Modified Video-Assisted Thyroidectomy in a Benign Unilateral Thyroid Swelling

Mohamed A. Mlees; Ahmed A. Darwish

doi:doi:10.11648/j.js.s.2017050301.19

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Modified Video-Assisted Thyroidectomy in a Benign Unilateral Thyroid Swelling

Mohamed A. Mlees, Ahmed A. Darwish

Published in Journal of Surgery (Volume 5, Issue 3-1)

Received: 8 February 2017 Accepted: 9 February 2017 Published: 28 February 2017

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Abstract

Background and aim: Conventional thyroidectomy may cause a long neck scar and a variety of potential complications. The concept of minimally invasive surgery has recently found many supporters in the management of thyroid disorders. The aim of this study was to evaluate the suprasternal approach of modified minimal invasive video-assisted endoscopic thyroidectomy (MIVAET) in treatment of unilateral simple nodular goiter in term of: feasibility of the operation, the identification of recurrent laryngeal nerves (RLN) and parathyroid glands, operative time, postoperative pain and cosmetic result. Patients and methods: This study was conducted on 20 patients with a simple solitary thyroid nodule in Surgical Oncology Unit at General Surgery Department, Tanta University Hospital from March 2015 to June 2016. Patients included in the study had small nodule less than 5 cm in maximum diameter, unilateral lesion, no previous neck surgery, benign lesion and euthyroid state. Every patient was subjected to MIVAET through a Suprasternal 2-cm neck incision. Results: The present study comprised 18 females (90%) and 2 males (10%) patients with a mean age of 32 years, The mean operative time was 63 minutes, simple nodular goiter was the commonest pathological finding, 90% of the patients stayed in the hospital one day and 70% were satisfied from cosmetic appearance of their scar 6 months after the operation. Conclusion: Modified minimal invasive video-assisted endoscopic thyroidectomy was feasible, can be done safely and effectively with a better aesthetic outcome and pathological control without increasing the risk of complications.

Published in	Journal of Surgery (Volume 5, Issue 3-1) This article belongs to the Special Issue Minimally Invasive and Minimally Access Surgery
DOI	10.11648/j.js.s.2017050301.19
Page(s)	43-48
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Endoscopic Thyroidectomy, Video-Assisted, Minimal Invasive, Thyroid Nodule

References

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APA Style

Mohamed A. Mlees, Ahmed A. Darwish. (2017). Modified Video-Assisted Thyroidectomy in a Benign Unilateral Thyroid Swelling. Journal of Surgery, 5(3-1), 43-48. https://doi.org/10.11648/j.js.s.2017050301.19

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ACS Style

Mohamed A. Mlees; Ahmed A. Darwish. Modified Video-Assisted Thyroidectomy in a Benign Unilateral Thyroid Swelling. J. Surg. 2017, 5(3-1), 43-48. doi: 10.11648/j.js.s.2017050301.19

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AMA Style

Mohamed A. Mlees, Ahmed A. Darwish. Modified Video-Assisted Thyroidectomy in a Benign Unilateral Thyroid Swelling. J Surg. 2017;5(3-1):43-48. doi: 10.11648/j.js.s.2017050301.19

