Background: Minimally invasive video-assisted
thyroidectomy (MIVAT) has been proposed as an alternative procedure to get the
same completeness as a conventional thyroidectomy in selected cases of differentiated
thyroid cancer. It’s considered as safe as the conventional procedure. Objective:
The purpose of the study was to do a retrospective evaluation in a series of
patients who underwent MIVAT for thyroid nodule or thyroid cancer over a two
and a half year period, in two academic centers in Colombia in terms of the
completeness of the surgical resection, morbidity and short-term recurrence. Results:
45 patientsudy was realized in 9 cases. The final pathology showed 27 patients
with papillary carcinomas, and 1 patient with incidental medullary carcinoma. Post-
operative complications included temporary recurrent nerve paralysis (1.1%), permanent
recurrent nerve paralysis (1.1%), temporary hypocalcaemia (4.4%) and
postoperative seroma (8.8%) No definitive hypoparathyroidism was found. The
short term follow-up didn’t show recurrences. Conclusion: With this initial
experience, we consider that this technique could be proposed as an alternative
procedure to conventional surgery, including the resection of selected small
thyroid carcinomas as ot underwent a MIVAT, and 20 had also a central neck dissection (CND);
frozen section sther authors have proposed.
Cite this paper
Chala, A. , Sanabria, A. and Ramírez, A. (2014). Video-Assisted Thyroidectomy for Selected Cases of Differentiated Thyroid Carcinoma. Initial Experience in Colombia. Open Access Library Journal, 1, e1158. doi: http://dx.doi.org/10.4236/oalib.1101158.
Miccoli, P., Berti, P., Conte, M., Bendinelli, C. and Marcocci, C. (1999) Minimally Invasive Surgery for Thyroid
Small Nodules: Preliminary Report. Journal
of Endocrinological Investigation, 22, 849-851. http://dx.doi.org/10.1007/BF03343657
Lombardi, C.P., Raffaelli, M., De
Crea, C., D’Amore, A. and Bellantone, R. (2009) Video-Assisted Thyroidectomy: Lessons
Learned after More than One Decade. Acta Otorhinolaryngologica
Italica: Organo Ufficiale della Societa Italiana di Otorinolaringologia
e Chirurgia Cervico-Facciale, 29, 317-320.
Lombardi, C.P., Raffaelli, M., De
Crea, C., D’Amore, A., Oragano, L., Salvatori, M. and Bellantone, R. (2010) Video- Assisted Thyroidectomy for Papillary Thyroid
Carcinoma. Journal of Oncology, 2010, Article ID: 148542. http://dx.doi.org/10.1155/2010/148542
Chen, X.D., Peng, B., Gong, R.X., Wang, L., Liao, B. and Li, C.L.
(2008) Endoscopic Thyroidectomy: An Evidence- Based Research on Feasibility, Safety and Clinical
Effectiveness. Chinese Medical Journal, 121, 2088-2094.
Liu, J., Song, T.
and Xu, M. (2012) Minimally Invasive Video-Assisted versus
Conventional Open Thyroidectomy: A Systematic Review of Available Data. Surgery Today, 42, 848-856. http://dx.doi.org/10.1007/s00595-012-0130-z
Lombardi, C.P., Raffaelli, M., D’Alatri, L., De
Crea, C., Marchese, M.R., Maccora, D., Paludetti, G. and Bellantone, R. (2008) Video-Assisted Thyroidectomy
Significantly Reduces the Risk of Early Postthyroidectomy Voice and Swallowing
Symptoms. World Journal of Surgery, 32, 693-700. http://dx.doi.org/10.1007/s00268-007-9443-2
Dionigi, G., Boni, L., Rovera, F., Annoni, M., Villa, F. and Dionigi, R.
(2008) Defining the Learning Curve for Video- Assisted Thyroidectomy. International Journal of Surgery, 6, S1-S3. http://dx.doi.org/10.1016/j.ijsu.2008.12.004
Del Rio, P., Berti, M., Sommaruga, L., Arcuri, M.F., Cataldo, S. and Sianesi, M.
