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Langenbeck's Archives of Surgery

, Volume 392, Issue 4, pp 413–416 | Cite as

The eligibility of MIVA approach in thyroid surgery

  • Massimo RuggieriEmail author
  • Andrea Straniero
  • Mariapia Genderini
  • Massimino D’Armiento
  • Angela Fumarola
  • Pierpaolo Trimboli
  • Patrizia Gargiulo
Current Concepts in Endocrine Surgery

Abstract

Introduction

Thyroid size, by preoperative ultrasound evaluation, is a very important criterion of minimally invasive video-assisted thyroidectomy (MIVAT) exclusion because the working space provided by the technique is limited. The aim of this work is to verify the suitability of MIVAT and its applicability in clinical practice in patients with a thyroid volume up to 50 ml.

Methods

From January 2003 to February 2006, 33 patients were selected for MIVAT. A completely gas-less procedure was carried out through a central skin incision performed “high” between the cricoid and jugular notch.

Results

The skin incision performed was from 20 to 35 mm (mean 24.88 mm ± 2.74) for different thyroid sizes. We obtained in all cases excellent results about patients cure rate and comfort, few cases of postoperative pain, and attractive cosmetic results.

Conclusion

In this study, we demonstrated that the MIVAT, for thyroids up to 50 ml in volume, is feasible and safe. This procedure allows more patients, who would have been excluded before, to take advantage of this minimally invasive approach with good cosmetic results, highly regarded by young female patients, and reduced paresthetic consequences.

Keywords

Minimally invasive video-assisted thyroidectomy Thyroid surgery Video-assisted surgery MIVAT Eligibility of MIVAT 

Notes

Acknowledgements

The authors thank R. Spano, F. Di Leo, M. Pucci, B. Renzetti, and A. Cassandra for nursing assistance, in the operating theater, to patients listed in this study.

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Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • Massimo Ruggieri
    • 1
    Email author
  • Andrea Straniero
    • 1
  • Mariapia Genderini
    • 2
  • Massimino D’Armiento
    • 2
  • Angela Fumarola
    • 2
  • Pierpaolo Trimboli
    • 2
  • Patrizia Gargiulo
    • 3
  1. 1.Department of Surgery “Francesco Durante”University of Rome “La Sapienza”RomeItaly
  2. 2.Department of Experimental Medicine and Pathology, Chair of EndocrinologyUniversity of Rome “La Sapienza”RomeItaly
  3. 3.Department of Clinical SciencesUniversity of Rome “La Sapienza”RomeItaly

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