Advertisement

Minimally Invasive Video-Assisted Thyroidectomy

  • Paolo Miccoli
  • Michele N. Minuto
  • Valeria Matteucci
Chapter

Abstract

Minimally invasive video-assisted thyroidectomy (MIVAT) was described in 1999. Largely due to its reproducibility, it has now become one of the most widespread minimally invasive thyroidectomy techniques throughout the world. This technique is not appropriate for every patient undergoing thyroid surgery but has limited and precise indications, mainly in terms of size of the thyroid gland and nature of the thyroid disease. Patients undergoing MIVAT reap the benefits of a minimally invasive approach through the smallest cervical incision possible.

Keywords

Parathyroid Gland Total Thyroidectomy Thyroid Surgery Thyroid Lobe Central Neck 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Recommended Reading

  1. Bärlehner E, Benhidjeb T. Cervical scarless endoscopic thyroidectomy: axillo-bilateral-breast approach (ABBA). Surg Endosc. 2008;22(1):154–7.PubMedCrossRefGoogle Scholar
  2. Berti P, Materazzi G, Conte M, Galleri D, Miccoli P. Visualization of the external branch of the superior laryngeal nerve during video-assisted thyroidectomy. J Am Coll Surg. 2002;195(4):573–4.PubMedCrossRefGoogle Scholar
  3. Cernea CR, Ferraz AR, Nishio S, Dutra Jr A, Hojaij FC, dos Santos LR. Surgical anatomy of the external branch of the superior laryngeal nerve. Head Neck. 1992;14(5):380–3.PubMedCrossRefGoogle Scholar
  4. Choe JH, Kim SW, Chung KW, Park KS, Han W, Noh DY, Oh SK, Youn YK. Endoscopic thyroidectomy using a new bilateral axillo-breast approach. World J Surg. 2007;31(3):601–6.PubMedCrossRefGoogle Scholar
  5. Del Rio P, Bezer L, Palladino S, Arcuri MF, Iotti E, Sianesi M. Operative time and postoperative pain following minimally invasive video-assisted parathyroidectomy. G Chir. 2010;31(4):155–8.PubMedGoogle Scholar
  6. Foley CS, Agcaoglu O, Siperstein AE, Berber E. Robotic transaxillary endocrine surgery: a comparison with conventional open technique. Surg Endosc. 2012;26(8):2259–66.PubMedCrossRefGoogle Scholar
  7. Gagner M. Endoscopic subtotal parathyroidectomy in patients with primary hyperparathyroidism. Br J Surg. 1996;83(6):875.PubMedCrossRefGoogle Scholar
  8. Gagner M, Inabnet 3rd WB. Endoscopic thyroidectomy for solitary thyroid nodules. Thyroid. 2001;11(2):161–3.PubMedCrossRefGoogle Scholar
  9. Hartl DM, Ferlito A, Silver CE, Takes RP, Stoeckli SJ, Suárez C, Rodrigo JP, Sesterhenn AM, Snyderman CH, Terris DJ, Genden EM, Rinaldo A. Minimally invasive techniques for head and neck malignancies: current indications, outcomes and future directions. Eur Arch Otorhinolaryngol. 2011;268(9):1249–57.PubMedCrossRefGoogle Scholar
  10. Henry JF. Minimally invasive thyroid and parathyroid surgery is not a question of length of the incision. Langenbecks Arch Surg. 2008;393(5):621–6.PubMedCrossRefGoogle Scholar
  11. Hüscher CS, Chiodini S, Napolitano C, Recher A. Endoscopic right thyroid lobectomy. Surg Endosc. 1997;11(8):877.PubMedCrossRefGoogle Scholar
  12. Ikeda Y, Takami H, Sasaki Y, Kan S, Niimi M. Endoscopic neck surgery by the axillary approach. J Am Coll Surg. 2000;191(3):336–40.PubMedCrossRefGoogle Scholar
  13. Kandil EH, Noureldine SI, Yao L, Slakey DP. Robotic transaxillary thyroidectomy: an examination of the first one hundred cases. J Am Coll Surg. 2012;214(4):558–64.PubMedCrossRefGoogle Scholar
  14. Kang SW, Lee SC, Lee SH, Lee KY, Jeong JJ, Lee YS, Nam KH, Chang HS, Chung WY, Park CS. Robotic thyroid surgery using a gasless, transaxillary approach and the da Vinci S system: the operative outcomes of 338 consecutive patients. Surgery. 2009;146(6):1048–55.PubMedCrossRefGoogle Scholar
