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Minimally invasive endoscopic thyroid surgery using a collar access: experience in 246 cases with the CEViTS technique

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Abstract

Background

The arguments for applying minimally invasive techniques are, besides cosmetic results, reduced access trauma and less postoperative pain. In thyroid surgery, cosmetic aspects are gaining importance. Whether minimally invasive endoscopic thyroid surgery is less painful has not been shown yet.

Method

In this study, we analyse the outcome of 246 patients who underwent cervical endoscopic video-assisted thyroid surgery (CEViTS) regarding the surgery itself, their postoperative pain and satisfaction with the procedure.

Results

CEViTS is routinely performed in our hospital. In this study, no postoperative bleedings that would have made a reoperation necessary occurred. All lobectomies could be completed endoscopically. In two cases, conversions (enlargement of the 5-mm incision to 25 mm) were necessary. Transient nerve palsy was registered in three patients (1.22%). One patient (0.41%) had a permanent palsy of the recurrent laryngeal nerve. In comparison to open surgery (n = 173 patients), the 246 CEViTS patients had a significantly lower pain level (p = 0.047).

Conclusions

Cervical endoscopic video-assisted thyroid surgery (CEViTS) can be considered a safe, less traumatizing and useful minimally invasive procedure in endoscopic thyroid surgery.

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Authors and Affiliations

  1. Kardinal Schwarzenberg Klinikum Schwarzach, 5620, Schwarzach im Pongau, Austria

    Franz G. Messenbaeck

  2. Department of Surgery, Paracelsus Medical University, 5020, Salzburg, Austria

    Michael Weitzendorfer & Kai Witzel

  3. Minimal Invasiv Center, Hersfelder Str. 1, 36088, Huenfeld, Germany

    Cornelia Kaminski & Kai Witzel

Authors
  1. Franz G. Messenbaeck
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  2. Michael Weitzendorfer
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  3. Cornelia Kaminski
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  4. Kai Witzel
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Corresponding author

Correspondence to Kai Witzel.

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Disclosure

Franz Messenbaeck, Michael Weitzendorfer, Cornelia Kaminski and Kai Witzel have no conflicts of interest or financial ties to disclose. All authors do disclose all institutional or corporate/commercial relationships.

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Messenbaeck, F.G., Weitzendorfer, M., Kaminski, C. et al. Minimally invasive endoscopic thyroid surgery using a collar access: experience in 246 cases with the CEViTS technique. Surg Endosc 32, 1607–1612 (2018). https://doi.org/10.1007/s00464-017-5783-7

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  • DOI: https://doi.org/10.1007/s00464-017-5783-7

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