caa a22 4500 475790898 CHVBK 20180406123710.0 cr unu---uuuuu 170329e20000701xx s 000 0 eng 10.1007/s004230000141 doi (NATIONALLICENCE)springer-10.1007/s004230000141 Minimally invasive video-assisted surgery of the thyroid: a preliminary report [Elektronische Daten] [P. Miccoli, P. Berti, C. Bendinelli, M. Conte, F. Fasolini, E. Martino] Background: Endoscopic thyroidectomy has not yet met the favor of most endocrine surgeons. We evaluated the technical feasibility of a video-assisted approach to thyroid surgery. Patients and methods: The study group comprised 22 females and 5 males, all with a single thyroid nodule. The nodule was "hot” in 4 patients, microfollicular in 17 and with Hürthle cell cytology in 6. A 15-mm skin incision was made above the sternal notch. The mid-line was opened and a 12-mm trocar inserted into the thyro-tracheal groove. It was inflated with CO2 for 3min. The trocar was then removed and the procedure performed using external retractors and needlescopic instruments. The upper pedicle was dissected. Identification of recurrent nerve and parathyroid glands was facilitated by endoscopic magnification. The upper gland portion was then retracted out of the operative cavity; inferior veins were ligated and the lobe entirely extracted and dissected. Frozen section was obtained for "cold” nodules. Results: Video-assisted hemithyroidectomy was accomplished in 24 patients; 1 underwent video-assisted total thyroidectomy (positive frozen section). Cervicotomy was required once to achieve hemostasis and once to perform total thyroidectomy (positive frozen section). Mean operative time was 82min (range 60-120min). No complications were registered. The cosmetic result was excellent. Conclusions: Video-assisted thyroid surgery is feasible and may improve cosmetic outcome; total thyroidectomy can be accomplished through the same access point. Springer-Verlag, 2000 Minimally invasive video-assisted neck surgery Endoscopic thyroidectomy nationallicence Miccoli P. Dipartimento di Chirurgia dell'Università degli Studi di Pisa, Via Roma 67, 56100 Pisa, Italy, Italy aut Berti P. Dipartimento di Chirurgia dell'Università degli Studi di Pisa, Via Roma 67, 56100 Pisa, Italy, Italy aut Bendinelli C. Dipartimento di Chirurgia dell'Università degli Studi di Pisa, Via Roma 67, 56100 Pisa, Italy, Italy aut Conte M. Dipartimento di Chirurgia dell'Università degli Studi di Pisa, Via Roma 67, 56100 Pisa, Italy, Italy aut Fasolini F. Reparto di Chirurgia dell'Ospedale regionale della Santa Vergine, Mendrisio, Switzerland, Switzerland aut Martino E. Dipartimento di Endocrinologia dell'Università degli Studi di Pisa, Pisa, Italy, Italy aut Langenbeck's Archives of Surgery Springer-Verlag 385/4(2000-07-01), 261-264 1435-2443 385:4<261 2000 385 423 https://doi.org/10.1007/s004230000141 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004230000141 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Miccoli P. Dipartimento di Chirurgia dell'Università degli Studi di Pisa, Via Roma 67, 56100 Pisa, Italy, Italy aut NATIONALLICENCE 700 1- Berti P. Dipartimento di Chirurgia dell'Università degli Studi di Pisa, Via Roma 67, 56100 Pisa, Italy, Italy aut NATIONALLICENCE 700 1- Bendinelli C. Dipartimento di Chirurgia dell'Università degli Studi di Pisa, Via Roma 67, 56100 Pisa, Italy, Italy aut NATIONALLICENCE 700 1- Conte M. Dipartimento di Chirurgia dell'Università degli Studi di Pisa, Via Roma 67, 56100 Pisa, Italy, Italy aut NATIONALLICENCE 700 1- Fasolini F. Reparto di Chirurgia dell'Ospedale regionale della Santa Vergine, Mendrisio, Switzerland, Switzerland aut NATIONALLICENCE 700 1- Martino E. Dipartimento di Endocrinologia dell'Università degli Studi di Pisa, Pisa, Italy, Italy aut NATIONALLICENCE 773 0- Langenbeck's Archives of Surgery Springer-Verlag 385/4(2000-07-01), 261-264 1435-2443 385:4<261 2000 385 423 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer