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Ethan Frank, Joshua Park, Alfred Simental, Christopher Vuong, Yuan Liu, Daniel Kwon, Yi Lin, Pedro Andrade Filho
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...
October 2016: American Surgeon
Paolo Del Rio, Lorenzo Viani, Chiara Montana Montana, Federico Cozzani, Mario Sianesi
BACKGROUND: The conventional thyroidectomy is the most frequent surgical procedure for thyroidal surgical disease. From several years were introduced minimally invasive approaches to thyroid surgery. These new procedures improved the incidence of postoperative pain, cosmetic results, patient's quality of life, postoperative morbidity. The mini invasive video-assisted thyroidectomy (MIVAT) is a minimally invasive procedure that uses a minicervicotomy to treat thyroidal diseases. METHODS: We present our experience on 497 consecutively treated patients with MIVAT technique...
June 2016: Gland Surgery
Hu Hei, Yifei Zhai, Jianwu Qin, Yongping Song
PURPOSE: Intraoperative neural monitoring (IONM) technology was applied in minimally invasive video-assisted thyroidectomy (MIVAT) to explore its safety and effectiveness. MATERIALS AND METHODS: Data were collected retrospectively from October 2009 to August 2011. Inclusion criteria included the following: (1) benign thyroid nodule with maximum diameter less than 4.0 cm by preoperative ultrasound evaluation; (2) no previous thyroid surgeries; (3) no cervical radiation history; (4) normal function of recurrent laryngeal nerve (RLN) examined by preoperative laryngoscopy; (5) patients who did not accept to take a "wait and see" follow-up strategy...
2016: Journal of Investigative Surgery: the Official Journal of the Academy of Surgical Research
Hui Yu, Xin Ge, Weikang Pan, Huaijie Wang, Qiang Huang, Y U Dong, Y A Gao, Jianjun Yu
Minimally invasive video-assisted thyroidectomy (MIVAT), originally described by Miccoli, is considered to be the most widely practiced and easily reproducible procedure for selected patients with benign and/or malignant thyroid nodules. Modified techniques based on MIVAT, namely modified Miccoli's thyroid surgery (MMTS), were developed based on MIVAT. This study aimed to evaluate the preliminary results of MMTS compared with those of MIVAT. The enrolling criteria included a benign nodule <3.5 cm in diameter, a malignant tumor <2 cm, no previous neck surgery and no evidence of any suspected lymph node metastasis or local invasion...
September 2015: Molecular and Clinical Oncology
Paolo Miccoli, Valeria Matteucci
BACKGROUND: Today is well known that endoscopic thyroidectomy could reach the same level of completeness as a conventional operation. We have been using minimally invasive video assisted thyroidectomy (MIVAT) as our favorite minimally invasive access to thyroid diseases from the late nineties. METHODS: Our experience with MIVAT is represented by 2,413 cases between 1998 and 2014: in particular 821 patients were operated with a total thyroidectomy for a papillary carcinoma (34...
October 2015: Gland Surgery
P Miccoli, M Biricotti, V Matteucci, C E Ambrosini, J Wu, G Materazzi
BACKGROUND: The minimally invasive video-assisted approach was developed for primary hyperparathyroidism in 1997 and the year after for thyroid disease. Since then, the technique has been adopted worldwide, and indications moved from the initial benign disease to low-risk and intermediate-risk carcinoma, demonstrating a level of oncologic radicality comparable to the conventional open approach when inclusion criteria are strictly respected. METHODS: Between 1998 and 2014, 2412 minimally invasive video-assisted thyroidectomies (MIVAT) were performed in our department...
June 2016: Surgical Endoscopy
Sohail Bakkar, Gabriele Materazzi, Marco Biricotti, Luigi De Napoli, Massimo Conte, David Galleri, Aleksandr Aghababyan, Paolo Miccoli
A minimal access procedure does not necessarily mean that it is minimally invasive. However, as its name implies, MIVAT is a truly minimally invasive treatment modality. The advantages it offers over its conventional counterpart are indeed related to its minimally invasive nature. Furthermore, this nature has not compromised its ability to accomplish its purpose both safely and effectively. Ever since its introduction in the late 1990s, MIVAT has been progressively evolving. The indications for this procedure, which was initially surrounded by skepticism, have been expanding...
