Abstract：
BACKGROUND:The results of video-assisted thyroidectomy in a large series of patients with papillary thyroid carcinoma were evaluated, especially in terms of the completeness of the operative resection. METHODS:The medical records of all patients who underwent video-assisted total thyroid resection (single procedure total thyroidectomy or lobectomy followed by completion thyroidectomy) for papillary thyroid cancer between June 1998 and December 2006 were reviewed. RESULTS:We included 271 patients. One hundred two patients underwent central neck node removal by the same approach. Postoperative complications included 5 patients with transient recurrent nerve palsies, 59 with transient hypocalcemia, 3 with permanent hypoparathyroidism, and 1 with postoperative hematoma. Final histology showed the neoplasms to be 215 pT1, 23 pT2, and 33 pT3. Lymph node metastases were found in 19 patients. Follow-up evaluations were completed for 231 patients. Mean postoperative serum thyroglobulin level after levothyroxine withdrawal was 5.5 ng/mL. Postoperative ultrasonography showed no residual thyroid tissue in all patients. Mean postoperative (131)I uptake was 2.1%. One patient developed a lateral neck recurrence. CONCLUSIONS:The completeness of the operative resection achieved with video-assisted thyroidectomy seems comparable with that reported for conventional surgery. A longer follow-up is necessary to draw definitive conclusions in terms of recurrence and survival rate.
journal_name
Surgeryjournal_title
Surgeryauthors
Lombardi CP,Raffaelli M,de Crea C,Princi P,Castaldi P,Spaventa A,Salvatori M,Bellantone Rdoi
10.1016/j.surg.2007.09.022subject
Has Abstractpub_date
2007-12-01 00:00:00pages
944-51; discussion 944-51issue
6eissn
0039-6060issn
1532-7361pii
S0039-6060(07)00547-8journal_volume
142pub_type
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