PMID- 20385050
OWN - NLM
STAT- MEDLINE
DCOM- 20100809
LR  - 20211020
IS  - 1478-7083 (Electronic)
IS  - 0035-8843 (Print)
IS  - 0035-8843 (Linking)
VI  - 92
IP  - 5
DP  - 2010 Jul
TI  - Minimally invasive, video-assisted thyroidectomy: first experience from the 
      United Kingdom.
PG  - 379-84
LID - 10.1308/003588410X12628812459977 [doi]
AB  - INTRODUCTION: Minimally-invasive, video-assisted thyroidectomy (MIVAT) was 
      developed to reduce scarring/trauma associated with cervical incisions used in 
      open thyroidectomy. Results from various centres have been published 
      internationally but none from the UK. This study reports the first results from 
      the UK and compares them with other centres. We also aim to compare the results 
      of a single-surgeon experience in a small/moderately-sized hospital to those of 
      larger tertiary centres. PATIENTS AND METHODS: Retrospective analysis of a single 
      surgeon experience in a district general hospital RESULTS: The cohort was 55 
      patients (52 female, 3 male), mean age 48 years (range, 21-77 years) who had 64 
      MIVAT procedures. There were 49 hemithyroidectomies (HTs), 2 isthmusectomy, 4 
      total thyroidectomies (TTs) and 9 completion thyroidectomies (CTs) with median 
      operating time of 86 min (IQR 66-110 min). Individual operating times were HT 85 
      min (IQR 60-110 min); TT 130 min (IQR 100-140 min) and CT 77 min (IQR 70-98 min). 
      Median operating time was shorter in the second half of this series (76 min vs 92 
      min; P < 0.001). Length of stay was < 1 day in 92%. Conversions occurred in 6.3% 
      with no haematoma or re-operation. Transient voice change was present in 7 (11%), 
      permanent unilateral recurrent laryngeal nerve palsy in 2 (3%), and transient 
      hypocalcaemia in 2 (3%). CONCLUSIONS: The first results from the UK are similar 
      to those of other international centres. A single-surgeon practice can obtain 
      results comparable to larger tertiary centres provided there is sufficient 
      case-load. MIVAT is safe and effective, but has a steep learning curve with rapid 
      improvement observed within first 30 cases. Future studies should focus on 
      objective assessment of scar/cosmesis and cost-effectiveness. MIVAT is an 
      acceptable alternative to open surgery in highly selected patients.
FAU - Samy, A K
AU  - Samy AK
AD  - Diana Princess of Wales Hospital, Grimsby, UK. aksamy@hotmail.com
FAU - Ridgway, D
AU  - Ridgway D
FAU - Orabi, A
AU  - Orabi A
FAU - Suppiah, A
AU  - Suppiah A
LA  - eng
PT  - Evaluation Study
PT  - Journal Article
PT  - Multicenter Study
PT  - Review
DEP - 20100409
PL  - England
TA  - Ann R Coll Surg Engl
JT  - Annals of the Royal College of Surgeons of England
JID - 7506860
SB  - IM
MH  - Adult
MH  - Aged
MH  - Female
MH  - Humans
MH  - Hypocalcemia/etiology
MH  - Intraoperative Period
MH  - Length of Stay/statistics & numerical data
MH  - Male
MH  - Middle Aged
MH  - Retrospective Studies
MH  - Thyroid Neoplasms/*surgery
MH  - Thyroidectomy/adverse effects/*methods
MH  - Video-Assisted Surgery/adverse effects/*methods
MH  - Vocal Cord Paralysis/etiology
MH  - Young Adult
PMC - PMC3180308
EDAT- 2010/04/14 06:00
MHDA- 2010/08/10 06:00
PMCR- 2011/07/01
CRDT- 2010/04/14 06:00
PHST- 2010/04/14 06:00 [entrez]
PHST- 2010/04/14 06:00 [pubmed]
PHST- 2010/08/10 06:00 [medline]
PHST- 2011/07/01 00:00 [pmc-release]
AID - 117 [pii]
AID - 10.1308/003588410X12628812459977 [doi]
PST - ppublish
SO  - Ann R Coll Surg Engl. 2010 Jul;92(5):379-84. doi: 
      10.1308/003588410X12628812459977. Epub 2010 Apr 9.