Minimally Invasive Video-assisted Thyroidectomy. Experience the same working group
Different thyroidectomy techniques have been developed to improve the aesthetic results, postoperative pain and to reduce hospital stay. Objective: To demonstrate the feasibility, safety and efficacy of minimally invasive video-assisted thyroidectomy (MIVAT). Design: Retrospective Methods: Ninety si...
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| Autores principales: | , , , |
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2017
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| Materias: | |
| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/15593 |
| Aporte de: |
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I10-R10-article-15593 |
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ojs |
| institution |
Universidad Nacional de Córdoba |
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I-10 |
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R-10 |
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Revistas de la UNC |
| language |
Español |
| format |
Artículo revista |
| topic |
thyroidectomy thyroid nodule recurrent laryngeal nerve palsy hypoparathyroidism postoperative pain tiroidectomía nódulo tiroideo hipoparatiroidismo dolor postquirúrgico |
| spellingShingle |
thyroidectomy thyroid nodule recurrent laryngeal nerve palsy hypoparathyroidism postoperative pain tiroidectomía nódulo tiroideo hipoparatiroidismo dolor postquirúrgico Gramática, Luis Cecenarro, Rodolfo Raúl Lorenz, Evelin Sofía Antueno, Facundo Jorge Minimally Invasive Video-assisted Thyroidectomy. Experience the same working group |
| topic_facet |
thyroidectomy thyroid nodule recurrent laryngeal nerve palsy hypoparathyroidism postoperative pain tiroidectomía nódulo tiroideo hipoparatiroidismo dolor postquirúrgico |
| author |
Gramática, Luis Cecenarro, Rodolfo Raúl Lorenz, Evelin Sofía Antueno, Facundo Jorge |
| author_facet |
Gramática, Luis Cecenarro, Rodolfo Raúl Lorenz, Evelin Sofía Antueno, Facundo Jorge |
| author_sort |
Gramática, Luis |
| title |
Minimally Invasive Video-assisted Thyroidectomy. Experience the same working group |
| title_short |
Minimally Invasive Video-assisted Thyroidectomy. Experience the same working group |
| title_full |
Minimally Invasive Video-assisted Thyroidectomy. Experience the same working group |
| title_fullStr |
Minimally Invasive Video-assisted Thyroidectomy. Experience the same working group |
| title_full_unstemmed |
Minimally Invasive Video-assisted Thyroidectomy. Experience the same working group |
| title_sort |
minimally invasive video-assisted thyroidectomy. experience the same working group |
| description |
Different thyroidectomy techniques have been developed to improve the aesthetic results, postoperative pain and to reduce hospital stay. Objective: To demonstrate the feasibility, safety and efficacy of minimally invasive video-assisted thyroidectomy (MIVAT). Design: Retrospective Methods: Ninety six patients with thyroid nodules were selected for MIVAT if they presented nodules under 35 mm in diameter, thyroid volume below 30 ml and absence of high-risk malignant tumor, lateral cervical lymphadenopathy or prior cervical surgery. Indirect laryngoscopy was performed before and after surgery to all patients. Surgery was performed through a midline incision of 1.5 cm above the sternal notch, without carbon dioxide and with magnification endoscopy. We evaluated postoperative complications, pain after surgery, the cosmetic outcome and length of stay. Results: Ninety patients underwent total thyroidectomy or near-total thyroidectomy. The average operative time was 54 ± 9 minutes. The average diameter of the nodule was 20 ± 6 mm. The average volume was 19 ± 6 ml. We documented six (6.2%) hyperparathyroidism and one recurrent laryngeal nerve palsy (0.96%), both transient and none of them permanent. The postoperative pain was minimal and all patients were discharged within 24 hours. Conclusion: In our experience the MIVAT is a safe and feasible technique for the treatment of thyroid disease, with clear advantages over conventional thyroidectomy in selected patients. |
| publisher |
Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2017 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/15593 |