(2008) Pain after Minimally Invasive Video Assisted and after Minimally Invasive Open
Thyroidectomy—Results of a Prospective Outcome Study. Langenbeck’s Archives
of Surgery/Deutsche
Gesellschaft fur Chirurgie, 393, 271-273. http://dx.doi.org/10.1007/s00423-007-0229-7
Byrd, J.K., Nguyen, S.A., Ketcham, A., Hornig, J., Gillespie, M.B. and Lentsch, E.
(2010) Minimally Invasive Video- Assisted Thyroidectomy versus Conventional
Thyroidectomy: A Cost-Effective Analysis. Otolaryngology—Head
and Neck Surgery: Official Journal of
American Academy of Otolaryngology—Head and Neck Surgery, 143, 789-794. http://dx.doi.org/10.1016/j.otohns.2010.08.002
Kandil, E.,
Wassef, S.N.,
Alabbas, H. and Freidlander, P.L. (2009) Minimally Invasive Video-Assisted Thyroidectomy
and Parathyroidectomy with Intraoperative Recurrent Laryngeal Nerve Monitoring. International Journal of Otolaryngology, 2009, 1-4. http://dx.doi.org/10.1155/2009/739798
Dedivitis, R.A. and Guimaraes, A.V. (2005) Identification of the External Branch of
the Superior Laryngeal Nerve during Minimally Invasive Video-Assisted
Thyroidectomy. Brazilian Journal of
Otorhinolaryngology, 71, 326-328.
Di, J.Z., Zhang, H.W., Han, X.D., Zhang, P., Zheng, Q. and Wang, Y. (2011) Minimally Invasive Video-Assisted
Thyroidectomy for Accidental Papillary Thyroid Microcarcinoma: Comparison with
Conventional Open Thyroidectomy with 5 Years Follow-Up. Chinese Medical Journal, 124, 3293-3296.
Miccoli, P., Pinchera, A., Materazzi, G., Biagini, A., Berti, P., Faviana, P., Molinaro, E., Viola, D. and Elisei, R. (2009)
Surgical Treatment of Low- and Intermediate-Risk Papillary Thyroid Cancer with
Minimally Invasive Video-Assisted Thyroidectomy. The Journal of Clinical Endocrinology and Metabolism, 94, 1618-1622. http://dx.doi.org/10.1210/jc.2008-1418
Neidich, M.J. and Steward, D.L. (2012)
Safety and Feasibility of Elective Minimally Invasive Video-Assisted Central
Neck Dissection for Thyroid Carcinoma. Head
& Neck, 34, 354-358. http://dx.doi.org/10.1002/hed.21733
Miccoli, P., Minuto, M.N., Berti, P. and Materazzi, G. (2009) Update on the Diagnosis and Treatment of
Differentiated Thyroid Cancer. The
Quarterly Journal of Nuclear Medicine and Molecular Imaging, 53, 465-472.
Bellantone, R., Lombardi, C.P., Raffaelli, M., Boscherini, M., Alesina, P.F. and Princi, P. (2002)
Central Neck Lymph Node Removal during Minimally Invasive Video-Assisted
Thyroidectomy for Thyroid Carcinoma: A Feasible and Safe Procedure. Journal of Laparoendoscopic & Advanced
Surgical Techniques Part A, 12, 181-185. http://dx.doi.org/10.1089/10926420260188074
Lombardi, C.P., Raffaelli, M., De
Crea, C., Sessa, L., Rampulla, V. and Bellantone, R. (2012) Video-Assisted versus Conventional Total
Thyroidectomy and Central Compartment Neck Dissection for Papillary Thyroid
Carcinoma. World Journal of Surgery, 36, 1225-1230. http://dx.doi.org/10.1007/s00268-012-1439-x
Cooper, D.S., Doherty,
G.M., Haugen,
B.R., Kloos,
R.T., Lee,
S.L., Mandel, S.J., et al. (2009) Revised American Thyroid Association
Management Guidelines for Patients with Thyroid Nodules and Differentiated
Thyroid Cancer. Thyroid: Official Journal of the American Thyroid
Association, 19, 1167-1214. http://dx.doi.org/10.1089/thy.2009.0110
Miccoli, P., Materazzi, G., Baggiani, A. and Miccoli, M. (2011)
Mini-Invasive Video-Assisted Surgery of the Thyroid and Parathyroid Glands: A
2011 Update. Journal of Endocrinological
Investigation, 34, 473-480.
