Gál István, Solymosi Tamás, Bálint Alexander, Arvai Péter, Bolgár György
Bugát Pál Kórház Sebészeti Osztály.
Magy Seb. 2006 Oct;59(5):369-74.
Minimally invasive video-assisted thyroidectomy (MIVAT) was published in 1998. In this paper authors describe their initial experiences with this new technique, which is the first publication in their country on this topic based on authors knowledge. Ten patients were selected for MIVAT. Selection criteria were nodule size less than 30 mm, thyroid lobe volume less than 20 ml, no thyroiditis, no previous neck surgery or irradiation. The procedure was carried out through a 20-25 mm central incision above the sternal notch. Dissection was performed under endoscopic vision, using endoscopic, some special and conventional instruments. Authors performed 1 total thyroidectomy, 6 lobectomies, 2 lobectomies with subtotal resection on the opposite side, and 1 resection of thyroid isthmus. Mean operative time was 77 minutes. No conversion to open procedure was performed. No recurrent laryngeal nerve palsy or postoperative hypocalcemia were observed postoperatively. The mean hospital stay was 2 days. The cosmetic result and the postoperative distress were considered very good by the patients. The authors conclude that MIVAT is a safe and feasible procedure. The indications are limited, but in this small group of patients offer excellent cosmetic results with less postoperative distress.
微创视频辅助甲状腺切除术（MIVAT）于1998年发表。在本文中，作者描述了他们对这项新技术的初步经验，据作者所知，这是他们国家关于该主题的首次发表。选择10例患者进行MIVAT。选择标准为结节大小小于30mm，甲状腺叶体积小于20ml，无甲状腺炎，无既往颈部手术或放疗史。手术通过胸骨切迹上方20 - 25mm的中央切口进行。在内镜视野下进行解剖，使用内镜、一些特殊和传统器械。作者进行了1例全甲状腺切除术、6例甲状腺叶切除术、2例对侧甲状腺叶次全切除术加甲状腺叶切除术以及1例甲状腺峡部切除术。平均手术时间为77分钟。未转为开放手术。术后未观察到喉返神经麻痹或术后低钙血症。平均住院时间为2天。患者认为美容效果和术后不适非常好。作者得出结论，MIVAT是一种安全可行的手术。适应证有限，但在这一小部分患者中可提供极佳的美容效果且术后不适较少。
