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Video-Assisted Thyroidectomy

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Atlas of Thyroid Surgery

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Abstract

Historically, the surgical access for neck endocrine diseases has been performed using a traditional Kocher access implying a wide skin incision, which results in a visible, large scar in the neck [1]. During the last two decades, the introduction of minimally invasive surgery interested all the field of general surgery and endocrine surgery was not an exception [2]. Indeed, after the description of the first successful case of endoscopic parathyroidectomy by Gagner [3] in 1996, several minimally invasive approaches for thyroidectomy and parathyroidectomy were developed [1, 4–11]. The different approach described for thyroidectomy include endoscopic [1, 5, 6, 9, 10] and video-assisted procedure and mini-access, non-endoscopic operations [11], this last implying a smaller incision without the use of endoscope and thus without the advantages of the endoscopic magnification for adequate visualization of neck structures. The approach with the endoscope can be classified respectively in purely endoscopic [3, 5, 9, 12] and video-assisted procedures [6, 7, 13], depending on the need or not of CO2 insufflation. The totally endoscopic techniques include procedures with a cervical access [1, 9] and procedures with an extra-cervical access [5, 12], which require the use of external devices (retractors) in order to create and to maintain the working space for the dissection and trocar positioning [9].

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Authors and Affiliations

  1. Division of Endocrine and Metabolic Surgery, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy

    Marco Raffaelli & Carmela De Crea

  2. Division of Endocrine and Metabolic Surgery, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy

    Francesco Pennestrì

  3. Division of Endocrine Surgery, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy

    Celestino Pio Lombardi

  4. Center of Endocrine and Obesity Surgery, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy

    Rocco Bellantone

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  1. Marco Raffaelli
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  2. Carmela De Crea
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  3. Francesco Pennestrì
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  4. Celestino Pio Lombardi
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  5. Rocco Bellantone
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Correspondence to Marco Raffaelli .

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Editors and Affiliations

  1. Atlantic Health Oncology Service and Department of Surgery CentraState Health System, Atlantic Health Partner, Freehold, NJ, USA

    Alexander Shifrin

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Raffaelli, M., De Crea, C., Pennestrì, F., Lombardi, C.P., Bellantone, R. (2022). Video-Assisted Thyroidectomy. In: Shifrin, A. (eds) Atlas of Thyroid Surgery . Springer, Cham. https://doi.org/10.1007/978-3-030-93673-0_12

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