Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Surgical Endoscopy
Published in: Surgical Endoscopy 8/2004

01-08-2004 | Original article

Video-assisted thyroidectomy for Graves’ disease: report of a preliminary experience

Authors: P. Berti, G. Materazzi, D. Galleri, G. Donatini, M. Minuto, P. Miccoli

Published in: Surgical Endoscopy | Issue 8/2004

Login to get access

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.
Literature
1.
Bellantone, R, Lombardi, CP, Bossola, M, Boscherini, M, Crea, C, Alesina, PF, Traini, E 2002Video-assisted vs conventional thyroid lobectomy: a randomized trialArch Surg137301304discussion 305CrossRefPubMed
2.
Chang, DC, Wheeler, MH, Woodcock, JP, Curley, I, Lazarus, JR, Fung, H, John, R, Hall, R, McGregor, AM 1987The effect of preoperative Lugol’s iodine on thyroid blood flow with Graves’ hyperthyroidismSurgery10210551061PubMed
3.
Gagner, M, Inabnet, WB 2001Endoscopic thyroidectomy for solitary thyroid nodulesThyroid11161163CrossRefPubMed
4.
Ikeda, Y, Takami, H, Sasaki, Y, Takayama, J, Niimi, M, Kan, S 2002Comparative studies of thyroidectomies: endoscopic surgery vs conventional open surgerySurg Endosc1617411745CrossRefPubMed
5.
Meurisse, M, Defechereux, T, Maweja, S, Degauque, C, Vandelaer, M, Hamoir, E 2000Evaluation of the Ultracision ultrasonic dissector in thyroid surgery: prospective randomized studyAnn Chir125468472CrossRefPubMed
6.
Miccoli, P, Bellantone, R, Mourad, M, Walz, M, Berti, P, Raffaelli, M 2002Minimally invasive video-assisted thyroidectomy: a multiinstitutional experienceWorld J Surg26972975CrossRefPubMed
7.
Miccoli, P, Berti, P, Raffaelli, M, Conte, M, Materazzi, G, Galleri, D 2001Minimally invasive video-assisted thyroidectomyAm J Surg181567570CrossRefPubMed
8.
Miccoli, P, Berti, P, Raffaelli, M, Materazzi, G, Baldacci, S, Rossi, G 2001Comparison between minimally invasive video-assisted thyroidectomy and conventional thyroidectomy: a prospective randomized studySurgery13010391043CrossRefPubMed
9.
Miccoli, P, Berti, P, Raffaelli, M, Materazzi, G, Conte, M, Galleri, D 2002Impact of Harmonic Scalpel on operative time during video-assisted thyroidectomySurg Endosc16663666CrossRefPubMed
10.
Miccoli, P, Elisei, R, Materazzi, G, Capezzone, M, Galleri, D, Pacini, F, Berti, P, Pinchera, A 2002Minimally invasive video-assisted thyroidectomy for papillary carcinoma: a prospective study of its completenessSurgery13210701073CrossRefPubMed
11.
Miccoli, P, Vitti, P, Rago, T, lacconi, P, Bartalena, L, Bogazzi, F, Fiore, E, Valeriano, R, Chiovato, L, Rocchi, R, Pinchera, A 1996Surgical treatment of Graves’ disease: subtotal or total thyroidectomy?Surgery12010201025PubMed
12.
13.
Shimizu, K, Akira, S, Jasmit, AY, Kitamura, Y, Kitagawa, W, Akasu, H, Tanaka, S 1999Video-assisted neck surgery: endoscopic resection of thyroid tumors with a very minimal neck woundJ Am Coll Surg188697703CrossRefPubMed
14.
Wartofsky, L, Glinoer, D, Salomon, B, Nagataki, S, Lagasse, R, Nagayama, Y, Izumi, M 1991Differences and similarities in the diagnosis and treatment of Graves’ disease in Europe, Japan, and United StatesThyroid1129135PubMed
Metadata
Title
Video-assisted thyroidectomy for Graves’ disease: report of a preliminary experience
Authors
P. Berti
G. Materazzi
D. Galleri
G. Donatini
M. Minuto
P. Miccoli
Publication date
01-08-2004
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 8/2004
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-003-9225-3

Other articles of this Issue 8/2004

Surgical Endoscopy 8/2004 Go to the issue

Technique

A simple technique for removal of the gallbladder during microlaparoscopic cholecystectomy

Original article

Characterizing the “gold standard” image for laparoscopic surgery

Erratum

Laparoscopically assisted transhiatal resection for malignancies of the distal esophagus

Original article

Manual robot assisted endoscopic suturing: Time-action analysis in an experimental model

Erratum

News and notices

Original article

Anesthesiological hazards during laparoscopic transhiatal esophageal resection: a case control study of the laparoscopic-assisted vs the conventional approach