Minimally Invasive Video-Assisted Thyroidectomy: Analysis of Complications From a Systematic Review.
Surg Innov
; 26(3): 381-387, 2019 Jun.
Article
de En
| MEDLINE
| ID: mdl-30632464
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.Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Complications postopératoires
/
Thyroïdectomie
/
Interventions chirurgicales mini-invasives
/
Chirurgie vidéoassistée
Type d'étude:
Clinical_trials
/
Systematic_reviews
Limites:
Humans
Langue:
En
Journal:
Surg Innov
Année:
2019
Type de document:
Article
Pays d'affiliation:
Italie