Minimally invasive, video-assisted thyroidectomy: first experience from the United Kingdom

Samy, Ahmed; Ridgway, Daniel M.; Orabi, Ahmad A.; Suppiah, Aravind

doi:10.1308/003588410x12628812459977

Cited by 21 publications

(12 citation statements)

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“…Thus, it would be expected that as departments gain expertise in MIVAT the operative time should reduce and become comparable to conventional surgery. Complication rates during the learning phase were assessed by Samy et al24 reporting their first 64 MIVAT procedures, who noted a conversion rate of 6.4%, a transient postoperative hypocalcaemia rate of 3.2%, transient recurrent laryngeal nerve damage of 11%, and a 3% rate of permanent nerve damage. These high complication rates were all ascribed to the steep learning curve of MIVAT, with the authors noting that 75% of the procedures requiring conversion occurred in the first 15 cases.…”

Section: Discussionmentioning

confidence: 99%

Meta‐analysis of minimally invasive video‐assisted thyroidectomy

et al. 2011

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Section: Discussionmentioning

confidence: 99%

Meta‐analysis of minimally invasive video‐assisted thyroidectomy

et al. 2011

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“…These included 6 randomised controlled trials (RCTs) with 412 patients (evidence level 2B), [6][7][8][9][10][11] 7 cohort studies with 3,073 patients (level 3B) [12][13][14][15][16][17][18] and 7 non-comparative case series with 1,575 patients (level 4). [19][20][21][22][23][24][25] The remaining studies made reference to the issue of cosmesis either by assumption, referencing or general statements unsupported by methodological assessment.…”

Section: Review Resultsmentioning

confidence: 99%

Short and long-term cosmesis of cervical thyroidectomy scars

Dordea

Aspinall

2016

annals

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INTRODUCTION Multiple surgical approaches to the thyroid gland have been described via cervical or extracervical routes. Improved cosmesis, patient satisfaction, reduced pain (procedure dependent) and early discharge have all been reported for minimally invasive approaches with similar safety profiles and long-term outcomes to conventional surgery. This review summarises the current evidence base for improved cosmesis with minimally invasive cervical approaches to the thyroid gland compared with conventional surgery. METHODS A systematic review was undertaken. The MEDLINE ® , Embase™ and Cochrane databases were searched for relevant articles. RESULTS A total of 57 papers thyroid papers were identified. Of those, 20 reported some form of cosmetic outcome assessment. There were 6 randomised controlled trials with 412 patients (evidence level 2B), 7 cohort studies with 3,073 patients (level 3B) and 7 non-comparative case series with 1,575 patients (level 4). There was significant heterogeneity between studies in terms of wound closure technique, timing of scar assessment and scar assessment scales (validated and non-validated). Most studies performed early scar assessments, some using non-validated scar assessment tools. CONCLUSIONS Assessment of cosmesis is complex and requires rigorous methodology. Evidence from healing/remodelling studies suggests scar maturation is a long-term process. This calls into question the value of early scar assessment. Current evidence does not support minimally invasive surgical approaches to the thyroid gland if improved long-term cosmesis is the goal. KEYWORDSThyroidectomy -Minimally invasive video assisted thyroidectomy -Scar -Cosmesis

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“…Son dönemde tiroid malignitelerinde minimal invaziv ve endoskopik işlemlerle ilgili çalışma ve yayınlar artmaktadır. 5,[11][12][13][14][15][16] Bizim serimizde konvansiyonel cerrahi uygulanan vakalarda basıya ya da hastada kozmetik sıkıntıya yol açan büyük hacimli multinodüler guatr vakaları ön plana çıkarken, VAT yapılan olgularda ise küçük hacimli hipertiroidi vakaları ön plandaydı. Uygun hastaların seçilmesi halinde, işlemin güvenilirliği ve uygulanabilirliği konvansiyonel cerrahi ile aynıdır.…”

Section: Discussionunclassified