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@article{10.11648/j.js.s.2017050301.19,
  author = {Mohamed A. Mlees and Ahmed A. Darwish},
  title = {Modified Video-Assisted Thyroidectomy in a Benign Unilateral Thyroid Swelling},
  journal = {Journal of Surgery},
  volume = {5},
  number = {3-1},
  pages = {43-48},
  doi = {10.11648/j.js.s.2017050301.19},
  url = {https://doi.org/10.11648/j.js.s.2017050301.19},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.s.2017050301.19},
  abstract = {Background and aim: Conventional thyroidectomy may cause a long neck scar and a variety of potential complications. The concept of minimally invasive surgery has recently found many supporters in the management of thyroid disorders. The aim of this study was to evaluate the suprasternal approach of modified minimal invasive video-assisted endoscopic thyroidectomy (MIVAET) in treatment of unilateral simple nodular goiter in term of: feasibility of the operation, the identification of recurrent laryngeal nerves (RLN) and parathyroid glands, operative time, postoperative pain and cosmetic result. Patients and methods: This study was conducted on 20 patients with a simple solitary thyroid nodule in Surgical Oncology Unit at General Surgery Department, Tanta University Hospital from March 2015 to June 2016. Patients included in the study had small nodule less than 5 cm in maximum diameter, unilateral lesion, no previous neck surgery, benign lesion and euthyroid state. Every patient was subjected to MIVAET through a Suprasternal 2-cm neck incision. Results: The present study comprised 18 females (90%) and 2 males (10%) patients with a mean age of 32 years, The mean operative time was 63 minutes, simple nodular goiter was the commonest pathological finding, 90% of the patients stayed in the hospital one day and 70% were satisfied from cosmetic appearance of their scar 6 months after the operation. Conclusion: Modified minimal invasive video-assisted endoscopic thyroidectomy was feasible, can be done safely and effectively with a better aesthetic outcome and pathological control without increasing the risk of complications.},
 year = {2017}
}

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TY  - JOUR
T1  - Modified Video-Assisted Thyroidectomy in a Benign Unilateral Thyroid Swelling
AU  - Mohamed A. Mlees
AU  - Ahmed A. Darwish
Y1  - 2017/02/28
PY  - 2017
N1  - https://doi.org/10.11648/j.js.s.2017050301.19
DO  - 10.11648/j.js.s.2017050301.19
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 43
EP  - 48
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.s.2017050301.19
AB  - Background and aim: Conventional thyroidectomy may cause a long neck scar and a variety of potential complications. The concept of minimally invasive surgery has recently found many supporters in the management of thyroid disorders. The aim of this study was to evaluate the suprasternal approach of modified minimal invasive video-assisted endoscopic thyroidectomy (MIVAET) in treatment of unilateral simple nodular goiter in term of: feasibility of the operation, the identification of recurrent laryngeal nerves (RLN) and parathyroid glands, operative time, postoperative pain and cosmetic result. Patients and methods: This study was conducted on 20 patients with a simple solitary thyroid nodule in Surgical Oncology Unit at General Surgery Department, Tanta University Hospital from March 2015 to June 2016. Patients included in the study had small nodule less than 5 cm in maximum diameter, unilateral lesion, no previous neck surgery, benign lesion and euthyroid state. Every patient was subjected to MIVAET through a Suprasternal 2-cm neck incision. Results: The present study comprised 18 females (90%) and 2 males (10%) patients with a mean age of 32 years, The mean operative time was 63 minutes, simple nodular goiter was the commonest pathological finding, 90% of the patients stayed in the hospital one day and 70% were satisfied from cosmetic appearance of their scar 6 months after the operation. Conclusion: Modified minimal invasive video-assisted endoscopic thyroidectomy was feasible, can be done safely and effectively with a better aesthetic outcome and pathological control without increasing the risk of complications.
VL  - 5
IS  - 3-1
ER  -

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Author Information

Mohamed A. Mlees

Department of General Surgery, Faculty of Medicine, Tanta University, Tanta, Egypt
Ahmed A. Darwish

Department of General Surgery, Faculty of Medicine, Tanta University, Tanta, Egypt

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Plain Text BibTeX RIS

APA Style

Mohamed A. Mlees, Ahmed A. Darwish. (2017). Modified Video-Assisted Thyroidectomy in a Benign Unilateral Thyroid Swelling. Journal of Surgery, 5(3-1), 43-48. https://doi.org/10.11648/j.js.s.2017050301.19

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ACS Style

Mohamed A. Mlees; Ahmed A. Darwish. Modified Video-Assisted Thyroidectomy in a Benign Unilateral Thyroid Swelling. J. Surg. 2017, 5(3-1), 43-48. doi: 10.11648/j.js.s.2017050301.19

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AMA Style

Mohamed A. Mlees, Ahmed A. Darwish. Modified Video-Assisted Thyroidectomy in a Benign Unilateral Thyroid Swelling. J Surg. 2017;5(3-1):43-48. doi: 10.11648/j.js.s.2017050301.19

