Defining and limiting minimal invasive thyroid surgery

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• 作者：T. Papavramidis (1) (2)
  
  1. Department of Surgery ; Aristotle University of Thessaloniki ; Thessaloniki ; Greece
  2. Department of Endocrine Surgery ; Interbalkan Medical Center ; Thessaloniki ; Greece
  
• 关键词：Thyroidectomy ; minimal invasive surgery ; loupes assisted thyroidectomy ; robotic thyroidectomy ; endoscopic thyroidectomy ; minimal invasive thyroidectomy
• 刊名：Hellenic Journal of Surgery
• 出版年：2015
• 出版时间：January 2015
• 年：2015
• 卷：87
• 期：1
• 页码：89-91
• 全文大小：706 KB
• 参考文献：1. Papavramidis, TS, Sapalidis, K, Michalopoulos, N (2010) Ultra-Cision harmonic scalpel versus clamp-and-tie total thyroidectomy: a clinical trial. Head Neck 32: pp. 723-7 CrossRef
  2. Liu, J, Song, T, Xu, M (2012) Minimally invasive video-assisted versus conventional open thyroidectomy: a systematic review of available data. Surg Today 42: pp. 848-56 CrossRef
  3. Sgourakis, G, Sotiropoulos, GC, Neuh盲user, M, Musholt, TJ, Karaliotas, C, Lang, H (2008) Comparison between minimally invasive video-assisted thyroidectomy and conventional thyroidectomy: is there any evidence-based information?. Thyroid 18: pp. 721-7 CrossRef
  4. Radford, PD, Ferguson, MS, Magill, JC, Karthikesalingham, AP, Alusi, G (2011) Meta-analysis of minimally invasive video-assisted thyroidectomy. Laryngoscope 121: pp. 1675-81 CrossRef
  5. Miccoli, P, Materazzi, G, Baggiani, A, Miccoli, M (2011) Mini-invasive video-assisted surgery of the thyroid and parathyroid glands: a 2011 update. J Endocrinol Invest 34: pp. 473-80 CrossRef
  6. Papavramidis, TS, Pliakos, I, Michalopoulos, N (2014) Classic clampand-tie total thyroidectomy for large goiters in the modern era: to drain or not to drain?. World J Otorhinolaryngol 4: pp. 1-5 CrossRef
  7. Hegazy, MA, Khater, AA, Setit, AE (2007) Minimally invasive video-assisted thyroidectomy for small follicular thyroid nodules. World J Surg 31: pp. 1743-50 CrossRef
  8. Ardito, G, Revelli, L, Moschella, F (2004) Diagnostic lobectomy for unilateral follicular nodules of the thyroid gland. Surg Today. 34: pp. 557-9 CrossRef
  9. Miccoli, P, Materazzi, G, Miccoli, M, Frustaci, G, Fosso, A, Berti, P (2010) Evaluation of a new ultrasonic device in thyroid surgery: comparative randomized study. Am J Surg 199: pp. 736-40 CrossRef
  10. Scerrino, G, Paladino, NC, Paola, V (2013) Minimally invasive video-assisted thyroidectomy: four-year experience of a single team in a General Surgery Unit. Minerva Chir 68: pp. 307-14
  11. Bokor, T, Kiffner, E, Kotrikova, B, Billmann, F (2012) Cosmesis and body image after minimally invasive or open thyroid surgery. World J Surg 36: pp. 1279-85 CrossRef
  12. Samy, AK, Ridgway, D, Orabi, A, Suppiah, A (2010) Minimally invasive, video-assisted thyroidectomy: first experience from the United Kingdom. Ann R Coll Surg Engl 92: pp. 379-84 CrossRef
  13. Barczy艅ski, M, Konturek, A, Cicho帽, S (2008) Minimally invasive video-assisted thyreoidectomy (MIVAT) with and without use of harmonic scalpel鈥攁 randomized study. Langenbecks Arch Surg 393: pp. 647-54 CrossRef
  
• 刊物主题：Surgery;
• 出版者：Springer Vienna
• ISSN：1868-8845

文摘

This overview has been prepared to assist members of the Greek Society of Endocrine Surgeons (GSES) in making definitions and recommendations concerning minimally invasive techniques employed in thyroid surgery. It is based on a review of the medical literature and specialist opinion. It should not be regarded as a definitive assessment of the procedure. The international literature was reviewed and 467 relevant articles concerning minimal invasive thyroid surgery were retrieved. All studies were carefully analyzed in order to help members of GSES to globally recognize the subject, define it and issue guidelines. In a tentative to define minimal invasive thyroidectomy (MIT), we could say that it is any thyroidectomy performed via a small incision or through holes aiming to minimize tissue damage, which means less pain, less traumatic surface with acceptable complication rate. By definition, MITs include minimal invasive video-assisted thyroidectomies (MIVAT), loupes-assisted thyroidectomies (LATE) and transoral thyroidectomies (TOT). In order to sustain a safe and high quality surgical practice, the indications and limitations of MIVAT/LATE are to be considered. Most authors agree that reoperation and previous irradiation of the neck are factors rendering MIIVAT/LATE impossible to perform. With regard to the size of the predominant nodule, everybody seems to concur that nodules less than 3cm are eligible for MIVAT/LATE, whereas in terms of the total volume of the excised gland, most authors would agree that any gland with a volume less than 20ml is eligible. Finally, during the last decade MIVAT/LATE have become accepted techniques for treating thyroid cancer. Where experienced surgeons are involved, MIVAT/LATE can be performed for tumours up to T4aN1a. However, most authors seem to suggest to less experienced surgeons that oncologic thyroidectomies be performed up to T1N0.