Video-assisted thyroidectomy: report of a 7-year experience in Rome

Langenbeck's Archives of Surgery
Celestino Pio LombardiRocco Bellantone

Abstract

We report on our series of patients selected for video-assisted thyroidectomy (VAT) over a 7-year period. VAT is a gasless procedure performed under endoscopic vision through a single 1.5-2.0 cm skin incision. The eligibility criteria are thyroid nodules < or =35 mm, thyroid volume <30 ml, and no previous conventional neck surgery. Small, low-risk papillary thyroid carcinomas (PTC) were considered eligible. There were 521 VATs attempted. Conversion was necessary six times (difficult dissection in one case, large nodule size in three, and gross lymph node metastases in two). Thyroid lobectomy was successfully accomplished in 113 cases, total thyroidectomy in 398, and completion thyroidectomy in 14. In 66 patients, the central neck nodes were removed through the same access. Pathology showed benign diseases in 313 cases, PTC in 187, and medullary microcarcinoma in 1. Postoperative complications included 9 transient recurrent nerve palsies, 73 transient hypocalcemias, 3 definitive hypoparathyroidisms, 1 postoperative haematoma, and 2 wound infections. The cosmetic result was excellent. In patients with PTC, no evidence of recurrent disease was shown. The indications for VAT are still limited. Nonetheless, in selected patients, it ...Continue Reading

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Citations

May 29, 2008·Langenbeck's Archives of Surgery·Chiara DobrinjaGennaro Liguori
Oct 30, 2010·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Zhi-qiang ChenXu-ting Zhi
Jul 18, 2008·Thyroid : Official Journal of the American Thyroid Association·George SgourakisHauke Lang
Oct 3, 2012·Thyroid : Official Journal of the American Thyroid Association·Dhaval Patel, Electron Kebebew
Jan 1, 2007·Journal of Minimal Access Surgery·P K ChowbeyM Baijal
Jun 6, 2014·BioMed Research International·Qiang LuQian Qin
Jan 16, 2014·The Indian Journal of Surgery·P R K Bhargav, V Amar
Nov 9, 2007·World Journal of Surgery·Giuliano PerigliFabio Cianchi
Mar 1, 2012·Journal of the American College of Surgeons·Emad H KandilDouglas P Slakey
Mar 31, 2009·Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Société d'oto-laryngologie des hôpitaux de Paris·R E KaniaJ-F Papon
Sep 26, 2007·Expert Review of Anticancer Therapy·Adonis T RamirezFausto Chiesa
Mar 26, 2014·ORL; Journal for Oto-rhino-laryngology and Its Related Specialties·Salem I NoureldineEmad Kandil
Nov 27, 2010·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·J Kenneth ByrdEric Lentsch
Jan 12, 2019·Surgical Innovation·Gregorio ScerrinoGianfranco Cocorullo
Apr 26, 2017·Updates in Surgery·Gianlorenzo DionigiRalph P Tufano

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