Premium
Minimally invasive video‐assisted thyroidectomy 2.0: Expanded indications in a tertiary care cancer center
Author(s) -
Kim Alyn J.,
Liu Jeffrey C.,
Ganly Ian,
Kraus Dennis H.
Publication year - 2011
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.21633
Subject(s) - medicine , vocal cord paralysis , thyroidectomy , surgery , dissection (medical) , thyroid cancer , tertiary care , papillary thyroid cancer , thyroid , thyroiditis , paralysis , general surgery
Background Minimally invasive video‐assisted thyroidectomy (MIVAT) advantages include a smaller incision, less extensive surgical dissection, improved visualization secondary to rigid fiberoptics, and decreased postoperative pain. The aims of our study were to report our experience using expanded indications of MIVAT. Methods A retrospective chart review of a single surgeon's initial experience was carried out at a tertiary academic cancer center. Results In all, 53 patients were identified, of whom 40 underwent total thyroidectomy and 13 underwent hemithyroidectomy. Thyroid volume, nodule size, incision length, and surgical time were all examined. Most common pathology was well‐differentiated papillary thyroid cancer (69.8%): 42% of patients had evidence of thyroiditis found on pathology; 17% of patients had temporary vocal cord paralysis, with only 1 case of vocal cord paralysis persisting >6 months (1.9%). Six patients (11%) experienced temporary hypocalcemia, requiring postoperative calcium supplementation; no patients experienced permanent hypocalcemia. Conclusions The use of MIVAT with expanded indications shows complication rates comparable to those of traditional open thyroidectomy. © 2010 Wiley Periodicals, Inc. Head Neck, 2011