Minimally Invasive Video-Assisted Thyroidectomy (MIVAT) in western world: a systematic review from 2015 to 2022

Minimally Invasive Video-Assisted Thyroidectomy (MIVAT) in western world: a systematic review from 2015 to 2022

Authors

  • Paolo Del Rio Department of Medicine and Surgery, General Surgery Unit, Parma University Hospital
  • Flavia De Gennaro Department of Medicine and Surgery, General Surgery Unit, Parma University Hospital
  • Elena Bonati Department of Medicine and Surgery, General Surgery Unit, Parma University Hospital
  • Tommaso Loderer Department of Medicine and Surgery, General Surgery Unit, Parma University Hospital
  • Federico Cozzani Department of Medicine and Surgery, General Surgery Unit, Parma University Hospital

Keywords:

mininvasive thyroidectomy, video-assisted thyroidectomy, MIVAT, endoscopic thyroidectomy

Abstract

Background and aim: Since its first description  Minimally Invasive Video-Assisted Thyroidectomy (MIVAT) has spread especially in Western Countries, and it has arisen as a feasible and safe treatment in selected patients undergoing lobectomy or total thyroidectomy. Our review aimed at collecting all the studies published in Western Countries (Europe and America) from 2015 to 2022 to evaluate the outcomes and complication rates of MIVAT technique. Methods: The search terms were “mininvasive thyroidectomy”, “video-assisted thyroidectomy”, “mini-invasive thyroidectomy”, “minimally invasive thyroidectomy”, ” MIVAT”, “endoscopic thyroidectomy”. Studies were selected according to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) parameters and enrolled respecting pre-established inclusion and exclusion criteria. Results: Out of 552 screened studies, 4 retrospective observational articles and 4 prospective observational studies were considered suitable. The total number of patients was 4489. Complication rate of MIVAT was low and comparable with complication rate of conventional thyroidectomy described in literature. Conclusions: In conclusion MIVAT is a well-established technique in Continental Europe and North America, with a good safety profile and low invasiveness; further studies are needed to evaluate subjective aesthetic results of this technique.

References

Miccoli P, Berti P, Bendinelli C, Conte M, Fasolini F, Martino E. Minimally invasive video-assisted surgery of the thyroid: a preliminary report. Langenbecks Arch Surg. 2000 Jul;385(4):261-4. doi: 10.1007/s004230000141. PMID: 10958509.

Berti P, Materazzi G, Conte M, Galleri D, Miccoli P. Visualization of the external branch of the superior laryngeal nerve during video-assisted thyroidectomy. J Am Coll Surg. 2002 Oct;195(4):573-4. doi: 10.1016/s1072-7515(02)01338-8. PMID: 12375766.

Henry JF. Minimally invasive surgery of the thyroid and parathyroid glands. Br J Surg. 2006 Jan;93(1):1-2. doi: 10.1002/bjs.5199. PMID: 16372392.

Del Rio P, Cozzani F, Nisi PC, Loderer T, Piva G, Bonati E. IONM and minimally invasive videoassisted thyroidectomy. G Chir. 2018 Sep-Oct;34(5):291-296. PMID: 30444477.

Miccoli P, Bellantone R, Mourad M, Walz M, Raffaelli M, Berti P. Minimally invasive video-assisted thyroidectomy: multiinstitutional experience. World J Surg. 2002 Aug;26(8):972-5. doi: 10.1007/s00268-002-6627-7. Epub 2002 May 21. PMID: 12016476.

Miccoli P, Pinchera A, Materazzi G, et al. Surgical treatment of low- and intermediate-risk papillary thyroid cancer with minimally invasive video-assisted thyroidectomy. J Clin Endocrinol Metab. 2009 May;94(5):1618-22. doi: 10.1210/jc.2008-1418. Epub 2009 Feb 17. PMID: 19223525.

Lai SY, Walvekar RR, Ferris RL. Minimally invasive video-assisted thyroidectomy: expanded indications and oncologic completeness. Head Neck. 2008 Nov;30(11):1403-7. doi: 10.1002/hed.20883. PMID: 18767176; PMCID: PMC2751597.

Bakkar S, Miccoli P. Minimally Invasive Video-Assisted Thyroidectomy (MIVAT) in the Era of Minimal Access Thyroid Surgery. J Minim Invasive Surg Sci. 2017 February; 6(1):e42470 doi: 10.5812/minsurgery.42470.

Kim AJ, Liu JC, Ganly I, Kraus DH. Minimally invasive video-assisted thyroidectomy 2.0: expanded indications in a tertiary care cancer center. Head Neck. 2011 Nov;33(11):1557-60. doi: 10.1002/hed.21633. Epub 2010 Dec 28. PMID: 21990219; PMCID: PMC3772771.

Sessa L, Lombardi CP, De Crea C, Raffaelli M, Bellantone R. Video-assisted endocrine neck surgery: state of the art. Updates Surg. 2017 Jun;69(2):199-204. doi: 10.1007/s13304-017-0467-3. Epub 2017 Jun 15. PMID: 28620896.

Frank E, Park J, Simental A Jr, et al. Minimally Invasive Video-Assisted Thyroidectomy: Almost a Decade of Experience at an Academic Center. Am Surg. 2016 Oct;82(10):949-952. PMID: 27779980.

Bellantone R, Raffaelli M, De Crea C, et al. Video-Assisted Thyroidectomy for Papillary Thyroid Carcinoma: Oncologic Outcome in Patients with Follow-Up ≥ 10 Years. World J Surg. 2018 Feb;42(2):402-408. doi: 10.1007/s00268-017-4392-x. PMID: 29238849.

Bellotti C, Capponi MG, Cinquepalmi M, et al. MIVAT: the last 2 years experience, tips and techniques after more than 10 years. Surg Endosc. 2018 May;32(5):2340-2344. doi: 10.1007/s00464-017-5929-7. Epub 2017 Nov 3. PMID: 29101555.

Miccoli P, Fregoli L, Rossi L, et al. Minimally invasive video-assisted thyroidectomy (MIVAT). Gland Surg. 2020 Jan;9(Suppl 1):S1-S5. doi: 10.21037/gs.2019.12.05. PMID: 32055492; PMCID: PMC6995905.

Del Rio P, Viani L, Montana CM, Cozzani F, Sianesi M. Minimally invasive thyroidectomy: a ten years experience. Gland Surg. 2016 Jun;5(3):295-9. doi: 10.21037/gs.2016.01.04. PMID: 27294036; PMCID: PMC4884693.

Capponi MG, Bellotti C, Lotti M, Ansaloni L. Minimally invasive video-assisted thyroidectomy: Ascending the learning curve. J Minim Access Surg. 2015 Apr-Jun;11(2):119-22. doi: 10.4103/0972-9941.153808. PMID: 25883451; PMCID: PMC4392484.

Sapalidis K, Mylonas KS, Kotidis E, Michalopoulos N, Anastasiadis I, Kanellos ID. Minimally Invasive Video-Assisted Total Thyroidectomy (mi V.A.T.T.) - Case Series of 48 Patients. Curr Health Sci J. 2016 Jan-Mar;42(1):40-46. doi: 10.12865/CHSJ.42.01.06. Epub 2016 Mar 29. PMID: 30568811; PMCID: PMC6256148.

Duke WS, White JR, Waller JL, Terris DJ. Six-Year Experience With Endoscopic Thyroidectomy: Outcomes and Safety Profile. Ann Otol Rhinol Laryngol. 2015 Nov;124(11):915-20. doi: 10.1177/0003489415591837. Epub 2015 Jun 16. PMID: 26082473.

Scerrino G, Melfa G, Raspanti C, et al. Minimally Invasive Video-Assisted Thyroidectomy: Analysis of Complications From a Systematic Review. Surg Innov. 2019 Jun;26(3):381-387. doi: 10.1177/1553350618823425. Epub 2019 Jan 11. PMID: 30632464.

de Vries LH, Aykan D, Lodewijk L, Damen JAA, Borel Rinkes IHM, Vriens MR. Outcomes of Minimally Invasive Thyroid Surgery - A Systematic Review and Meta-Analysis. Front Endocrinol (Lausanne). 2021 Aug 12;12:719397. doi: 10.3389/fendo.2021.719397. PMID: 34456874; PMCID: PMC8387875.

Lombardi CP, Carnassale G, D'Amore A, et al. Morbidity from minimally invasive video-assisted thyroidectomy: a general review. Gland Surg. 2017 Oct;6(5):488-491. doi: 10.21037/gs.2017.06.05. PMID: 29142839; PMCID: PMC5676158.

Del Rio P, Arcuri MF, Pisani P, De Simone B, Sianesi M. Minimally invasive video-assisted thyroidectomy (MIVAT): what is the real advantage? Langenbecks Arch Surg. 2010 Apr;395(4):323-6. doi: 10.1007/s00423-009-0589-2. Epub 2010 Feb 16. PMID: 20155496.

Sun GH, Peress L, Pynnonen MA. Systematic review and meta-analysis of robotic vs conventional thyroidectomy approaches for thyroid disease. Otolaryngol Head Neck Surg. 2014 Apr;150(4):520-32. doi: 10.1177/0194599814521779. Epub 2014 Feb 5. PMID: 24500878.

Shaha AR. Transaxillary thyroidectomy-A critical appraisal. J Surg Oncol. 2015 Feb;111(2):131-2. doi: 10.1002/jso.23831. Epub 2014 Nov 19. PMID: 25411137.

Zheng C, Liu S, Geng P, et al. Minimally invasive video-assisted versus conventional open thyroidectomy on immune response: a meta analysis. Int J Clin Exp Med. 2015 Feb 15;8(2):2593-9. PMID: 25932206; PMCID: PMC4402853.

Lombardi CP, Raffaelli M, D'alatri L, et al. Video-assisted thyroidectomy significantly reduces the risk of early post-thyroidectomy voice and swallowing symptoms. World J Surg. 2008 May;32(5):693-700. doi: 10.1007/s00268-007-9443-2. PMID: 18259807.

Alesina PF, Rolfs T, Rühland K, Brunkhorst V, Groeben H, Walz MK. Evaluation of postoperative pain after minimally invasive video-assisted and conventional thyroidectomy: results of a prospective study. ESES Vienna presentation. Langenbecks Arch Surg. 2010 Sep;395(7):845-9. doi: 10.1007/s00423-010-0688-0. Epub 2010 Jul 14. PMID: 20628756.

Radford PD, Ferguson MS, Magill JC, Karthikesalingham AP, Alusi G. Meta-analysis of minimally invasive video-assisted thyroidectomy. Laryngoscope. 2011 Aug;121(8):1675-81. doi: 10.1002/lary.21864. PMID: 21792954.

Bokor T, Kiffner E, Kotrikova B, Billmann F. Cosmesis and body image after minimally invasive or open thyroid surgery. World J Surg. 2012 Jun;36(6):1279-85. doi: 10.1007/s00268-012-1563-7. PMID: 22407089.

Linos D, Economopoulos KP, Kiriakopoulos A, Linos E, Petralias A. Scar perceptions after thyroid and parathyroid surgery: comparison of minimal and conventional approaches. Surgery. 2013 Mar;153(3):400-7. doi: 10.1016/j.surg.2012.08.008. Epub 2012 Sep 12. PMID: 22980435.

Alesina PF, Wahabie W, Meier B, et al. Long-term cosmetic results of video-assisted thyroidectomy: a comparison with conventional surgery. Langenbecks Arch Surg. 2021 Aug;406(5):1625-1633. doi: 10.1007/s00423-021-02196-8. Epub 2021 May 13. PMID: 33987765.

Materazzi G, Fregoli L, Manzini G, Baggiani A, Miccoli M, Miccoli P. Cosmetic result and overall satisfaction after minimally invasive video-assisted thyroidectomy (MIVAT) versus robot-assisted transaxillary thyroidectomy (RATT): a prospective randomized study. World J Surg. 2014 Jun;38(6):1282-8. doi: 10.1007/s00268-014-2483-5. PMID: 24615602.

Downloads

Published

28-02-2024

Issue

Section

REVIEWS CLINICAL ARTICLES, UPDATES, FOCUS ON

How to Cite

1.
Del Rio P, De Gennaro F, Bonati E, Loderer T, Cozzani F. Minimally Invasive Video-Assisted Thyroidectomy (MIVAT) in western world: a systematic review from 2015 to 2022. Acta Biomed [Internet]. 2024 Feb. 28 [cited 2024 Jul. 18];95(1):e2024012. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/15171