Premium
Prophylactic total thyroidectomy using the minimally invasive video‐assisted approach in children with multiple endocrine neoplasia type 2
Author(s) -
Glynn Ronan W.,
Cashman Emma C.,
Doody Jaime,
Phelan Eimear,
Russell John D.,
Timon Conrad
Publication year - 2014
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.23358
Subject(s) - medicine , cosmesis , hypoparathyroidism , endocrine surgery , surgery , thyroidectomy , palsy , general surgery , thyroid , alternative medicine , pathology
Background There have been few reports of prophylactic thyroidectomy using the minimally invasive video‐assisted thyroidectomy (MIVAT) approach in children with multiple endocrine neoplasia 2 (MEN2). Methods We conducted a retrospective review of a prospectively maintained database of patients who underwent MIVAT for total thyroidectomy. Results Six children underwent MIVAT; RET codon mutations identified were 634, 620, 611, and 918. Mean operative time was 93 minutes (range, 68–105 minutes). Five patients were discharged on the first postoperative day; however, 1 patient had a postoperative hematoma and was discharged 2 days postoperatively. There were no cases of laryngeal nerve palsy or postoperative hypoparathyroidism. High levels of satisfaction with postoperative cosmesis were reported. Calcitonin levels have been undetectable at follow‐up thus far (mean follow‐up, 42.8 months). Conclusion Although our outcomes are similar to those reported using the traditional approach, it is important to note that MIVAT is essentially the same operation, just performed through a smaller incision, with resulting benefits in terms of pain, cosmesis and, perhaps, morbidity. © 2013 Wiley Periodicals, Inc. Head Neck 36: 768–771, 2014