Feasibility and safety of minimal-incision thyroidectomy for Graves’ disease: a prospective, single-center study.
Head Neck. 2013 Sep;35(9):1345-8
Authors: Perigli G, Qirici E, Badii B, Kokomani A, Staderini F, Luconi M, Crescioli C, Mannelli M, Maggi M, Cianchi F
BACKGROUND: The role of minimally invasive surgery in Graves’ disease is still controversial. The aim of this study was to compare the clinical outcomes of patients undergoing minimal-incision thyroidectomy with those undergoing conventional thyroidectomy for Graves’ disease.
METHODS: A prospective study was performed on 148 patients undergoing total thyroidectomy. Seventy-one patients underwent minimal-incision thyroidectomy and 77 underwent conventional thyroidectomy. Minimal-incision thyroidectomy was proposed if the thyroid volume was ? 50 mL.
RESULTS: There were no significant differences in the operative time between minimal-incision thyroidectomy and conventional thyroidectomy. The length of skin incision was significantly shorter in the minimal-incision thyroidectomy than that in the conventional thyroidectomy group. The incidence of postoperative complications was similar in the 2 groups. Patients undergoing minimal-incision thyroidectomy experienced significantly less postoperative pain and were more satisfied with the cosmetic result than patients who underwent conventional thyroidectomy.
CONCLUSIONS: Minimal-incision thyroidectomy is a feasible and safe option for the surgical treatment of selected patients with Graves’ disease.
PMID: 22907781 [PubMed – indexed for MEDLINE]