February 2016: Surgery Today
William S Duke, Jennifer R White, Jennifer L Waller, David J Terris
BACKGROUND: Though minimally invasive video-assisted thyroidectomy (MIVAT) offers many advantages over traditional thyroid surgery, its adoption in North America has been limited. This study analyzes the largest series of MIVAT in North America to explore its safety. METHODS: A prospectively maintained database of all patients undergoing thyroid surgery by a single surgeon from 2003 to 2011 at an academic tertiary care medical center was evaluated. Demographic information, surgical and pathologic data, and postoperative outcomes were analyzed...
November 2015: Annals of Otology, Rhinology, and Laryngology
P Zhang, H-W Zhang, X-D Han, J-Z Di, Q Zheng
OBJECTIVE: Comparing the minimally invasive video-assisted thyroidectomy (MIVAT) with conventional thyroidectomy in safety and clinical application. STUDY DESIGN: A systematic review of the literature and meta-analysis. MATERIALS AND METHODS: Randomized controlled trials comparing the MIVAT with conventional thyroidectomy were ascertained by methodical search using Medline, Embase, Pubmed, and The Cochrane Library. The trials data were extracted and statistical analyzed using STATA 11...
April 2015: European Review for Medical and Pharmacological Sciences
Chenhong Zheng, Shouying Liu, Peiliang Geng, Huiming Zhang, Hongpeng Zhang, Airong Tang, Xiaohua Xie
OBJECTIVES: The aim of this study was to compare the immune response between the minimally invasive video-assisted thyroidectomy (MIVAT) and conventional thyroidectomy (CT). METHODS: An exhaustive literature search was performed in the Medline, Embase, and Cochrane Library to identify the randomized controlled trials comparing the immune response between MIVAT and CT. Relevant data were extracted and statistical analysis was done using RevMan 5.0. RESULTS: Twelve trials including 389 patients were identified...
2015: International Journal of Clinical and Experimental Medicine
Michela Giulii Capponi, Carlo Bellotti, Marco Lotti, Luca Ansaloni
BACKGROUND: Minimally invasive video-assisted thyroidectomy (MIVAT) is a technically demanding procedure and requires a surgical team skilled in both endocrine and endoscopic surgery. The aim of this report is to point out some aspects of the learning curve of the video-assisted thyroid surgery, through the analysis of our preliminary series of procedures. PATIENTS AND METHODS: Over a period of 8 months, we selected 36 patients for minimally invasive video-assisted surgery of the thyroid...
April 2015: Journal of Minimal Access Surgery
Paolo Del Rio, Umberto Maestroni, Mario Sianesi, Lorenzo Viani, Diego Vicente, Alexander Stojadinovic, Itzhak Avital
BACKGROUND: Minimally invasive video-assisted thyroidectomy (MIVAT) was initially introduced for the treatment of selected patients who met certain thyroid volume, nodule size and pathological criteria. Recent studies indicate that the completeness of resection of malignant nodules is comparable to that obtained with conventional thyroidectomy. AIMS: To compare the 5-year outcomes in patients with papillary thyroid carcinoma (PTC) treated with MIVAT versus conventional thyroidectomy...
March 2015: Tumori
Paolo Del Rio, Belinda De Simone, Lorenzo Viani, Maria Francesca Arcuri, Mario Sianesi
BACKGROUND: Hypocalcemia and unintentional parathyroidectomy would be associated as cause of post-thyroidectomy hypocalcemia. MATERIALS AND METHODS: We analysed the cases treated with total thyroidectomy by two experienced endocrine surgeons from January 2010 to December 2011 at the Unit of General Surgery and Organ Transplantation of the University Hospital of Parma. These cases were divided in two groups: "Group A" included patients for whom a histological report was made that was negative for a parathyroid avulsion, and "Group B" included patients for whom an inadvertent avulsion of the intracapsular parathyroid glands had occurred...
