Minimally Invasive Video-assisted Thyroidectomy and Transoral Video-assisted Thyroidectomy: A Comparison of Two Systematic Reviews

Overview

Journal J Minim Access Surg

Specialty Gastroenterology

Date 2020 Sep 26

PMID 32978350

Citations 2

Authors

Francesco Tartaglia

Alessandro Giuliani

Salvatore Sorrenti

Salvatore Ulisse

Affiliations

Soon will be listed here.

Abstract

Background: We compared two systematic reviews, one focusing on transoral video-assisted thyroidectomy (TOVAT) and the other on minimally invasive video-assisted thyroidectomy (MIVAT), to highlight the pros and cons that can determine the choice of one or the other procedure.

Materials And Methods: PubMed, Scopus and ISI Web of Science databases were searched for relevant articles published from 2000 to June 2018. Both searches were performed using the same keywords. All articles describing human surgical case series of any size were included, while the following were excluded: articles published in languages other than English, case reports, reviews, early cadaver and animal studies and old reports of cases now included in more recent works. Application of the above selection criteria yielded 151 articles on TOVAT and 246 on MIVAT. Of these, 34 articles were selected for inclusion in the present study: 17 for the TOVAT group and 17 for the MIVAT group. The comparison was made considering the most common variables used in evaluating thyroid surgery procedures. The statistical methods used were Cohen's delta, Student's t-test and the non-parametric Mann-Whitney U-test.

Results: The variable 'operative time' was found to show a very large effect size, and 'hospital stay' also differed significantly between the MIVAT and TOVAT groups.

Conclusions: TOVAT and MIVAT should not be considered in competition with each other, but seen simply as alternative choices. Both appear to be safe methods, comparable in terms of post-operative complications, although the main reason for using TOVAT seems to be purely aesthetic.

Citing Articles

Mini-invasive video-assisted thyroidectomy vs robot-assisted transaxillary thryoidectomy: analisys and comparison of safety and outcomes.

Bonati E, Mullineris B, Del Rio P, Loderer T, De Gennaro F, Esposito G Updates Surg. 2024; 76(2):573-587.

PMID: 38198118 DOI: 10.1007/s13304-023-01732-z.

En bloc resection of total thyroid and bilateral central compartment lymph nodes a gasless transoral approach in papillary thyroid carcinoma.

Sheng X, Liu J, Fang J, Zheng X, Wang S Front Endocrinol (Lausanne). 2023; 14:1130791.

PMID: 36923227 PMC: 10009257. DOI: 10.3389/fendo.2023.1130791.

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