Video-assisted thyroidectomy for papillary thyroid carcinoma

Rocco Domenico Alfonso Bellantone, Celestino Pio Lombardi, Marco Raffaelli, Carmela De Crea, Pier Francesco Alesina, Emanuela Traini, Massimo Salvatori

Risultato della ricerca: Contributo in rivistaArticolo in rivista

Abstract

BACKGROUND: In patients with small papillary thyroid carcinomas (PTC), we evaluated the operative feasibility and safety of video-assisted thyroidectomy (VAT) and the completeness of the surgical resection. METHODS: Video-assisted thyroidectomy was attempted in 24 patients with thyroid malignancy. Total thyroid resection for PTC was achieved completely by VAT in 20 of them, who were included in this study. RESULTS: In this study, 12 total thyroidectomies and 8 lobectomies followed by completion thyroidectomies were performed. Eight patients also underwent central neck lymph node dissection. Mean postoperative serum thyroglobulin was 0.2 ng/ml for patients receiving LT4 suppressive treatment and 4.2 ng/ml for patients after LT4 withdrawal. Postoperative ultrasonography showed no residual thyroid tissue. The mean radioiodine uptake at postoperative scintiscan was 2.2%. CONCLUSIONS: In the case of PTC, VAT is feasible and safe. The completeness of the surgical resection seems comparable with that reported for conventional surgery. Nevertheless, larger series and longer follow-up evaluation are necessary for definitive conclusions to be drawn about its oncologic validity.
Lingua originaleEnglish
pagine (da-a)1604-1608
Numero di pagine5
RivistaSurgical Endoscopy
Volume17
DOI
Stato di pubblicazionePubblicato - 2003

Keywords

  • Endoscopic thyroidectomy
  • Papillary thyroid carcinoma
  • Video-assisted thyroidectomy

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