  15. Kim AJ, Liu JC, Ganly I, Kraus DH. Minimally invasive video-assisted thyroidectomy 2.0: expanded indications in a tertiary care cancer center. Head Neck. 2011;33(11):1557–60.PubMedCentralPubMedCrossRefGoogle Scholar
  16. Landry CS, Grubbs EG, Warneke CL, Ormond M, Chua C, Lee JE, Perrier ND. Robot-assisted transaxillary thyroid surgery in the United States: is it comparable to open thyroid lobectomy? Ann Surg Oncol. 2012;19(4):1269–74.PubMedCrossRefGoogle Scholar
  17. Lee KE, Kim HY, Park WS, Choe JH, Kwon MR, Oh SK, Youn YK. Postauricular and axillary approach endoscopic neck surgery: a new technique. World J Surg. 2009;33(4):767–72.PubMedCrossRefGoogle Scholar
  18. Lombardi CP, Raffaelli M, Princi P, Lulli P, Rossi ED, Fadda G, Bellantone R. Safety of video-assisted thyroidectomy versus conventional surgery. Head Neck. 2005;27(1):58–64.PubMedCrossRefGoogle Scholar
  19. Lombardi CP, Raffaelli M, D’Alatri L, Marchese MR, Rigante M, Paludetti G, Bellantone R. Voice and swallowing changes after thyroidectomy in patients without inferior laryngeal nerve injuries. Surgery. 2006a;140(6):1026–32.PubMedCrossRefGoogle Scholar
  20. Lombardi CP, Raffaelli M, Princi P, De Crea C, Bellantone R. Video-assisted thyroidectomy: report on the experience of a single center in more than four hundred cases. World J Surg. 2006b;30(5):794–800.PubMedCrossRefGoogle Scholar
  21. Lombardi CP, Raffaelli M, D’alatri L, De Crea C, Marchese MR, Maccora D, Paludetti G, Bellantone R. Video-assisted thyroidectomy significantly reduces the risk of early postthyroidectomy voice and swallowing symptoms. World J Surg. 2008;32(5):693–700.PubMedCrossRefGoogle Scholar
  22. Lombardi CP, Raffaelli M, De Crea C, D’Alatri L, Maccora D, Marchese MR, Paludetti G, Bellantone R. Long-term outcome of functional post-thyroidectomy voice and swallowing symptoms. Surgery. 2009;146(6):1174–81.PubMedCrossRefGoogle Scholar
  23. Lombardi CP, Raffaelli M, De Crea C, Sessa L, Rampulla V, Bellantone R. Video-assisted versus conventional total thyroidectomy and central compartment neck dissection for papillary thyroid carcinoma. World J Surg. 2012;36(6):1225–30.PubMedCrossRefGoogle Scholar
  24. Mattioli FP, Cagnazzo A, Varaldo E, Bianchi C, Spigno L, Gasparini C. An application of mini-invasive surface surgery: the thyroid. Ann Ital Chir. 1996;67(4):535–6.PubMedGoogle Scholar
  25. Miccoli P, Minuto MN. Minimally invasive thyroidectomy: state of the art. Minerva Chir. 2009;64(6):545–50.PubMedGoogle Scholar
  26. Miccoli P, Berti P, Conte M, Bendinelli C, Marcocci C. Minimally invasive surgery for thyroid small nodules: preliminary report. J Endocrinol Invest. 1999;22(11):849–51.PubMedGoogle Scholar
  27. Miccoli P, Berti P, Raffaelli M, Materazzi G, Baldacci S, Rossi G. Comparison between minimally invasive video-assisted thyroidectomy and conventional thyroidectomy: a prospective randomized study. Surgery. 2001;130(6):1039–43.PubMedCrossRefGoogle Scholar
  28. Miccoli P, Elisei R, Materazzi G, Capezzone M, Galleri D, Pacini F, Berti P, Pinchera A. Minimally invasive video-assisted thyroidectomy for papillary carcinoma: a prospective study of its completeness. Surgery. 2002a;132(6):1070–3.PubMedCrossRefGoogle Scholar
  29. Miccoli P, Bellantone R, Mourad M, Walz M, Raffaelli M, Berti P. Minimally invasive video-assisted thyroidectomy: multiinstitutional experience. World J Surg. 2002b;26:972–5.PubMedCrossRefGoogle Scholar
  30. 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.PubMedCrossRefGoogle Scholar