Copy | Download

@article{10.11648/j.js.s.2017050301.19,
  author = {Mohamed A. Mlees and Ahmed A. Darwish},
  title = {Modified Video-Assisted Thyroidectomy in a Benign Unilateral Thyroid Swelling},
  journal = {Journal of Surgery},
  volume = {5},
  number = {3-1},
  pages = {43-48},
  doi = {10.11648/j.js.s.2017050301.19},
  url = {https://doi.org/10.11648/j.js.s.2017050301.19},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.s.2017050301.19},
  abstract = {Background and aim: Conventional thyroidectomy may cause a long neck scar and a variety of potential complications. The concept of minimally invasive surgery has recently found many supporters in the management of thyroid disorders. The aim of this study was to evaluate the suprasternal approach of modified minimal invasive video-assisted endoscopic thyroidectomy (MIVAET) in treatment of unilateral simple nodular goiter in term of: feasibility of the operation, the identification of recurrent laryngeal nerves (RLN) and parathyroid glands, operative time, postoperative pain and cosmetic result. Patients and methods: This study was conducted on 20 patients with a simple solitary thyroid nodule in Surgical Oncology Unit at General Surgery Department, Tanta University Hospital from March 2015 to June 2016. Patients included in the study had small nodule less than 5 cm in maximum diameter, unilateral lesion, no previous neck surgery, benign lesion and euthyroid state. Every patient was subjected to MIVAET through a Suprasternal 2-cm neck incision. Results: The present study comprised 18 females (90%) and 2 males (10%) patients with a mean age of 32 years, The mean operative time was 63 minutes, simple nodular goiter was the commonest pathological finding, 90% of the patients stayed in the hospital one day and 70% were satisfied from cosmetic appearance of their scar 6 months after the operation. Conclusion: Modified minimal invasive video-assisted endoscopic thyroidectomy was feasible, can be done safely and effectively with a better aesthetic outcome and pathological control without increasing the risk of complications.},
 year = {2017}
}

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TY  - JOUR
T1  - Modified Video-Assisted Thyroidectomy in a Benign Unilateral Thyroid Swelling
AU  - Mohamed A. Mlees
AU  - Ahmed A. Darwish
Y1  - 2017/02/28
PY  - 2017
N1  - https://doi.org/10.11648/j.js.s.2017050301.19
DO  - 10.11648/j.js.s.2017050301.19
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 43
EP  - 48
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.s.2017050301.19
AB  - Background and aim: Conventional thyroidectomy may cause a long neck scar and a variety of potential complications. The concept of minimally invasive surgery has recently found many supporters in the management of thyroid disorders. The aim of this study was to evaluate the suprasternal approach of modified minimal invasive video-assisted endoscopic thyroidectomy (MIVAET) in treatment of unilateral simple nodular goiter in term of: feasibility of the operation, the identification of recurrent laryngeal nerves (RLN) and parathyroid glands, operative time, postoperative pain and cosmetic result. Patients and methods: This study was conducted on 20 patients with a simple solitary thyroid nodule in Surgical Oncology Unit at General Surgery Department, Tanta University Hospital from March 2015 to June 2016. Patients included in the study had small nodule less than 5 cm in maximum diameter, unilateral lesion, no previous neck surgery, benign lesion and euthyroid state. Every patient was subjected to MIVAET through a Suprasternal 2-cm neck incision. Results: The present study comprised 18 females (90%) and 2 males (10%) patients with a mean age of 32 years, The mean operative time was 63 minutes, simple nodular goiter was the commonest pathological finding, 90% of the patients stayed in the hospital one day and 70% were satisfied from cosmetic appearance of their scar 6 months after the operation. Conclusion: Modified minimal invasive video-assisted endoscopic thyroidectomy was feasible, can be done safely and effectively with a better aesthetic outcome and pathological control without increasing the risk of complications.
VL  - 5
IS  - 3-1
ER  -

Copy | Download