Abstract
| Lingua originale | English |
|---|---|
| Numero di pagine | 0 |
| Rivista | Surgical Innovation |
| Stato di pubblicazione | Published - 2019 |
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All Science Journal Classification (ASJC) codes
- Surgery
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Minimally Invasive Video-Assisted Thyroidectomy: Analysis of Complications From a Systematic Review. / Cocorullo, Gianfranco; Salamone, Giuseppe; Tutino, Roberta; Gulotta, Gaspare; Licari, Leo; Raspanti, Cristina; Rotolo, Giulia; Melfa, Giuseppina Irene; Fontana, Tommaso.
In: Surgical Innovation, 2019.Risultato della ricerca: Article
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TY - JOUR
T1 - Minimally Invasive Video-Assisted Thyroidectomy: Analysis of Complications From a Systematic Review
AU - Cocorullo, Gianfranco
AU - Salamone, Giuseppe
AU - Tutino, Roberta
AU - Gulotta, Gaspare
AU - Licari, Leo
AU - Raspanti, Cristina
AU - Rotolo, Giulia
AU - Melfa, Giuseppina Irene
AU - Fontana, Tommaso
PY - 2019
Y1 - 2019
N2 - 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.
AB - 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.
UR - http://hdl.handle.net/10447/349369
M3 - Article
JO - Surgical Innovation
JF - Surgical Innovation
SN - 1553-3506
ER -