Skip to main content

Advertisement

SpringerLink
Log in

Video-assisted thyroidectomy for papillary thyroid carcinoma

  • Original article
  • Published:
Surgical Endoscopy And Other Interventional Techniques Aims and scope Submit manuscript

Abstract

Background: In patients with small papillary thyroid carcinomas (PTC), we evaluated the operative feasibility and safety of video-assisted thyroidectomy (VAT) and the completeness of the surgical resection. Methods: Video-assisted thyroidectomy was attempted in 24 patients with thyroid malignancy. Total thyroid resection for PTC was achieved completely by VAT in 20 of them, who were included in this study. Results: In this study, 12 total thyroidectomies and 8 lobectomies followed by completion thyroidectomies were performed. Eight patients also underwent central neck lymph node dissection. Mean postoperative serum thyroglobulin was 0.2 ng/ml for patients receiving LT4 suppressive treatment and 4.2 ng/ml for patients after LT4 withdrawal. Postoperative ultrasonography showed no residual thyroid tissue. The mean radioiodine uptake at postoperative scintiscan was 2.2%. Conclusions: In the case of PTC, VAT is feasible and safe. The completeness of the surgical resection seems comparable with that reported for conventional surgery. Nevertheless, larger series and longer follow-up evaluation are necessary for definitive conclusions to be drawn about its oncologic validity.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. JN Attie G Bock GW Moskowitz D Margouleff S Dubner (1992) ArticleTitlePostoperative radioactive iodine evaluation of total thyroidectomy for thyroid carcinoma: reappraisal and therapeutic implications. Head Neck 14 297–302 Occurrence Handle1:STN:280:By2A1cjpt1Q%3D Occurrence Handle1517080

    CAS  PubMed  Google Scholar 

  2. R Bellantone CP Lombardi M Boscherini A Ferrante M Raffaelli F Rubino M Bossola F Crucitti (1998) ArticleTitlePrognostic factors in differentiated thyroid carcinoma: a multivariate analysis of 234 consecutive patients. J Surg Oncol 68 237–241 Occurrence Handle10.1002/(SICI)1096-9098(199808)68:4<237::AID-JSO6>3.0.CO;2-5 Occurrence Handle1:STN:280:DyaK1czoslWltg%3D%3D Occurrence Handle9721709

    Article  CAS  PubMed  Google Scholar 

  3. R Bellantone CP Lombardi M Bossola M Boscherini C De Crea PF Alesina E Traini (2002) ArticleTitleVideo-assisted vs conventional thyroid lobectomy: a randomized trial. Arch Surg 137 301–304 Occurrence Handle10.1001/archsurg.137.3.301 Occurrence Handle11888453

    Article  PubMed  Google Scholar 

  4. R Bellantone CP Lombardi M Raffaelli M Boscherini C De Crea E Traini (2002) ArticleTitleVideo-assisted thyroidectomy. J Am Coll Surg 194 610–614 Occurrence Handle10.1016/S1072-7515(02)01138-9 Occurrence Handle12022601

    Article  PubMed  Google Scholar 

  5. R Bellantone CP Lombardi M Raffaelli F Rubino M Boscherini W Perilli (1999) ArticleTitleMinimally invasive, totally gasless video-assisted thyroid lobectomy. Am J Surg 177 342–343 Occurrence Handle10.1016/S0002-9610(99)00054-9 Occurrence Handle1:STN:280:DyaK1M3ls1Oruw%3D%3D Occurrence Handle10326857

    Article  CAS  PubMed  Google Scholar 

  6. G Fadda G Balsamo MC Fiorino A Mulé CP Lombardi M Raffaelli R Bellantone (1998) ArticleTitleFollicular thyroid lesions and risk of malignancy: a new diagnostic classification on fine-needle aspiration cytology. J Exp Clin Cancer Res 17 103–107 Occurrence Handle1:STN:280:DyaK1czhtVaisw%3D%3D Occurrence Handle9646243

    CAS  PubMed  Google Scholar 

  7. M Gagner WB Inabnet (2001) ArticleTitleEndoscopic thyroidectomy for solitary thyroid nodules. Thyroid 11 161–163 Occurrence Handle1:STN:280:DC%2BD3M7pvFWkuw%3D%3D Occurrence Handle11288985

    CAS  PubMed  Google Scholar 

  8. DC Hodgson JD Brierley RW Tsang T Panzarella (1998) ArticleTitlePrescribing 131Iodine-based on neck uptake produces effective thyroid ablation and reduced hospital stay. Radiother Oncol 47 325–330 Occurrence Handle10.1016/S0167-8140(98)00012-7 Occurrence Handle1:STN:280:DyaK1czksFahsQ%3D%3D Occurrence Handle9681898

    Article  CAS  PubMed  Google Scholar 

  9. Y Ikeda H Takami Y Sasaki S Kan M Niimi (2000) ArticleTitleEndoscopic neck surgery by the axillary approach. J Am Coll Surg 191 336–340 Occurrence Handle10.1016/S1072-7515(00)00342-2 Occurrence Handle1:STN:280:DC%2BD3cvktF2ltw%3D%3D Occurrence Handle10989910

