Pain after minimally invasive videoassisted and after minimally invasive open thyroidectomy—results of a prospective outcome study

Río, Paolo Del; Berti, Marco; Sommaruga, L; Arcuri, Maria Francesca; Cataldo, Simona; Sianesi, M

doi:10.1007/s00423-007-0229-7

Cited by 23 publications

(6 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…reported that VAS scores were significantly higher in the open group, whereas TGF-β and MCP-1 levels were significantly lower in the open than in the MIVAT group [ 35 ]. In a prospective outcome study similar results were obtained [ 36 ]. Less postoperative pain might be related to the minimal incision and lower neck hyperextension, reducing postoperative bone and muscular pain [ 37 ].…”

Section: Discussionsupporting

confidence: 78%

Minimally invasive video-assisted thyroidectomy: experience of 200 cases in a single center

Zheng¹,

Jie²,

Jiang³

2014

wiitm

View full text Add to dashboard Cite

IntroductionMinimally invasive techniques in thyroid surgery including video-assisted technique originally described by Miccoli have been accepted in several continents for more than 10 years.AimTo analyze our preliminary results from minimally invasive video-assisted thyroidectomy (MIVAT) and to evaluate the feasibility and effects of this method in a general department over a 4-year period.Material and methodsInitial experience was presented based on a series of 200 patients selected for MIVAT at the General Surgery Department of Yantai Yuhuangding Hospital affiliated with Qingdao University during the period from May 2008 to June 2012. The enrolling criteria were rigorously observed. An above sternal incision with average length of 2.5 cm (1.5–3.0 cm) was made. Clinicopathologic characteristics, postoperative pain, length of hospital stay, cosmetic results and complications were retrospectively analyzed.ResultsAll patients received general anesthesia. Thyroid unilateral lobectomy was successfully accomplished in 108 cases, total thyroidectomy in 84, and partial lobectomy in 8. Conversion to standard conventional thyroidectomy was required in 6 patients (3%) because of thyroiditis and bleeding. The mean lymph node yield of the cancer specimens was 3.6 per patient. Permanent unilateral recurrent laryngeal nerve (RLN) palsy occurred in 1 case (0.5%), transient unilateral RLN palsy in 6 patients (3.0%, complete recovery after 1–6 months), and transient hypocalcemia in 7 patients (3.5%). No definitive hypocalcemia was observed. No postoperative hematomas occurred. Postoperative pain was endurable. The cosmetic result was excellent in most cases.ConclusionsThe MIVAT is feasible and safe in selected patients, with better results comparable to conventional thyroidectomy. The MIVAT can also be performed in a general surgery department.

show abstract

Section: Discussionsupporting

confidence: 78%

Minimally invasive video-assisted thyroidectomy: experience of 200 cases in a single center

Zheng¹,

Jie²,

Jiang³

2014

wiitm

View full text Add to dashboard Cite

show abstract

“…Finally, Del Rio et al [24] published a prospective but nonrandomized large series of patients that compared MIVAT and conventional thyroidectomy with the goal of demonstrating a better postoperative course and cosmetic outcome of the minimally invasive procedure over the conventional technique. The results obtained confirmed the authors’ hypothesis with a level of evidence III and grade of recommendation C.…”

Section: Resultsmentioning

confidence: 99%

Minimally Invasive Video‐Assisted Thyroidectomy for Benign Thyroid Disease: An Evidence‐Based Review

et al. 2008

View full text Add to dashboard Cite

show abstract

“…Comparisons directly between nonendoscopic, minimally invasive approaches and video-assisted or true endoscopic thyroidectomy are few, and there is only one study that randomly and prospectively compares these techniques (Table 2) [ 20,[27][28][29]. Hegazy et al [28]i na small, randomized trial compared MIVAT to an open MITS by using the Sofferman technique and demonstrated that the MIVAT group had longer operative times and less pain.…”

Section: Issue 1 Does Mits Provide Any Benefit Compared With Conventi...mentioning

confidence: 99%

Minimally Invasive Thyroid Surgery for Single Nodules: An Evidence‐based Review of the Lateral Mini‐incision Technique

et al. 2008

View full text Add to dashboard Cite

MITS has demonstrated advantages over conventional open approaches for both hemi- and total thyroidectomy and the benefits do not depend on the open or video-assisted approach. For thyroid lobectomies, the lateral mini-incision approach can be performed with an operative time and postoperative complication profile equivalent to conventional hemi-thyroidectomy while providing excellent cosmesis with a 2-3 cm scar.

show abstract

Pain after minimally invasive videoassisted and after minimally invasive open thyroidectomy—results of a prospective outcome study

Abstract: Both methods are safe, but mini-invasive video-assisted thyroidectomy gives not only a better cosmetic result but a reduction of postoperative pain especially at 24 h.

Cited by 23 publications

References 9 publications

Minimally invasive video-assisted thyroidectomy: experience of 200 cases in a single center

Minimally invasive video-assisted thyroidectomy: experience of 200 cases in a single center

Minimally Invasive Video‐Assisted Thyroidectomy for Benign Thyroid Disease: An Evidence‐Based Review

Minimally Invasive Thyroid Surgery for Single Nodules: An Evidence‐based Review of the Lateral Mini‐incision Technique

Contact Info

Product

Resources

About