PMID- 33987765
OWN - NLM
STAT- MEDLINE
DCOM- 20210924
LR  - 20210924
IS  - 1435-2451 (Electronic)
IS  - 1435-2443 (Linking)
VI  - 406
IP  - 5
DP  - 2021 Aug
TI  - Long-term cosmetic results of video-assisted thyroidectomy: a comparison with 
      conventional surgery.
PG  - 1625-1633
LID - 10.1007/s00423-021-02196-8 [doi]
AB  - PURPOSE: We present the long-term cosmetic results of the video-assisted 
      thyroidectomy (MIVAT) in comparison to the conventional operation. METHODS: 
      Forty-eight patients (four males, 44 females; mean age 47.4 +/- 12.5 years) 
      constituted the video-assisted group (VA-Group). These were compared with 48 
      patients (10 males, 38 females; mean age 47.4 +/- 12.5 years) operated by 
      conventional surgery (C-Group). The patients were selected from all thyroid 
      operations performed between January 2016 and June 2017. Patient Scar Assessment 
      Scale (PSAS) and Observer Scar Assessment Scale (OSAS) were used for the 
      evaluation performed by an independent surgeon. Both scales contained six items 
      scored numerically on a ten-step scale ranging from 1 (normal skin) to 10 (worst 
      result). Moreover, photos of all scars were taken and analyzed by six team 
      surgeons using modified OSAS. RESULTS: The mean follow-up time was 31.7 +/- 6.4 
      months for the MIVAT group and 32.9 +/- 4.6 months for the conventional group (p = 
      0.39). The mean scar length in the VA-Group was 2.6 cm vs. 3.8 cm in the C-Group 
      (p < 0.0001). The total score of PSAS was 9.93 (6-35) for MIVAT and 9.72 (6-29) 
      for conventional thyroidectomy (p = 0.22). The total OSAS score by the 
      independent surgeon showed a better cosmetic outcome for conventional surgery 
      (13.19 vs. 12.33; p = 0.01). The total OSAS score by the six team surgeons did 
      not differ between both groups in five of six ratings; one surgeon favored MIVAT 
      (12.2 vs. 13.6; p = 0.04). CONCLUSIONS: This study does not find cosmetic 
      advantages of minimally invasive video-assisted thyroidectomy compared to 
      conventional thyroidectomy.
CI  - (c) 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, 
      part of Springer Nature.
FAU - Alesina, P F
AU  - Alesina PF
AUID- ORCID: 0000-0002-8508-9934
AD  - Klinik fur Chirurgie und Zentrum fur Minimal Invasive Chirurgie, Evang. Kliniken 
      Essen-Mitte, Henricistrasse 92, 45136, Essen, Germany. pieroalesina@libero.it.
FAU - Wahabie, W
AU  - Wahabie W
AD  - Evangelisches Krankenhaus Oldenburg, Steinweg 13-17, 26122, Oldenburg, Germany.
FAU - Meier, B
AU  - Meier B
AD  - Klinik fur Chirurgie und Zentrum fur Minimal Invasive Chirurgie, Evang. Kliniken 
      Essen-Mitte, Henricistrasse 92, 45136, Essen, Germany.
FAU - Hinrichs, J
AU  - Hinrichs J
AD  - Klinik fur Chirurgie und Zentrum fur Minimal Invasive Chirurgie, Evang. Kliniken 
      Essen-Mitte, Henricistrasse 92, 45136, Essen, Germany.
FAU - Mohmand, W
AU  - Mohmand W
AD  - Klinik fur Chirurgie und Zentrum fur Minimal Invasive Chirurgie, Evang. Kliniken 
      Essen-Mitte, Henricistrasse 92, 45136, Essen, Germany.
FAU - Kapakoglou, A
AU  - Kapakoglou A
AD  - Klinik fur Chirurgie und Zentrum fur Minimal Invasive Chirurgie, Evang. Kliniken 
      Essen-Mitte, Henricistrasse 92, 45136, Essen, Germany.
FAU - Kniazeva, P
AU  - Kniazeva P
AD  - Klinik fur Chirurgie und Zentrum fur Minimal Invasive Chirurgie, Evang. Kliniken 
      Essen-Mitte, Henricistrasse 92, 45136, Essen, Germany.
FAU - Walz, M K
AU  - Walz MK
AD  - Klinik fur Chirurgie und Zentrum fur Minimal Invasive Chirurgie, Evang. Kliniken 
      Essen-Mitte, Henricistrasse 92, 45136, Essen, Germany.
LA  - eng
PT  - Journal Article
DEP - 20210513
PL  - Germany
TA  - Langenbecks Arch Surg
JT  - Langenbeck's archives of surgery
JID - 9808285
SB  - IM
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Minimally Invasive Surgical Procedures
MH  - Thyroid Gland
MH  - *Thyroidectomy
MH  - *Video-Assisted Surgery
OTO - NOTNLM
OT  - Cosmetic outcome
OT  - Follow-up
OT  - MIVAT
OT  - Minimally invasive thyroidectomy
OT  - Thyroidectomy
EDAT- 2021/05/15 06:00
MHDA- 2021/09/25 06:00
CRDT- 2021/05/14 07:10
PHST- 2020/07/11 00:00 [received]
PHST- 2021/05/10 00:00 [accepted]
PHST- 2021/05/15 06:00 [pubmed]
PHST- 2021/09/25 06:00 [medline]
PHST- 2021/05/14 07:10 [entrez]
AID - 10.1007/s00423-021-02196-8 [pii]
AID - 10.1007/s00423-021-02196-8 [doi]
PST - ppublish
SO  - Langenbecks Arch Surg. 2021 Aug;406(5):1625-1633. doi: 
      10.1007/s00423-021-02196-8. Epub 2021 May 13.