title: Minimally invasive video-assisted versus minimally invasive nonendoscopic thyroidectomy.
abstract: Minimally invasive video-assisted thyroidectomy (MIVAT) and minimally invasive nonendoscopic thyroidectomy (MINET) represent well accepted and reproducible techniques developed with the main goal to improve cosmetic outcome, accelerate healing, and increase patient's comfort following thyroid surgery. Between 2007 and 2011, a prospective nonrandomized study of patients undergoing minimally invasive thyroid surgery was performed to compare advantages and disadvantages of the two different techniques. There were no significant differences in the length of incision to perform surgical procedures. Mean duration of hemithyroidectomy was comparable in both groups, but it was more time consuming to perform total thyroidectomy by MIVAT. There were more patients undergoing MIVAT procedures without active drainage in the postoperative course and we also could see a trend for less pain in the same group. This was paralleled by statistically significant decreased administration of both opiates and nonopiate analgesics. We encountered two cases of recurrent laryngeal nerve palsies in the MIVAT group only. MIVAT and MINET represent safe and feasible alternative to conventional thyroid surgery in selected cases and this prospective study has shown minimal differences between these two techniques.
authors.affiliation: Department of Otorhinolaryngology, Head and Neck Surgery, First Faculty of Medicine, Charles University in Prague and University Hospital Motol, V Úvalu 84, 150 06 Prague 5, Czech Republic ; Institute of Anatomy, First Faculty of Medicine, Charles University in Prague, U Nemocnice 3, 128 00 Prague 2, Czech Republic.
authors.forename: Zdeněk
authors.initials: Z
authors.lastname: Fík
authors.affiliation: Department of Otorhinolaryngology, Head and Neck Surgery, First Faculty of Medicine, Charles University in Prague and University Hospital Motol, V Úvalu 84, 150 06 Prague 5, Czech Republic ; Department of Otorhinolaryngology, Head and Neck Surgery, Third Faculty of Medicine, Charles University Prague, Military Hospital, U Vojenské Nemocnice 1200, 169 00 Prague 6, Czech Republic.
authors.forename: Jaromír
authors.initials: J
authors.lastname: Astl
authors.affiliation: Department of Otorhinolaryngology, Head and Neck Surgery, First Faculty of Medicine, Charles University in Prague and University Hospital Motol, V Úvalu 84, 150 06 Prague 5, Czech Republic.
authors.forename: Michal
authors.initials: M
authors.lastname: Zábrodský
authors.affiliation: Department of Otorhinolaryngology, Head and Neck Surgery, First Faculty of Medicine, Charles University in Prague and University Hospital Motol, V Úvalu 84, 150 06 Prague 5, Czech Republic.
authors.forename: Petr
authors.initials: P
authors.lastname: Lukeš
authors.affiliation: Department of Electromagnetic Field, Faculty of Electrical Engineering, Czech Technical University in Prague, Technická 2, 166 27 Prague 6, Czech Republic.
authors.forename: Ilja
authors.initials: I
authors.lastname: Merunka
authors.affiliation: Department of Otorhinolaryngology, Head and Neck Surgery, First Faculty of Medicine, Charles University in Prague and University Hospital Motol, V Úvalu 84, 150 06 Prague 5, Czech Republic.
authors.forename: Jan
authors.identifier: 0000-0001-8772-317X
authors.initials: J
authors.lastname: Betka
authors.affiliation: Department of Otorhinolaryngology, Head and Neck Surgery, First Faculty of Medicine, Charles University in Prague and University Hospital Motol, V Úvalu 84, 150 06 Prague 5, Czech Republic.
authors.forename: Martin
authors.initials: M
authors.lastname: Chovanec
mesh_terms: D000328:Adult; D000368:Aged; D004724:Endoscopy / Q000009:adverse effects / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D019547:Neck Pain / Q000175:diagnosis / Q000209:etiology*; D016606:Thyroid Nodule / Q000150:complications / Q000473:pathology / Q000601:surgery*; D013965:Thyroidectomy / Q000009:adverse effects / Q000379:methods*; D016896:Treatment Outcome; D014741:Video Recording / Q000379:methods*; D014826:Vocal Cord Paralysis / Q000175:diagnosis / Q000209:etiology*