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2022-08-20T01:24:46Z |
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I10-R10-article-155932019-05-20T10:36:47Z Minimally Invasive Video-assisted Thyroidectomy. Experience the same working group Tiroidectomía mini-invasiva videoasistida Gramática, Luis Cecenarro, Rodolfo Raúl Lorenz, Evelin Sofía Antueno, Facundo Jorge thyroidectomy thyroid nodule recurrent laryngeal nerve palsy hypoparathyroidism postoperative pain tiroidectomía nódulo tiroideo hipoparatiroidismo dolor postquirúrgico Different thyroidectomy techniques have been developed to improve the aesthetic results, postoperative pain and to reduce hospital stay. Objective: To demonstrate the feasibility, safety and efficacy of minimally invasive video-assisted thyroidectomy (MIVAT). Design: Retrospective Methods: Ninety six patients with thyroid nodules were selected for MIVAT if they presented nodules under 35 mm in diameter, thyroid volume below 30 ml and absence of high-risk malignant tumor, lateral cervical lymphadenopathy or prior cervical surgery. Indirect laryngoscopy was performed before and after surgery to all patients. Surgery was performed through a midline incision of 1.5 cm above the sternal notch, without carbon dioxide and with magnification endoscopy. We evaluated postoperative complications, pain after surgery, the cosmetic outcome and length of stay. Results: Ninety patients underwent total thyroidectomy or near-total thyroidectomy. The average operative time was 54 ± 9 minutes. The average diameter of the nodule was 20 ± 6 mm. The average volume was 19 ± 6 ml. We documented six (6.2%) hyperparathyroidism and one recurrent laryngeal nerve palsy (0.96%), both transient and none of them permanent. The postoperative pain was minimal and all patients were discharged within 24 hours. Conclusion: In our experience the MIVAT is a safe and feasible technique for the treatment of thyroid disease, with clear advantages over conventional thyroidectomy in selected patients. ResumenDistintas técnicas de tiroidectomía han sido desarrolladas con el fin de mejorar los resultados estéticos, el dolor post operatorio y reducir la estadía hospitalaria.Objetivo: Mostrar nuestra experiencia realizando la tiroidectomía mini-invasiva video asistida (TMIV) en el tratamiento de nódulos tiroideos en pacientes seleccionados.Diseño: Retrospectivo Material y métodos: Noventa y seis pacientes portadores de nódulos tiroideos fueron seleccionados para TMIV según presentaran nódulos menores de 35 mm de diámetro, volumen tiroideo inferior a 30 ml, ausencia de tumor maligno de alto riesgo, adenopatías cervicales laterales y cirugía cervical previa. Realizamos una laringoscopía indirecta pre y post operatoria a todos los pacientes. La cirugía se realizó a través de una incisión central de 1,5 cm por arriba de la horquilla esternal, sin anhídrido carbónico y con magnificación endoscópica.Resultados: A los 96 pacientes se les practicó una tiroidectomía total o casi- total. El tiempo quirúrgico promedio fue de 54 ± 9 minutos. El diámetro promedio del nódulo fue de 20 ± 6 mm. El volumen promedio fue 19 ± 6 ml. Registramos seis (6,2%) hipoparatiroidismos y una parálisis del nervio recurrente laríngeo (0,96%), ambas transitorias y ninguna definitiva. El dolor postquirúrgico fue mínimo y todos los pacientes tuvieron el alta antes de las 24 horas.Conclusión: según nuestra la TMIV es una técnica segura y factible para el tratamiento de la enfermedad tiroidea en pacientes bien seleccionados, aportando además menor dolor, alta precoz y un resultado estético satisfactorio. Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2017-09-08 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf text/rtf https://revistas.unc.edu.ar/index.php/med/article/view/15593 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 74 No. 3 (2017); 251-255 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 74 Núm. 3 (2017); 251-255 Revista da Faculdade de Ciências Médicas de Córdoba; v. 74 n. 3 (2017); 251-255 1853-0605 0014-6722 10.31053/1853.0605.v74.n3 spa https://revistas.unc.edu.ar/index.php/med/article/view/15593/19270 https://revistas.unc.edu.ar/index.php/med/article/view/15593/26438 Derechos de autor 2017 Universidad Nacional de Córdoba |