Details

Autor(en) / Beteiligte

• Kania, Romain
• Hammami, Hassene
• Vérillaud, Benjamin
• Blancal, Jean-Philippe
• Sauvaget, Elisabeth
• Tran, Hugo
• Leclerc, Nicolas
• Altabaa, Khaled
• Herman, Philippe
• Pons, Yoann

Titel

Minimally Invasive Video-Assisted Thyroidectomy: Tips and Pearls for the Surgical Technique

Ist Teil von

• Annals of otology, rhinology & laryngology, 2014-06, Vol.123 (6), p.409-414

Ort / Verlag

Los Angeles, CA: SAGE Publications

Erscheinungsjahr

2014

Link zum Volltext

Quelle

MEDLINE

Beschreibungen/Notizen

• Background: The objectives of this study were first to show principles of the minimally invasive video-assisted thyroidectomy (MIVAT), based on a video highlighting critical steps, and second to discuss tips and pearls to assist surgical teams that would like to start using this technique. Methods: Based on a video, we described tips and pearls of a MIVAT. Results: MIVAT includes 5 main steps: (1) skin incision and identification of the common carotid artery, (2) dissection and ligation of the upper pedicle, (3) identification of the inferior laryngeal nerve and parathyroid glands, (4) isthmectomy and lobe extraction, and (5) closure. Discussion: Coordination between the surgeon and the 2 assistants is of paramount importance for the performance of MIVAT. Appropriate material is also required. The magnification and tissue contrast emphasizes the identification of the vessels, the superior and inferior laryngeal nerves, and parathyroid glands, on a large-view screen.