%0 Journal Article
%T Video-Assisted Thyroidectomy for Selected Cases of Differentiated Thyroid Carcinoma. Initial Experience in Colombia
%A Andr¨¦s Chala
%A Alvaro Sanabria
%A Adonis Ram¨ªrez
%J Open Access Library Journal
%V 1
%N 8
%P 1-6
%@ 2333-9721
%D 2014
%I Open Access Library
%R 10.4236/oalib.1101158
%X 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.
%K Video-Assisted Thyroidectomy
%K Thyroid Cancer
%U http://www.oalib.com/paper/3130265