Minimally invasive video-assisted thyroidectomy: Learning curve in terms of mean operative time and conversion and complication rates.
BACKGROUND
The purpose of this study was to evaluate the learning curve for minimally invasive video-assisted thyroidectomy (MIVAT).


METHODS
Fifty consecutive patients were prospectively included in groups corresponding to their surgical order (10 patients in each group).


RESULTS
The mean operation times between 2 neighboring groups were 33.9 minutes longer in group 1 than in group 2 (p = .01) and 25.8 minutes longer in group 3 than in group 4 (p = .002). The conversion rate for technical difficulties in group 1 was 6% (3 of 50). The definitive complication rate was 2% (1 of 50).


CONCLUSIONS
In terms of operative time, 10 patients represented the early stage of the learning curve, and 30 patients represented the number of procedures required to reach an advanced level of skill. Considering the low conversion and complication rates, improved aesthetic results and postoperative course, MIVAT should become a tool in the repertoire of high-volume thyroid surgeons.
Head and Neck Surgery Department, Hôpital Lariboisière, Paris, France. pons.yoann@gmail.com
Yoann
Y
Pons
Benjamin
B
Vérillaud
Jean-Philippe
JP
Blancal
Elisabeth
E
Sauvaget
Tam
T
Cloutier
Nicolas
N
Le Clerc
Philippe
P
Herman
Romain
R
Kania
D000328:Adult; D000368:Aged; D002983:Clinical Competence; D015331:Cohort Studies; D061887:Conversion to Open Surgery; D005260:Female; D006801:Humans; D059032:Learning Curve; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D013959:Thyroid Diseases / Q000473:pathology / Q000601:surgery*; D013965:Thyroidectomy / Q000009:adverse effects*; D016896:Treatment Outcome; D020535:Video-Assisted Surgery / Q000009:adverse effects*