Minimally Invasive Non-Endoscopic Thyroidectomy: The MINET Approach
The main advantage of minimally invasive thyroidectomy (MIT) appears to be the smaller incision in the neck compared to the traditional Kocher incision (Linos 2011). The most established MIT procedure in the neck appears to be the minimally invasive video-assisted thyroidectomy (MIVAT) in which a 1.5- to 3-cm incision is necessary to complete the thyroidectomy (Bellantone et al. 2002; Lombardi et al. 2007; Miccoli et al. 2001; Terris and Chin 2006; Wu et al. 2010). We describe a minimally invasive non-endoscopic thyroidectomy (MINET) technique where through a similar in length (1 in.) skin incision, we obtain similar (if not better) results without the need of endoscopic assistance. The smaller incision in the neck approach has been gradually accepted by several thyroid surgeons in response to the “pressure” for better outcomes (including patients’ satisfaction) promoted extensively in the MIVAT literature (Brunaud et al. 2003; Cavicchi et al. 2006; Ferzli et al. 2001; Miccoli et al. 2002; Rafferty et al. 2006; Terris et al. 2005).