Minimally invasive video-assisted total thyroidectomy: An easy to learn technique for skillful surgeons
✍ Scribed by Theodossis S. Papavramidis; Nick Michalopoulos; John Pliakos; Konstantina Triantafillopoulou; Konstantinos Sapalidis; Nikolaos Deligiannidis; Isaak Kesisoglou; Ioannis Ntokmetzioglou; Spiros T. Papavramidis
- Publisher
- John Wiley and Sons
- Year
- 2010
- Tongue
- English
- Weight
- 100 KB
- Volume
- 32
- Category
- Article
- ISSN
- 1043-3074
No coin nor oath required. For personal study only.
✦ Synopsis
Abstract
Background
Minimally invasive video‐assisted total thyroidectomy (MIVATT) is a treating option for small thyroids that demands skills required for both traditional thyroidectomy and endoscopic surgery. This prospective study aims to define the learning curve for MIVATT for residents, with experience in traditional thyroid and laparoscopic surgery.
Methods
In all, 36 MIVATTs for benign disease were evenly divided among 4 residents. We recorded and analyzed: age, sex, pathology, thyroid weight, duration of the operation, ΔCa (postoperative minus preoperative calcemia), ΔWBC (postoperative minus preoperative white blood cell count), vocal motility, operative difficulty, postoperative vocal alteration, postoperative pain, complications, gram of gland excised per minute of the operation, conversion, and hospitalization.
Results
Statistically significant differences were observed in the different learning points, between duration of surgery (p < .001), operative difficulty (p = .022), grams of gland excised per minute of operation (p < .001), and WBC (p = .011).
Conclusions
Surgeons that are experience in both thyroid and endoscopic surgery are subjects to a short learning curve concerning MIVATT. © 2010 Wiley Periodicals, Inc. Head Neck, 2010