    Article  CAS  PubMed  Google Scholar 

  10. S Ishii M Ohgami Y Arisawa T Omori K Noga M Kitajima (1998) ArticleTitleEndoscopic thyroidectomy with anterior chest wall approach. Surg Endosc 12 611

    Google Scholar 

  11. E Kebebew OH Clark (2000) ArticleTitleDifferentiated thyroid cancer: “complete” rational approach. World J Surg 24 942–951 Occurrence Handle10.1007/s002680010165 Occurrence Handle1:STN:280:DC%2BD3cvitlGltA%3D%3D Occurrence Handle10865038

    Article  CAS  PubMed  Google Scholar 

  12. P Miccoli R Bellantone M Mourad M Walz M Raffaelli P Berti (2002) ArticleTitleMinimally invasive video-assisted thyroidectomy: multiinstitutional experience. World J Surg 26 972–975 Occurrence Handle10.1007/s00268-002-6627-7 Occurrence Handle12016476

    Article  PubMed  Google Scholar 

  13. P Miccoli P Berti M Raffaelli G Materazzi S Baldacci G Rossi (2001) ArticleTitleComparison between minimally invasive video-assisted thyroidectomy and conventional thyroidectomy: a prospective randomised study. Surgery 130 1039–1043 Occurrence Handle10.1067/msy.2001.118264 Occurrence Handle1:STN:280:DC%2BD3MjgtFehtQ%3D%3D Occurrence Handle11742335

    Article  CAS  PubMed  Google Scholar 

  14. F Pacini R Elisei M Capezzone P Miccoli E Molinaro F Basolo L Agate V Bottici M Raffaelli A Pinchera (2001) ArticleTitleContralateral papillary thyroid cancer is frequent at completion thyroidectomy with no difference in low- and high-risk patients. Thyroid 11 877–881 Occurrence Handle1:STN:280:DC%2BD3MrivFGisg%3D%3D Occurrence Handle11575858

    CAS  PubMed  Google Scholar 

  15. M Salvatori V Rufini MC Garganese D Di Giuda (2000) ArticleTitleRadioiodine therapy in differentiated thyroid carcinoma. Rays 25 221–238 Occurrence Handle1:STN:280:DC%2BD3M3nt12gtw%3D%3D Occurrence Handle11370540

    CAS  PubMed  Google Scholar 

  16. MJ Schlumberger (1998) ArticleTitlePapillary and follicular thyroid carcinoma. New Engl J Med 338 297–306 Occurrence Handle10.1056/NEJM199801293380506 Occurrence Handle1:STN:280:DyaK1c%2Fpt1SktA%3D%3D Occurrence Handle9445411

    Article  CAS  PubMed  Google Scholar 

  17. K Shimizu S Akira AY Jasmi Y Kitamura W Kitagawa H Akasu S Tanaka (1999) ArticleTitleVideo-assisted neck surgery: endoscopic resection of thyroid tumors with a very minimal neck wound. J Am Coll Surg 188 697–703 Occurrence Handle10.1016/S1072-7515(99)00048-4 Occurrence Handle1:STN:280:DyaK1M3osFyqug%3D%3D Occurrence Handle10359365

    Article  CAS  PubMed  Google Scholar 

  18. K Shimizu W Kitagawa H Akasu S Tanaka (2001) ArticleTitleEndoscopic hemithyroidectomy and prophylactic lymph node dissection for micropapillary carcinoma of the thyroid by using a totally gasless anterior neck skin lifting method. J Surg Oncol 77 217–220 Occurrence Handle10.1002/jso.1098 Occurrence Handle1:STN:280:DC%2BD3Mvgt1KjsQ%3D%3D Occurrence Handle11455561

    Article  CAS  PubMed  Google Scholar 

  19. LH Sobin CH Wittekind (1997) TNM classification of malignant tumors, 5th ed. Wiley-Liss New York

    Google Scholar 

  20. HC Yeung WT Ng CK Kong (1997) ArticleTitleEndoscopic thyroid and parathyroid surgery. Surg Endosc 11 135 Occurrence Handle10.1007/s004649900551

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Division of Endocrine Surgery, Department of Surgery, Università Cattolica del Sacro Cuore, L.go A. Gemelli 8, 00168, Rome, Italy

    R. Bellantone, C. P. Lombardi, M. Raffaelli, P. F. Alesina, C. De Crea & E. Traini

  2. Institute of Nuclear Medicine, Università Cattolica del Sacro Cuore, L.go A. Gemelli 8, 00168, Rome, Italy

    M. Salvatori

Authors
  1. R. Bellantone
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. C. P. Lombardi
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. M. Raffaelli
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. P. F. Alesina
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. C. De Crea
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. E. Traini
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. M. Salvatori
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to M. Raffaelli.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bellantone, R., Lombardi, C., Raffaelli, M. et al. Video-assisted thyroidectomy for papillary thyroid carcinoma . Surg Endosc 17, 1604–1608 (2003). https://doi.org/10.1007/s00464-002-9220-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00464-002-9220-0

Keywords

Search

Navigation