Abstract
A minimal access procedure does not necessarily mean that it is minimally invasive. However, as its name implies, MIVAT is a truly minimally invasive treatment modality. The advantages it offers over its conventional counterpart are indeed related to its minimally invasive nature. Furthermore, this nature has not compromised its ability to accomplish its purpose both safely and effectively. Ever since its introduction in the late 1990s, MIVAT has been progressively evolving. The indications for this procedure, which was initially surrounded by skepticism, have been expanding. Benign thyroid pathology is now considered only one of its indications among others. This article provides a detailed description of this minimally invasive, maximally effective and patient satisfying procedure so that it may be adopted by more surgeons around the globe for better patient care and to also encourage the development of further future advancements.
References
Miccoli P, Berti P, Conte M, Bendinelli C, Marcocci C. Minimally invasive surgery for thyroid small nodules: preliminary report. J Endocrinol Invest. 1999;22:849–51.
Minuto M, Berti P, Miccoli M, Ugolini C, Matteuci V, Moretti M, et al. Minimally invasive video-assisted thyroidectomy: an analysis of results and a revision of indications. Surg Endosc. 2012;26:818–22.
Miccoli P, Bellantone R, Mourad M, Walz M, Raffaeli M, Berti P. Minimally invasive video-assisted thyroidectomy: multiinstitutional experience. World J Surg. 2002;26:972–5.
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;134:81–4.
Shimizu K, Kitagawa W, Akasu H, Hatori N, Hirai K, Tanaka S. Video-assisted endoscopic thyroid and parathyroid surgery using a gasless method of anterior neck skin lifting: a review of 130 cases. Surg Today. 2002;32:862–8.
Zheng C, Liu S, Geng P, Zhang H, Zhang H, Tang A, et al. Minimally invasive video-assisted versus conventional open thyroidectomy on immune response: a meta analysis. Int J Clin Exp Med. 2015;8:2593–9.
Miccoli P, Berti P, Raffaelli M, Conte M, Materazzi G, Galleri D. Minimally-invasive video-assisted thyroidectomy. Am J Surg. 2001;181:567–70.
Berti P, Materazzi G, Conte M, Galleri D, Miccoli P. Visualization of the external branch of superior laryngeal nerve during video-assisted thyroidectomy. J Am Coll Surg. 2002;195:573–4.
Miccoli P, Berti P, Materazzi G, Minuto M, Barellini L. Minimally invasive video-assisted thyroidectomy: five years of experience. J Am Coll Surg. 2004;199:243–8.
Terris JD, Gourin CG, Chin E. Minimally invasive thyroidectomy: basic and advanced techniques. Laryngoscope. 2006;116:350–6.
Miccoli P, Berti P, Ambrosini CE. Perspectives and lessons learned after a decade of minimally invasive video-assisted thyroidectomy. ORL J Otorhinolaryngol Relat Spec. 2008;70:282–6.
Hopper AN, Jamison MH, Lewis WG. Learning curves in surgical practice. Postgrad Med J. 2007;83:777–9.
Miccoli P, Materazzi G, Ambrosini CE, Berti P. Minimally invasive surgery of the thyroid. Eur Surg. 2006;38:160–3.
Pons Y, Vérillaud B, Blancal JP, Sauvaget E, Cloutier T, Le Clerc N, et al. Minimally invasive video-assisted thyroidectomy: learning curve in terms of mean operative time and conversion and complication rates. Head Neck. 2013;35:1078–82.
Capponi MG, Bellotti C, Lotti M, Ansaloni L. Minimally invasive video-assisted thyroidectomy: ascending the learning curve. J Minim Access Surg. 2015;11:119–22.
Cai Q, Huang X, Han P, Sun W, Liang F, Jiang X. Endoscopy-assisted thyroid surgery via a subclavian approach. Surg Today. 2013;43:479–84.
American Thyroid Association (ATA) Guidelines Taskforce on Thyroid Nodules and Differentiated Thyroid Cancer, Cooper DS, Doherty GM, Haugen BR, Kloos RT, Lee SL, et al. Revised American Thyroid Association management guidelines for patients with thyroid nodules and differentiated thyroid cancer. Thyroid. 2009;19:1167–214.
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Bakkar, S., Materazzi, G., Biricotti, M. et al. Minimally invasive video-assisted thyroidectomy (MIVAT) from A to Z. Surg Today 46, 255–259 (2016). https://doi.org/10.1007/s00595-015-1241-0
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DOI: https://doi.org/10.1007/s00595-015-1241-0