Minimally Invasive Video-Assisted Thyroidectomy: Analysis of Complications From a Systematic Review. (June 2019)

• Record Type: Journal Article
• Authors: Scerrino, Gregorio; Melfa, Giuseppina; Raspanti, Cristina; Rotolo, Giulia; Salamone, Giuseppe; Licari, Leo; Fontana, Tommaso; Tutino, Roberta; Porrello, Calogero; Gulotta, Gaspare; Cocorullo, Gianfranco
• Is Part Of: Surgical innovation. Volume 26:Number 3(2019)
• Page Start: 381
• Page End: 387
• Publication Date: 2019-06
• Subjects: review -- transient complications -- definitive complications -- minimally invasive video-assisted thyroidectomy -- MIVAT -- conventional thyroidectomy; Surgery, Operative -- Periodicals; Endoscopic surgery -- Periodicals; Laparoscopic surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgical Procedures, Minimally Invasive -- Periodicals; Diffusion of Innovation -- Periodicals; Chirurgie opératoire -- Périodiques; Chirurgie endoscopique -- Périodiques; Chirurgie laparoscopique -- Périodiques; 617.91
• DOI: 10.1177/1553350618823425
• Languages: English
• ISSNs: 1553-3506

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.