Prophylactic total thyroidectomy using the minimally invasive video‐assisted approach in children with multiple endocrine neoplasia type 2. Issue 6 (25th March 2014)

• Record Type: Journal Article
• Authors: Glynn, Ronan W.; Cashman, Emma C.; Doody, Jaime; Phelan, Eimear; Russell, John D.; Timon, Conrad
• Is Part Of: Head & neck. Volume 36:Issue 6(2014:Jun.)
• Page Start: 768
• Page End: 771
• Publication Date: 2014-03-25
• Subjects: Head -- Diseases -- Periodicals; Neck -- Diseases -- Periodicals; Head -- Periodicals; Neck -- Periodicals; Face -- Periodicals; 617.51059
• DOI: 10.1002/hed.23358
• Languages: English
• ISSNs: 1043-3074

Abstract

<abstract abstract-type="main"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="hed23358-sec-0001" sec-type="section"> <title>Background</title> <p>There have been few reports of prophylactic thyroidectomy using the minimally invasive video‐assisted thyroidectomy (MIVAT) approach in children with multiple endocrine neoplasia 2 (MEN2).</p> </sec> <sec id="hed23358-sec-0002" sec-type="section"> <title>Methods</title> <p>We conducted a retrospective review of a prospectively maintained database of patients who underwent MIVAT for total thyroidectomy.</p> </sec> <sec id="hed23358-sec-0003" sec-type="section"> <title>Results</title> <p>Six children underwent MIVAT; RET codon mutations identified were 634, 620, 611, and 918. Mean operative time was 93 minutes (range, 68–105 minutes). Five patients were discharged on the first postoperative day; however, 1 patient had a postoperative hematoma and was discharged 2 days postoperatively. There were no cases of laryngeal nerve palsy or postoperative hypoparathyroidism. High levels of satisfaction with postoperative cosmesis were reported. Calcitonin levels have been undetectable at follow‐up thus far (mean follow‐up, 42.8 months).</p> </sec> <sec id="hed23358-sec-0004" sec-type="section"> <title>Conclusion</title> <p>Although our outcomes are similar to those reported using the traditional approach, it is important to note that MIVAT is essentially the same operation, just performed through a smaller incision, with resulting benefits in terms of pain, cosmesis and, perhaps, morbidity. © 2013 Wiley Periodicals, Inc. <italic>Head Neck</italic> 36: 768–771, 2014</p> </sec> </abstract>