September 2014: Annali Italiani di Chirurgia
Franck Billmann, Therezia Bokor-Billmann, Hryhoriy Lapshyn, Claude Burnett, Ulrich T Hopt, Erhard Kiffner
BACKGROUND: Minimal-access video-assisted thyroidectomy (MIVAT) has now become a widespread technique in the treatment of benign thyroid disease. No studies systematically investigate risk factors for postoperative complications. The aim of our study was to investigate possible risk factors for postoperative complications in MIVAT in patients with benign disease. METHODS: One-hundred eighty-nine patients who underwent MIVAT for benign disease were retrospectively identified in a prospectively-maintained institutional register of thyroid surgery...
December 2014: International Journal of Surgery
Zheng Haitao, Xu Jie, Jiang Lixin
INTRODUCTION: Minimally invasive techniques in thyroid surgery including video-assisted technique originally described by Miccoli have been accepted in several continents for more than 10 years. AIM: To analyze our preliminary results from minimally invasive video-assisted thyroidectomy (MIVAT) and to evaluate the feasibility and effects of this method in a general department over a 4-year period. MATERIAL AND METHODS: Initial experience was presented based on a series of 200 patients selected for MIVAT at the General Surgery Department of Yantai Yuhuangding Hospital affiliated with Qingdao University during the period from May 2008 to June 2012...
September 2014: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
Zdeněk Fík, Jaromír Astl, Michal Zábrodský, Petr Lukeš, Ilja Merunka, Jan Betka, Martin Chovanec
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...
2014: BioMed Research International
Paolo Del Rio, Maria Francesca Arcuri, Simona Cataldo, Belinda De Simone, Paola Pisani, Mario Sianesi
AIM: The first cases treated with Minimally Invasive videoassisted thyroidectomy (MIVAT) were characterized by inclusion and exclusion criteria that are changing with the experience. MATERIALS AND METHODS: We have analyzed the patients treated from july 2005 to december 2010 with MIVAT All these cases were treated in accord with Miccoli's technique with a minicervicotomy of 1.5-2 cm above the sternal notch. We have divided the cases on the surgical period highlighting changing in the inclusion criteria and the adverse events (0-211 cases; 212-300 cases)...
January 2014: Annali Italiani di Chirurgia
P Del Rio, B De Simone, M Fumagalli, L Viani, A Totaro, M Sianesi
AIM: Thyroiditis is often associated with nodules based on the Bethesda classification system, and the presence of thyroiditis can make thyroid surgery difficult using both conventional techniques and minimally invasive videoassisted approaches (MIVAT). METHODS: We analyzed 326 patients who underwent total thyroidectomy in 2012. We collected all data in dedicated database. The patients were divided in 4 groups: group 1 no affected by thyroiditis, group 2 affected by thyroiditis, group 3 only histological diagnosis of thyroiditis, group 4all patients affected by thyroiditis...
March 2015: Minerva Endocrinologica
William S Duke, Jennifer R White, Jennifer L Waller, David J Terris
BACKGROUND: Obesity is associated with a number of medical comorbidities and is considered a risk factor for surgical complications. However, the impact of obesity on the safety of minimally invasive video-assisted thyroidectomy (MIVAT) has not been well defined. We sought to determine the relationship between obesity and the risk of complications in patients undergoing MIVAT. METHOD: A prospectively maintained database of all thyroid surgeries performed from January 2006 through June 2012 was searched and all cases of MIVAT were identified...
July 2014: Thyroid: Official Journal of the American Thyroid Association
Romain Kania, Romain Kania, Hassene Hammami, Benjamin Vérillaud, Jean-Philippe Blancal, Elisabeth Sauvaget, Hugo Tran, Nicolas Leclerc, Khaled Altabaa, Philippe Herman, Yoann Pons
BACKGROUND: 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. METHODS: Based on a video, we described tips and pearls of a MIVAT. RESULTS: 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...
June 2014: Annals of Otology, Rhinology, and Laryngology
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