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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Minimally invasive video-assisted thyroidectomy for small follicular thyroid nodules
World Journal of Surgery, Volume 31, No. 9, Year 2007
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Description
Minimal access surgery in the thyroid compartment has evolved considerably over the past 10 years and now takes many forms. This study examined the feasibility and reliability of minimally invasive thyroid surgery for the management of small benign thyroid lesions. A total of 68 patients with small thyroid nodules admitted to the Oncology Center of Mansoura University, Egypt, were enrolled in this prospective randomized trial. Patients were allotted to one of two procedures: minimally invasive video-assisted thyroidectomy (MIVAT) or minimally invasive open thyroidectomy using the Sofferman technique of strap muscle transection. Exclusion criteria were nodules > 4 cm, presence of thyroiditis, and thyroid gland volume > 20 ml. Preoperative diagnosis, operating time, blood loss, postoperative pain, complications, and cosmetic outcome were all evaluated. The MIVAT group included 35 patients, and the Sofferman group included 33 patients. The main preoperative pathology was a benign follicular lesion (70.5%), and the main postoperative final pathology was follicular adenoma (54.4%). The two groups were comparable regarding age, sex, and extent of thyroid surgery. Operating time was significantly longer in the MIVAT group (115.4 ± 33.5 minutes) compared to the Sofferman group (65.6 ± 23.7 minutes). The postoperative course was significantly less painful in the MIVAT group (p < 0.05). Although patients in the MIVAT group had smaller incisions (p < 0.05), the cosmetic outcome in the two groups was comparable. No long-term complication was encountered in either group. Two distinct approaches of minimally invasive thyroidectomy are now available and can be performed safely in selected patients. Despite some MIVAT advantages of less postoperative pain and slightly better cosmesis, minimally invasive open thyroidectomy offers an advantage of less operating time with comparable cosmetic results. © 2007 Société Internationale de Chirurgie.
Authors & Co-Authors
Hegazy, Mohamed Abdel Fattah
Egypt, Mansoura
Faculty of Medicine
Khater, Ashraf A.
Egypt, Mansoura
Faculty of Medicine
Setit, Ahmed E.
Egypt, Mansoura
Faculty of Medicine
Amin, Mahmoud
Egypt, Mansoura
Faculty of Medicine
Kotb, Sherif Zaki
Egypt, Mansoura
Faculty of Medicine
Shafei, Mohamed A.El
Egypt, Mansoura
Faculty of Medicine
Yousef, Tamer
Egypt, Mansoura
Faculty of Medicine
Hussein, Osama A.
Egypt, Mansoura
Faculty of Medicine
Shabana, Yousef K.
Egypt, Mansoura
Faculty of Medicine
Dayem, Ola T.Abdel
Egypt, Mansoura
Faculty of Medicine
Statistics
Citations: 55
Authors: 10
Affiliations: 1
Identifiers
Doi:
10.1007/s00268-007-9147-7
ISSN:
03642313
e-ISSN:
14322323
Research Areas
Cancer
Health System And Policy
Study Design
Cohort Study
Study Locations
Egypt