  31. Miccoli P, Barellini L, Monchik JM, Rago R, Berti PF. Randomized clinical trial comparing regional and general anaesthesia in minimally invasive video-assisted parathyroidectomy. Br J Surg. 2005;92(7):814–8.PubMedCrossRefGoogle Scholar
  32. Miccoli P, Minuto MN, Orlandini C, Galleri D, Massi M, Berti P. Ultrasonography estimated thyroid volume: a prospective study about its reliability. Thyroid. 2006a;16(1):37–9.PubMedCrossRefGoogle Scholar
  33. Miccoli P, Berti P, Frustaci GL, Ambrosini CE, Materazzi G. Video-assisted thyroidectomy: indications and results. Langenbecks Arch Surg. 2006b;391(2):68–71.PubMedCrossRefGoogle Scholar
  34. Miccoli P, Elisei R, Donatini G, Materazzi G, Berti P. Video-assisted central compartment lymphadenectomy in a patient with a positive RET oncogene: initial experience. Surg Endosc. 2007;21(1):120–3.PubMedCrossRefGoogle Scholar
  35. Miccoli P, Pinchera A, Materazzi G, Biagini A, Berti P, Faviana P, Molinaro E, Viola D, Elisei R. Surgical treatment of low- and intermediate-risk papillary thyroid cancer with minimally invasive video-assisted thyroidectomy. J Clin Endocrinol Metab. 2009;94(5):1618–22.PubMedCrossRefGoogle Scholar
  36. Miccoli P, Rago R, Massi M, Panicucci E, Metelli MR, Berti P, Minuto MN. Standard versus video-assisted thyroidectomy: objective postoperative pain evaluation. Surg Endosc. 2010;24(10):2415–7.PubMedCrossRefGoogle Scholar
  37. Miccoli P, Minuto MN, Miccoli M. Chapter 1: Incidence of morbidity following thyroid surgery: acceptable morbidity rates. In: Miccoli P, Terris D, Minuto MN, Seybt M, editors. Thyroid surgery: preventing and managing complications. Oxford: Wiley-Blackwell Ed; 2013.Google Scholar
  38. Minuto MN, Berti P, Miccoli M, Ugolini C, Matteucci V, Moretti M, Basolo F, Miccoli P. Minimally invasive video-assisted thyroidectomy: an analysis of results and a revision of indications. Surg Endosc. 2012;26(3):818–22.PubMedCrossRefGoogle Scholar
  39. Ohgami M, Ishii S, Arisawa Y, Ohmori T, Noga K, Furukawa T, Kitajima M. Scarless endoscopic thyroidectomy: breast approach for better cosmesis. Surg Laparosc Endosc Percutan Tech. 2000;10(1):1–4.PubMedGoogle Scholar
  40. Perigli G, Cortesini C, Qirici E, Boni D, Cianchi F. Clinical benefits of minimally invasive techniques in thyroid surgery. World J Surg. 2008;32(1):45–50.PubMedCrossRefGoogle Scholar
  41. Perrier ND, Randolph GW, Inabnet WB, Marple BF, VanHeerden J, Kuppersmith RB. Robotic thyroidectomy: a framework for new technology assessment and safe implementation. Thyroid. 2010;20(12):1327–32.PubMedCrossRefGoogle Scholar
  42. Terris DJ, Chin E. Clinical implementation of endoscopic thyroidectomy in selected patients. Laryngoscope. 2006;116:1745–8.PubMedCrossRefGoogle Scholar
  43. Terris DJ, Singer MC. Robotic facelift thyroidectomy: facilitating remote access surgery. Head Neck. 2012;34(5):746–7.PubMedCrossRefGoogle Scholar
  44. Terris DJ, Angelos P, Steward DL, Simental AA. Minimally invasive video-assisted thyroidectomy. A multi-institutional North American experience. Arch Otolaryngol Head Neck Surg. 2008;134(1):81–4.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Paolo Miccoli
    • 1
  • Michele N. Minuto
    • 2
  • Valeria Matteucci
    • 3
  1. 1.Department of SurgeryAzienda Ospedaliero-Universitaria Pisana, University of PisaPisaItaly
  2. 2.Department of Surgical Sciences and Applied Diagnostics (DISC)IRCCS, Azienda Ospedaliero-Universitaria San Martino-IST, University of GenoaGenoaItaly
  3. 3.Department of Surgery, Endocrine Surgery UnitAzienda Ospedaliero-Universitaria PisanaPisaItaly

Personalised recommendations