Zhang P, Zhang H-W, Han X-D, Di J-Z, Zheng Q
Department of General Surgery,the Sixth People's Hospital Affiliated to Shanghai Jiao Tong University, Shanghai, China.
Eur Rev Med Pharmacol Sci. 2015 Apr;19(8):1381-7.
Comparing the minimally invasive video-assisted thyroidectomy (MIVAT) with conventional thyroidectomy in safety and clinical application.
A systematic review of the literature and meta-analysis.
Randomized controlled trials comparing the MIVAT with conventional thyroidectomy were ascertained by methodical search using Medline, Embase, Pubmed, and The Cochrane Library. The trials data were extracted and statistical analyzed using STATA 11.0.
Nine trials were identified. Operative time was significantly less with conventional thyroidectomy than with MIVAT, while MIVAT was associated with less pain at 24 hours postoperatively. MIVAT was associated with less scarring and greater cosmetic result. There were no statistically significant differences for the presence of transient recurrent laryngeal nerve palsy and the presence of transient hypoparathyroidism.
MIVAT is a feasible, practical, and safe procedure with cosmetic benefit. It is a promising new technique for modern patients, with benefits over the established surgery.
比较微创视频辅助甲状腺切除术（MIVAT）与传统甲状腺切除术在安全性和临床应用方面的差异。
文献系统综述与荟萃分析。
通过使用Medline、Embase、Pubmed和Cochrane图书馆进行系统检索，确定比较MIVAT与传统甲状腺切除术的随机对照试验。使用STATA 11.0提取试验数据并进行统计分析。
共识别出9项试验。传统甲状腺切除术的手术时间明显短于MIVAT，而MIVAT术后24小时疼痛较轻。MIVAT瘢痕较少，美容效果更好。暂时性喉返神经麻痹和暂时性甲状旁腺功能减退的发生率无统计学显著差异。
MIVAT是一种可行、实用且安全的手术，具有美容优势。对于现代患者而言，它是一种有前景的新技术，优于传统手术。
