Minimally Invasive Video-Assisted Thyroidectomy: Analysis of Complications From a Systematic Review

Gianfranco Cocorullo, Giuseppe Salamone, Gaspare Gulotta, Roberta Tutino, Leo Licari, Cristina Raspanti, Giulia Rotolo, Giuseppina Irene Melfa, Tommaso Fontana

Risultato della ricerca: Article

2 Citazioni (Scopus)

Abstract

BACKGROUND: Nowadays, minimally invasive video-assisted thyroidectomy (MIVAT) is considered a safe and effective option. However, its complication rate has not been specifically discussed yet. The aim of this systematic review was enrolling a large number of studies to estimate early and late complications (transient and definitive, uni- and bilateral laryngeal nerve palsy; transient and definitive hypocalcemia; cervical hematoma; hypertrophic or keloid scar) of MIVAT compared with conventional technique.METHODS: The review was performed according to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) criteria in PubMed and Embase. Search terms were "minimally invasive," "video-assisted," and "thyroidectomy." We enrolled randomized clinical trials, nonrandomized trials, and noncontrolled trials.RESULTS: Thirty-two articles were considered suitable. Complication rate of MIVAT was quite similar to conventional technique: only one randomized trial found a significant difference concerning overall skin complication, and a single trial highlighted hypocalcemia significantly increased in MIVAT, concerning serologic value only. No difference concerning symptomatic nor definitive hypocalcemia was found.CONCLUSIONS: We can confirm that MIVAT is a safe technique. It should be adopted in mean-high-volume surgery centers for thyroidectomy, if a strict compliance with indication was applied.
Lingua originaleEnglish
Numero di pagine0
RivistaSurgical Innovation
Stato di pubblicazionePublished - 2019

All Science Journal Classification (ASJC) codes

  • Surgery

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