2007
DOI: 10.1007/s00268-007-9147-7
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Minimally Invasive Video‐Assisted Thyroidectomy for Small Follicular Thyroid Nodules

Abstract: Minimal access surgery in the thyroid compartment has evolved considerably over the past 10 years and now takes many forms. This study examined the feasibility and reliability of minimally invasive thyroid surgery for the management of small benign thyroid lesions. A total of 68 patients with small thyroid nodules admitted to the Oncology Center of Mansoura University, Egypt, were enrolled in this prospective randomized trial. Patients were allotted to one of two procedures: minimally invasive video-assisted t… Show more

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Cited by 47 publications
(39 citation statements)
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“…Fiftyseven relevant thyroidectomy papers were identified, twenty of which reported some form of cosmetic outcome assessment. 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%
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“…Fiftyseven relevant thyroidectomy papers were identified, twenty of which reported some form of cosmetic outcome assessment. 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%
“…[6][7][8][9][10][11] None discussed a power calculation. Two of the studies measured postoperative wound length.…”
Section: Randomised Controlled Trialsmentioning
confidence: 99%
“…13,19,[41][42][43][44][45][46] One of the reasons for this initial refusal is partly due to the technical difficulty of endoscopic resection, which requires adequate training both in open and endoscopic procedures before gland resection can be safely performed. 46 MIVAT has the potential to offer similar advantages over conventional thyroidectomy.…”
Section: Dovepressmentioning
confidence: 99%
“…23,42,45 With greater experience, it is likely that operative times for MIVAT will decrease, particularly with the refinement of electrothermal vessel sealing devices, which have now become the preferred method for vessel control and dissection in open and minimally invasive thyroidectomy. This technology, in addition to the fact that MIVAT minimizes the amount of unnecessary dissection required to expose the thyroid, will likely result in the decrease in operative times in future.…”
Section: Incision Length (Cm)mentioning
confidence: 99%
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