%0 Journal Article
%T Minimally Invasive Video
%A Calogero Porrello
%A Cristina Raspanti
%A Gaspare Gulotta
%A Gianfranco Cocorullo
%A Giulia Rotolo
%A Giuseppe Salamone
%A Giuseppina Melfa
%A Gregorio Scerrino
%A Leo Licari
%A Roberta Tutino
%A Tommaso Fontana
%J Surgical Innovation
%@ 1553-3514
%D 2019
%R 10.1177/1553350618823425
%X Background. Nowadays, minimally invasive video-assisted thyroidectomy (MIVAT) is considered a safe and effective option. However, its complication rate has not been specifically discussed yet. The aim of this systematic review was enrolling a large number of studies to estimate early and late complications (transient and definitive, uni- and bilateral laryngeal nerve palsy; transient and definitive hypocalcemia; cervical hematoma; hypertrophic or keloid scar) of MIVAT compared with conventional technique. Methods. The review was performed according to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) criteria in PubMed and Embase. Search terms were ¡°minimally invasive,¡± ¡°video-assisted,¡± and ¡°thyroidectomy.¡± We enrolled randomized clinical trials, nonrandomized trials, and noncontrolled trials. Results. Thirty-two articles were considered suitable. Complication rate of MIVAT was quite similar to conventional technique: only one randomized trial found a significant difference concerning overall skin complication, and a single trial highlighted hypocalcemia significantly increased in MIVAT, concerning serologic value only. No difference concerning symptomatic nor definitive hypocalcemia was found. Conclusions. We can confirm that MIVAT is a safe technique. It should be adopted in mean-high-volume surgery centers for thyroidectomy, if a strict compliance with indication was applied
%K review
%K transient complications
%K definitive complications
%K minimally invasive video-assisted thyroidectomy
%K MIVAT
%K conventional thyroidectomy
%U https://journals.sagepub.com/doi/full/10.1177/1553350618823425