) and parathyroidectomy for the presence of a solitary parathyroid adenoma in 29 (1.2 %). Mean duration of the procedure was 41 (standard deviation, 14) minutes. After a mean follow-up of 7. 5 years, 528 patients who underwent MIVAT for low-risk or intermed...Continue Reading

References

Jul 1, 1997·Journal of Endocrinological Investigation·P MiccoliC Marcocci
Mar 10, 2000·Journal of Endocrinological Investigation·P MiccoliC Marcocci
Jun 29, 2000·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·M OhgamiM Kitajima
Mar 31, 2006·Langenbeck's Archives of Surgery·Paolo MiccoliGabriele Materazzi
Jan 27, 2007·BMC Surgery·Massimo RuggieriPatrizia Gargiulo
Jul 27, 2007·World Journal of Surgery·Mohamed A F HegazyOla T Abdel Dayem
Jan 23, 2008·Archives of Otolaryngology--head & Neck Surgery·David J TerrisAlfred A Simental
Apr 25, 2008·European Surgical Research. Europäische Chirurgische Forschung. Recherches Chirurgicales Européennes·P Del RioM Sianesi
Jul 18, 2008·Thyroid : Official Journal of the American Thyroid Association·George SgourakisHauke Lang
Feb 19, 2009·The Journal of Clinical Endocrinology and Metabolism·Paolo MiccoliRossella Elisei
Feb 24, 2010·Surgical Endoscopy·Youben FanQi Zheng
Mar 3, 2010·Surgical Endoscopy·Paolo MiccoliMichele N Minuto
Sep 14, 2010·American Journal of Otolaryngology·David J Terris, Melanie W Seybt
Nov 27, 2010·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·J Kenneth ByrdEric Lentsch
Mar 19, 2011·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·C MamaisB Nirmal Kumar
Mar 24, 2011·Journal of Endocrinological Investigation·P MiccoliM Miccoli
Apr 14, 2011·Surgical Endoscopy·Maik SahmHans Lippert
Jul 28, 2011·The Laryngoscope·Peter D RadfordGhassan Alusi
Apr 2, 2014·Thyroid : Official Journal of the American Thyroid Association·William S DukeDavid J Terris
May 7, 2014·BioMed Research International·Zdeněk FíkMartin Chovanec

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Citations

Dec 16, 2017·Journal of Endocrinological Investigation·S BakkarP Miccoli
Jun 12, 2018·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Daqi ZhangHui Sun
Jan 12, 2019·Surgical Innovation·Gregorio ScerrinoGianfranco Cocorullo
Sep 28, 2018·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Daqi ZhangHui Sun
Sep 27, 2019·Journal of Endocrinological Investigation·G DionigiP Miccoli
Sep 10, 2017·World Journal of Surgery·Gabriele MaterazziPaolo Miccoli
Jun 22, 2021·Frontiers in Endocrinology·Leonardo RossiPaolo Miccoli
Jul 1, 2021·Archives of Endocrinology and Metabolism·Alfio TincaniSylvio Vasconcellos
Aug 31, 2021·Frontiers in Endocrinology·Lisa H de VriesMenno R Vriens

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