title: Minimally invasive video-assisted thyroidectomy: tips and pearls for the surgical technique.
abstract: The objectives of this study were first to show principles of the minimally invasive video-assisted thyroidectomy (MIVAT), based on a video highlighting critical steps, and second to discuss tips and pearls to assist surgical teams that would like to start using this technique.
  
  
  
  Based on a video, we described tips and pearls of a MIVAT.
  
  
  
  MIVAT includes 5 main steps: (1) skin incision and identification of the common carotid artery, (2) dissection and ligation of the upper pedicle, (3) identification of the inferior laryngeal nerve and parathyroid glands, (4) isthmectomy and lobe extraction, and (5) closure.
  
  
  
  Coordination between the surgeon and the 2 assistants is of paramount importance for the performance of MIVAT. Appropriate material is also required. The magnification and tissue contrast emphasizes the identification of the vessels, the superior and inferior laryngeal nerves, and parathyroid glands, on a large-view screen.
authors.forename: Romain
authors.initials: R
authors.lastname: Kania
authors.forename: Romain
authors.initials: R
authors.lastname: Kania
authors.forename: Hassene
authors.initials: H
authors.lastname: Hammami
authors.forename: Benjamin
authors.initials: B
authors.lastname: Vérillaud
authors.forename: Jean-Philippe
authors.initials: JP
authors.lastname: Blancal
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Sauvaget
authors.forename: Hugo
authors.initials: H
authors.lastname: Tran
authors.forename: Nicolas
authors.initials: N
authors.lastname: Leclerc
authors.forename: Khaled
authors.initials: K
authors.lastname: Al Tabaa
authors.forename: Philippe
authors.initials: P
authors.lastname: Herman
authors.forename: Yoann
authors.initials: Y
authors.lastname: Pons
mesh_terms: D000770:Anesthesia, Endotracheal; D000075202:Contraindications; D004210:Dissection / Q000379:methods; D006801:Humans; D008026:Ligation / Q000379:methods; D010348:Patient Care Team; D056888:Patient Positioning; D013959:Thyroid Diseases / Q000601:surgery; D013961:Thyroid Gland / Q000098:blood supply; D013964:Thyroid Neoplasms / Q000601:surgery; D013965:Thyroidectomy / Q000379:methods*; D014680:Veins / Q000601:surgery; D020535:Video-Assisted Surgery / Q000379:methods*