Miniinvasive video-assisted interventions on the thyroid and parathyroid glands
Objective. To study the efficacy of miniinvasive video-assisted interventions on the thyroid and parathyroid glands.
Materials and methods. In a frame of the investigation accomplished in 2012-2018 yrs 50 patients were operated for nodular goiter (40) and primary hyperparathyrosis with solitary adenoma of a parathyroid gland (10). In all the patients miniinvasive video-assisted interventions were performed in accordance to procedure, proposed by P. Miccoli.
Results. A pain syndrome was minimal in all the patients. Stable paresis of nn. Recurrens and parathyrosis were not observed. Transitory paresis of n. Recurrens have occurred in 2 patients. The wound infection was absent. In all the patients with primary hyperparathyrosis the calcium content have lowered down to normal or subnormal value. Stationary stay after miniinvasive operations have been reduced down to (2.2 ± 0.3) bed-days, while after open operations they constituted (5/7 ± 1.2) bed-days. While further follow-up of the patients during one year the disease recurrence was not registered. Excellent cosmetic result was obtained in majority of the patients. In 3 of them only keloid cicatrices have formatted, causing a cosmetic effect lowering.
Conclusion. The procedure for miniinvasive video-assisted interventions on thyroid gland was proposed by P. Miccoli, and is still actual. It may be applied also in patients with primary parathyrosis and solitary adenoma of parathyroidal gland. But the patients must be thoroughly selected for this operative interventions.
Pemayun TG. Current Diagnosis and Management of Thyroid Nodules. Acta Med Indones. 2016;48(3):247-57. PMID: 27840362.
Bakkar S, Matteucci V, Corsini C, Pagliaro S, Miccoli P. Less is more: time to expand the indications for minimally invasive video-assisted parathyroidectomy. J Endocrinol Invest. 2017;40(9):979-83. doi: 10.1007/s40618-017-0658-2.
Bakkar S, Materazzi G, Biricotti M, De Napoli L, Conte M, Galleri D, et al. Minimally invasive video-assisted thyroidectomy (MIVAT) from A to Z. Surg Today. 2016;46(2):255-9. doi: 10.1007/s00595-015-1241-0.
Sessa L, Lombardi CP, De Crea C, Raffaelli M, Bellantone R. Video-assisted endocrine neck surgery: state of the art. Updates Surg. 2017;69(2):199-204. doi: 10.1007/s13304-017-0467-3.
Cho J, Lee D, Baek J, Lee J, Park Y, Sung K. Single-incision endoscopic thyroidectomy by the axillary approach with gas inflation for the benign thyroid tumor: retrospective analysis for a single surgeon's experience. Surg Endosc. 2017;31(1):437-44. doi: 10.1007/s00464-016-5093-5.
Lee DY, Baek SK, Jung KY. Solo-Surgeon Retroauricular Approach Endoscopic Thyroidectomy. J Laparoendosc Adv Surg Tech A. 2017;27(1):63-6. doi: 10.1089/lap.2016.0140.
Dionigi G, Lavazza M, Bacuzzi A, Inversini D, Pappalardo V, Tufano RP, et al. Transoral Endoscopic Thyroidectomy Vestibular Approach (TOETVA): From A to Z. Surg Technol Int. 2017;30:103-12. PMID: 28182829.
Xie QP, Xiang C, Wang Y, Yan HC, Zhao QZ, Yu X, et al. The patterns and treatment of postoperative hemorrhage and hematoma in total endoscopic thyroidectomy via breast approach: experience of 1932 cases. Endocrine. 2019;63(3):422-9. doi: 10.1007/s12020-018-01837-1.
Ruhle BC, Ferguson Bryan A, Grogan RH. Robot-Assisted Endocrine Surgery: Indications and Drawbacks. J Laparoendosc Adv Surg Tech A. 2019;29(2):129-35. doi: 10.1089/lap.2018.0308.
Scerrino G, Melfa G, Raspanti C, Rotolo G, Salamone G, Licari L, et al. Minimally Invasive Video-Assisted Thyroidectomy: Analysis of Complications From a Systematic Review. Surg Innov. 2019:1553350618823425. doi: 10.1177/1553350618823425.
Garstka ME, Alameer ES, Awwad SA, Kandil E. Conventional Robotic Endoscopic Thyroidectomy for Thyroid Cancer. Endocrinol Metab Clin North Am. 2019;48(1):153-63. doi: 10.1016/j.ecl.2018.10.005.
Miccoli P, Berti P, Materazzi G, Minuto M, Barellini L. Minimally invasive video-assisted thyroidectomy: five years of experience. J Am Coll Surg. 2004;199(2):243-8. PMID: 15275880.
Miccoli P, Biricotti M, Matteucci V, Ambrosini CE, Wu J, Materazzi G. Minimally invasive video-assisted thyroidectomy: reflections after more than 2400 cases performed. Surg Endosc. 2016;30(6):2489-95. doi: 10.1007/s00464-015-4503-4.
Bellotti C, Capponi MG, Cinquepalmi M, Castagnola G, Marchetta S, Mallozzi F, et al. MIVAT: the last 2 years experience, tips and techniques after more than 10 years. Surg Endosc. 2018;32(5):2340-4. doi: 10.1007/s00464-017-5929-7.
Del Rio P, Viani L, Montana CM, Cozzani F, Sianesi M. Minimally invasive thyroidectomy: a ten years experience. Gland Surg. 2016;5(3):295-9. doi: 10.21037/gs.2016.01.04.
Lombardi CP, Carnassale G, D'Amore A, Milano V, De Crea C, Raffaelli M, et al. Morbidity from minimally invasive video-assisted thyroidectomy: a general review. Gland Surg. 2017;6(5):488-91. doi: 10.21037/gs.2017.06.05.
Barczyński M, Papier A, Kenig J, Nawrot I. A retrospective case-controlled study of video-assisted versus open minimally invasive parathyroidectomy. Wideochir Inne Tech Maloinwazyjne. 2014;9(4):537-47. doi: 10.5114/wiitm.2014.45087.
Bergenfelz A, Kanngiesser V, Zielke A, Nies C, Rothmund M. Conventional bilateral cervical exploration versus open minimally invasive parathyroidectomy under local anaesthesia for primary hyperparathyroidism. Br J Surg. 2005;92(2):190-7. PMID: 15573366.
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