title: Minimally Invasive Video-Assisted Thyroidectomy: Almost a Decade of Experience at an Academic Center.
abstract: Minimally invasive video-assisted thyroidectomy (MIVAT) has gained acceptance as an alternative to conventional thyroidectomy. This technique results in less bleeding, postoperative pain, shorter recovery time, and better cosmetic results without increasing morbidity. We retrospectively assessed outcomes in 583 patients having MIVAT from May 2005 to September 2014. The study population was divided into groups according to periods: 2005 to 2009 and 2010 to 2014. Operative data, complications, and length of stay were collected and compared. Total thyroidectomy was undertaken in 185, completion thyroidectomy in 49, and hemithyroidectomy in 349. Malignancy was present in 127 (21.8%). Mean incision was 3.4 ± 0.7 cm and estimated blood loss was 23.7 ± 21.7 mL. Mean operative time was 86.5 ± 39.3 minutes for all operations, 78.5 ± 37.0 minutes for hemithyroidectomy, 70.9 ± 30.1 minutes for completion thyroidectomy, and 106.8 ± 41.3 minutes for total thyroidectomy. Postoperatively, 56 (9.6%) had unilateral vocal cord dysfunction, which resolved except for one case (0.17%). Fifty-nine patients (10.1%) developed hypocalcemia, but only three cases (0.51%) became permanent. Only one patient required readmission. In conclusion, MIVAT results in short operative times, minimal blood loss, and few complications and is safely performed in an academic institution.
authors: Loma Linda University School of Medicine, Loma Linda, California, USA.
authors: Ethan
authors: E
authors: Frank
authors: Joshua
authors: J
authors: Park
authors: Alfred
authors: A
authors: Simental
authors: Christopher
authors: C
authors: Vuong
authors: Yuan
authors: Y
authors: Liu
authors: Daniel
authors: D
authors: Kwon
authors: Yi
authors: Y
authors: Lin
authors: Pedro Andrade
authors: PA
authors: Filho
mesh_terms: D000046:Academic Medical Centers; D000328:Adult; D016063:Blood Loss, Surgical / Q000503:physiopathology*; D002140:California; D015331:Cohort Studies; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D061646:Operative Time; D010149:Postoperative Pain / Q000453:epidemiology / Q000503:physiopathology; D061214:Patient Safety / Q000706:statistics & numerical data; D011379:Prognosis; D012189:Retrospective Studies; D018570:Risk Assessment; D013964:Thyroid Neoplasms / Q000601:surgery; D013965:Thyroidectomy / Q000009:adverse effects / Q000379:methods*; D016896:Treatment Outcome; D020535:Video-Assisted Surgery / Q000009:adverse effects / Q000379:methods*