Abstract
Background
Ever since the introduction of video-assisted thyroidectomy (VAT), Graves’ disease has represented a contraindication. This study aimed to demonstrate that VAT can be proposed also for Graves’ disease.
Methods
From January 2002 to March 2003, 21 patients (20 women and 1 man) with Graves’ disease underwent VAT. One patient showed positive test results for gene RET. The mean age of the patients was 36.4 years.
Results
No conversions of procedure were necessary. The mean operative time was 56.9 min. The RET-positive patient underwent total thyroidectomy and central compartment lymphadenectomy. Postoperative bleeding occurred in the patient with the largest gland. Histology showed goiter in 18 cases, medullary carcinoma in 1 case, and papillary carcinoma in 2 cases. No cases of vocal cord palsy but three cases of transient hypocalcemia were registered.
Conclusions
Graves’ disease can be treated safely using VAT only if selection criteria are carefully respected. The young age of the patients with this disease encourages us to propose VAT for its good cosmetic and postoperative outcome.
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References
R Bellantone CP Lombardi M Bossola M Boscherini C Crea ParticleDe PF Alesina E Traini (2002) ArticleTitleVideo-assisted vs conventional thyroid lobectomy: a randomized trial Arch Surg 137 301–304 Occurrence Handle10.1001/archsurg.137.3.301 Occurrence Handle11888453
DC Chang MH Wheeler JP Woodcock I Curley JR Lazarus H Fung R John R Hall AM McGregor (1987) ArticleTitleThe effect of preoperative Lugol’s iodine on thyroid blood flow with Graves’ hyperthyroidism Surgery 102 1055–1061 Occurrence Handle1:STN:280:BieD2s7itFc%3D Occurrence Handle3317958
M Gagner WB Inabnet (2001) ArticleTitleEndoscopic thyroidectomy for solitary thyroid nodules Thyroid 11 161–163 Occurrence Handle10.1089/105072501300042848 Occurrence Handle11288985
Y Ikeda H Takami Y Sasaki J Takayama M Niimi S Kan (2002) ArticleTitleComparative studies of thyroidectomies: endoscopic surgery vs conventional open surgery Surg Endosc 16 1741–1745 Occurrence Handle10.1007/s00464-002-8830-x Occurrence Handle1:STN:280:DC%2BD38jis1CjtQ%3D%3D Occurrence Handle12140635
M Meurisse T Defechereux S Maweja C Degauque M Vandelaer E Hamoir (2000) ArticleTitleEvaluation of the Ultracision ultrasonic dissector in thyroid surgery: prospective randomized study Ann Chir 125 468–472 Occurrence Handle10.1016/S0003-3944(00)00223-6 Occurrence Handle1:STN:280:DC%2BD3cvktFKjsQ%3D%3D Occurrence Handle10925490
P Miccoli R Bellantone M Mourad M Walz P Berti M Raffaelli (2002) ArticleTitleMinimally invasive video-assisted thyroidectomy: a multiinstitutional experience World J Surg 26 972–975 Occurrence Handle10.1007/s00268-002-6627-7 Occurrence Handle12016476
P Miccoli P Berti M Raffaelli M Conte G Materazzi D Galleri (2001) ArticleTitleMinimally invasive video-assisted thyroidectomy Am J Surg 181 567–570 Occurrence Handle10.1016/S0002-9610(01)00625-0 Occurrence Handle1:STN:280:DC%2BD3MvmvV2gtg%3D%3D Occurrence Handle11513788
P Miccoli P Berti M Raffaelli G Materazzi S Baldacci G Rossi (2001) ArticleTitleComparison between minimally invasive video-assisted thyroidectomy and conventional thyroidectomy: a prospective randomized study Surgery 130 1039–1043 Occurrence Handle10.1067/msy.2001.118264 Occurrence Handle1:STN:280:DC%2BD3MjgtFehtQ%3D%3D Occurrence Handle11742335
P Miccoli P Berti M Raffaelli G Materazzi M Conte D Galleri (2002) ArticleTitleImpact of Harmonic Scalpel on operative time during video-assisted thyroidectomy Surg Endosc 16 663–666 Occurrence Handle10.1007/s00464-001-9117-3 Occurrence Handle1:STN:280:DC%2BD383jsVeqtw%3D%3D Occurrence Handle11972210
P Miccoli R Elisei G Materazzi M Capezzone D Galleri F Pacini P Berti A Pinchera (2002) ArticleTitleMinimally invasive video-assisted thyroidectomy for papillary carcinoma: a prospective study of its completeness Surgery 132 1070–1073 Occurrence Handle10.1067/msy.2002.128694 Occurrence Handle12490857
P Miccoli P Vitti T Rago P lacconi L Bartalena F Bogazzi E Fiore R Valeriano L Chiovato R Rocchi A Pinchera (1996) ArticleTitleSurgical treatment of Graves’ disease: subtotal or total thyroidectomy? Surgery 120 1020–1025 Occurrence Handle1:STN:280:ByiC3MnktVU%3D Occurrence Handle8957489
AC See KC Soo (1997) ArticleTitleHypocalcemia following thyroidectomy for thyrotoxicosis Br J Surg 84 95–97 Occurrence Handle10.1046/j.1365-2168.1997.02503.x Occurrence Handle1:STN:280:ByiC1MnivVM%3D Occurrence Handle9043468
K Shimizu S Akira AY Jasmit Y Kitamura W Kitagawa H Akasu S Tanaka (1999) ArticleTitleVideo-assisted neck surgery: endoscopic resection of thyroid tumors with a very minimal neck wound J Am Coll Surg 188 697–703 Occurrence Handle10.1016/S1072-7515(99)00048-4 Occurrence Handle1:STN:280:DyaK1M3osFyqug%3D%3D Occurrence Handle10359365
L Wartofsky D Glinoer B Salomon S Nagataki R Lagasse Y Nagayama M Izumi (1991) ArticleTitleDifferences and similarities in the diagnosis and treatment of Graves’ disease in Europe, Japan, and United States Thyroid 1 129–135 Occurrence Handle1:STN:280:By2A2cngsFE%3D Occurrence Handle1688014
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Berti, P., Materazzi, G., Galleri, D. et al. Video-assisted thyroidectomy for Graves’ disease: report of a preliminary experience. Surg Endosc 18, 1208–1210 (2004). https://doi.org/10.1007/s00464-003-9225-3
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DOI: https://doi.org/10.1007/s00464-003-9225-3