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Modified Video-Assisted Thyroidectomy in a Benign Unilateral Thyroid Swelling

Received: 8 February 2017     Accepted: 9 February 2017     Published: 28 February 2017
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Abstract

Background and aim: Conventional thyroidectomy may cause a long neck scar and a variety of potential complications. The concept of minimally invasive surgery has recently found many supporters in the management of thyroid disorders. The aim of this study was to evaluate the suprasternal approach of modified minimal invasive video-assisted endoscopic thyroidectomy (MIVAET) in treatment of unilateral simple nodular goiter in term of: feasibility of the operation, the identification of recurrent laryngeal nerves (RLN) and parathyroid glands, operative time, postoperative pain and cosmetic result. Patients and methods: This study was conducted on 20 patients with a simple solitary thyroid nodule in Surgical Oncology Unit at General Surgery Department, Tanta University Hospital from March 2015 to June 2016. Patients included in the study had small nodule less than 5 cm in maximum diameter, unilateral lesion, no previous neck surgery, benign lesion and euthyroid state. Every patient was subjected to MIVAET through a Suprasternal 2-cm neck incision. Results: The present study comprised 18 females (90%) and 2 males (10%) patients with a mean age of 32 years, The mean operative time was 63 minutes, simple nodular goiter was the commonest pathological finding, 90% of the patients stayed in the hospital one day and 70% were satisfied from cosmetic appearance of their scar 6 months after the operation. Conclusion: Modified minimal invasive video-assisted endoscopic thyroidectomy was feasible, can be done safely and effectively with a better aesthetic outcome and pathological control without increasing the risk of complications.

Published in Journal of Surgery (Volume 5, Issue 3-1)

This article belongs to the Special Issue Minimally Invasive and Minimally Access Surgery

DOI 10.11648/j.js.s.2017050301.19
Page(s) 43-48
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Endoscopic Thyroidectomy, Video-Assisted, Minimal Invasive, Thyroid Nodule

References
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[4] Gagner M: Endoscopic subtotal parathyroidectomy in patients with primary hyperparathyroidism. Br J Surg 1996; 83:875.
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[17] Michela GC, Carlo B, Marco L, Luca A: Minimally invasive video-assisted thyroidectomy: Ascending the learning curve. Journal of Minimal Access Surgery 2015; 11: 119-122.
[18] Miccoli P, Berti P, Materazzi G: Minimally invasive video-assisted thyroidectomy: five years of experience. J Am Coll Surg 2004; 199: 243-248.
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Cite This Article
  • APA Style

    Mohamed A. Mlees, Ahmed A. Darwish. (2017). Modified Video-Assisted Thyroidectomy in a Benign Unilateral Thyroid Swelling. Journal of Surgery, 5(3-1), 43-48. https://doi.org/10.11648/j.js.s.2017050301.19

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    ACS Style

    Mohamed A. Mlees; Ahmed A. Darwish. Modified Video-Assisted Thyroidectomy in a Benign Unilateral Thyroid Swelling. J. Surg. 2017, 5(3-1), 43-48. doi: 10.11648/j.js.s.2017050301.19

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    AMA Style

    Mohamed A. Mlees, Ahmed A. Darwish. Modified Video-Assisted Thyroidectomy in a Benign Unilateral Thyroid Swelling. J Surg. 2017;5(3-1):43-48. doi: 10.11648/j.js.s.2017050301.19

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  • @article{10.11648/j.js.s.2017050301.19,
      author = {Mohamed A. Mlees and Ahmed A. Darwish},
      title = {Modified Video-Assisted Thyroidectomy in a Benign Unilateral Thyroid Swelling},
      journal = {Journal of Surgery},
      volume = {5},
      number = {3-1},
      pages = {43-48},
      doi = {10.11648/j.js.s.2017050301.19},
      url = {https://doi.org/10.11648/j.js.s.2017050301.19},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.s.2017050301.19},
      abstract = {Background and aim: Conventional thyroidectomy may cause a long neck scar and a variety of potential complications. The concept of minimally invasive surgery has recently found many supporters in the management of thyroid disorders. The aim of this study was to evaluate the suprasternal approach of modified minimal invasive video-assisted endoscopic thyroidectomy (MIVAET) in treatment of unilateral simple nodular goiter in term of: feasibility of the operation, the identification of recurrent laryngeal nerves (RLN) and parathyroid glands, operative time, postoperative pain and cosmetic result. Patients and methods: This study was conducted on 20 patients with a simple solitary thyroid nodule in Surgical Oncology Unit at General Surgery Department, Tanta University Hospital from March 2015 to June 2016. Patients included in the study had small nodule less than 5 cm in maximum diameter, unilateral lesion, no previous neck surgery, benign lesion and euthyroid state. Every patient was subjected to MIVAET through a Suprasternal 2-cm neck incision. Results: The present study comprised 18 females (90%) and 2 males (10%) patients with a mean age of 32 years, The mean operative time was 63 minutes, simple nodular goiter was the commonest pathological finding, 90% of the patients stayed in the hospital one day and 70% were satisfied from cosmetic appearance of their scar 6 months after the operation. Conclusion: Modified minimal invasive video-assisted endoscopic thyroidectomy was feasible, can be done safely and effectively with a better aesthetic outcome and pathological control without increasing the risk of complications.},
     year = {2017}
    }
    

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  • TY  - JOUR
    T1  - Modified Video-Assisted Thyroidectomy in a Benign Unilateral Thyroid Swelling
    AU  - Mohamed A. Mlees
    AU  - Ahmed A. Darwish
    Y1  - 2017/02/28
    PY  - 2017
    N1  - https://doi.org/10.11648/j.js.s.2017050301.19
    DO  - 10.11648/j.js.s.2017050301.19
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 43
    EP  - 48
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.s.2017050301.19
    AB  - Background and aim: Conventional thyroidectomy may cause a long neck scar and a variety of potential complications. The concept of minimally invasive surgery has recently found many supporters in the management of thyroid disorders. The aim of this study was to evaluate the suprasternal approach of modified minimal invasive video-assisted endoscopic thyroidectomy (MIVAET) in treatment of unilateral simple nodular goiter in term of: feasibility of the operation, the identification of recurrent laryngeal nerves (RLN) and parathyroid glands, operative time, postoperative pain and cosmetic result. Patients and methods: This study was conducted on 20 patients with a simple solitary thyroid nodule in Surgical Oncology Unit at General Surgery Department, Tanta University Hospital from March 2015 to June 2016. Patients included in the study had small nodule less than 5 cm in maximum diameter, unilateral lesion, no previous neck surgery, benign lesion and euthyroid state. Every patient was subjected to MIVAET through a Suprasternal 2-cm neck incision. Results: The present study comprised 18 females (90%) and 2 males (10%) patients with a mean age of 32 years, The mean operative time was 63 minutes, simple nodular goiter was the commonest pathological finding, 90% of the patients stayed in the hospital one day and 70% were satisfied from cosmetic appearance of their scar 6 months after the operation. Conclusion: Modified minimal invasive video-assisted endoscopic thyroidectomy was feasible, can be done safely and effectively with a better aesthetic outcome and pathological control without increasing the risk of complications.
    VL  - 5
    IS  - 3-1
    ER  - 

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Author Information
  • Department of General Surgery, Faculty of Medicine, Tanta University, Tanta, Egypt

  • Department of General Surgery, Faculty of Medicine, Tanta University, Tanta, Egypt

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