Ohgami, M., Ishii,
S., Arisawa, Y., Ohmori, T., Noga, K., Furukawa, T. and Kitajima, M. (2000) Scarless Endoscopic Thyroidectomy:
Breast Approach for Better Cosmesis. Surgical
Laparoscopy, Endoscopy &
Percutaneous Techniques, 10, 1-4. http://dx.doi.org/10.1097/00129689-200002000-00001
Lee, K.E., Rao, J. and Youn, Y.K. (2009) Endoscopic Thyroidectomy with the da Vinci
Robot System Using the Bilateral Axillary Breast Approach (BABA) Technique: Our
Initial Experience. Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, 19, e71-e75. http://dx.doi.org/10.1097/SLE.0b013e3181a4ccae
Sahm, M., Schwarz, B., Schmidt, S., Pross, M. and Lippert, H. (2011)
Long-Term Cosmetic Results after Minimally Invasive Video-Assisted
Thyroidectomy. Surgical Endoscopy, 25, 3202-3208. http://dx.doi.org/10.1007/s00464-011-1693-2
Benhidjeb, T., Witzel, K., Burghardt, J., Barlehner, E., Stark, M. and Mann, O. (2010)
Endoscopic Minimally Invasive Thyroidectomy: Ethical and Patients Safety
Considerations on the First Clinical Experience of an Innovative Approach. Surgical Endoscopy, Published Online. http://dx.doi.org/10.1007/s00464-010-1290-9
Lombardi, C.P., Raffaelli, M., Princi, P., Lulli, P., Rossi, E.D., Fadda, G. and Bellantone, R. (2005) Safety of Video- Assisted Thyroidectomy versus Conventional
Surgery. Head & Neck, 27, 58-64. http://dx.doi.org/10.1002/hed.20118
Pisanu, A., Podda, M., Reccia, I., Porceddu,
G. and Uccheddu, A. (2013) Systematic Review with Meta-Analysis of
Prospective Randomized Trials Comparing Minimally Invasive Video-Assisted
Thyroidectomy (MIVAT) and Conventional Thyroidectomy (CT). Langenbeck’s
Archives of Surgery, 398, 1057-1068. http://dx.doi.org/10.1007/s00423-013-1125-y
Del Rio, P., Sommaruga, L., Cataldo, S., Robuschi, G., Arcuri, M.F. and Sianesi, M. (2008)
Minimally Invasive Video-Assisted Thyroidectomy: The Learning Curve. European Surgical Research, 41, 33-36. http://dx.doi.org/10.1159/000127404
Liu, S., Qiu, M., Jiang, D.Z., Zheng, X.M., Zhang, W., Shen, H.L. and Shan, C.X. (2009)
The Learning Curve for Endoscopic Thyroidectomy: A Single Surgeon’s
Experience. Surgical Endoscopy, 23, 1802-1806. http://dx.doi.org/10.1007/s00464-009-0332-7
Pons, Y., Verillaud, B., Blancal, J.P., Sauvaget, E., Cloutier, T., Le
Clerc, N., Herman, P. and Kania, R. (2013)
Minimally Invasive Video-Assisted Thyroidectomy: Learning Curve in Terms of
Mean Operative Time and Conversion and Complication Rates. Head
& Neck, 35, 1078-1082. http://dx.doi.org/10.1002/hed.23081
