Document Detail


Minimally invasive video-assisted thyroidectomy in differentiated thyroid cancer: a 1-year follow-up.
MedLine Citation:
PMID:  19692875     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: There are few reports on the use of minimally invasive video assisted thyroidectomy (MIVAT) technique in the treatment of differentiated thyroid carcinoma. MATERIALS AND METHODS: From January 2007 to September 2007, we treated 227 patients for benign or malignant diseases with a total thyroidectomy. We have selected 68 cases consecutively treated for thyroid carcinoma with a total thyroidectomy. The inclusion criteria considered the patients treated with conventional thyroidectomy and the patients treated with the MIVAT. Our follow-up examination was conducted in agreement with the guidelines of the European Consensus Conference. RESULTS: We have identified a first group of cases; group A, which stored the cases treated with the MIVAT technique. This group contained 9 males and 27 females; the median age was 49.69+/-9.26 years. Group B contained 6 males and 26 females treated with the conventional thyroidectomy; the median age was 44.15+/-11.73 years. The postoperative pain at 24 hours after the surgical procedure in A group was 1.033+/-0.87, whereas in B group it was 1.915+/-1.24 (P<0.05).The neoplastic node diameter was 13.31+/-6.31 mm in group A and 16.36+/-8.15 mm in group B (P=ns). All of the patients were treated with radioiodine. The value of thyroglobulin after 12 months in group A was 0.648+/-0.2 ng/mL whereas the value was 0.705+/-0.2 ng/mL in group B (P=ns). DISCUSSION: We think that MIVAT for the right cases is a safe and valid surgical procedure for differentiated thyroid cancer. This technique has a challenging learning curve, and the surgeons must be experts in conventional thyroid surgery.
Authors:
Paolo Del Rio; Lucia Sommaruga; Paola Pisani; Simona Palladino; Maria Francesca Arcuri; Marco Franceschin; Mario Sianesi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Surgical laparoscopy, endoscopy & percutaneous techniques     Volume:  19     ISSN:  1534-4908     ISO Abbreviation:  Surg Laparosc Endosc Percutan Tech     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-08-20     Completed Date:  2009-11-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100888751     Medline TA:  Surg Laparosc Endosc Percutan Tech     Country:  United States    
Other Details:
Languages:  eng     Pagination:  290-2     Citation Subset:  IM    
Affiliation:
Department of Surgical Science, University of Parma, Parma, Italy. paolo.delrio@unipr.it
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MeSH Terms
Descriptor/Qualifier:
Adenocarcinoma, Follicular / pathology,  surgery*
Adenocarcinoma, Papillary / pathology,  surgery*
Adult
Female
Follow-Up Studies
Humans
Male
Middle Aged
Surgical Procedures, Minimally Invasive
Thyroid Gland / pathology,  surgery
Thyroid Neoplasms / pathology,  surgery*
Thyroidectomy / methods*
Video-Assisted Surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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