Surgical Treatment of Low- and Intermediate-Risk Papillary Thyroid Cancer with Minimally Invasive Video-Assisted Thyroidectomy
Background: Minimally invasive video-assisted thyroidectomy (MIVAT) was introduced in the clinical practice to treat small benign thyroid nodules. This method has recently been demonstrated to produce the same completeness as a conventional thyroidectomy in patients with papillary thyroid cancer (PT...
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| Veröffentlicht in: | The journal of clinical endocrinology and metabolism 2009-05, Vol.94 (5), p.1618-1622 |
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| container_title | The journal of clinical endocrinology and metabolism |
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| creator | Miccoli, Paolo Pinchera, Aldo Materazzi, Gabriele Biagini, Agnese Berti, Piero Faviana, Pinuccia Molinaro, Eleonora Viola, David Elisei, Rossella |
| description | Background: Minimally invasive video-assisted thyroidectomy (MIVAT) was introduced in the clinical practice to treat small benign thyroid nodules. This method has recently been demonstrated to produce the same completeness as a conventional thyroidectomy in patients with papillary thyroid cancer (PTC). The low number of treated cases and the limited follow-up of these patients represent the major limitations of these studies.
Objective: The aim of the study was to compare the outcome of two groups of PTC patients, one treated with MIVAT and the other with conventional thyroidectomy, after a median follow-up of 5 yr.
Study Group: A total of 221 PTC patients were enrolled in this study according to the following criteria: 171 were treated with MIVAT (group A), and 50 were treated with conventional thyroidectomy (group B).
Results: The outcome and the cumulative 131I activity administered to achieve curative status were compared. After a mean follow-up of 3.6 ± 1.5 yr (range, 1–8 yr; median, 5 yr), no differences were found between group A and group B. A similar rate of permanent hypoparathyroidism and/or nerve cord palsy was found in both groups.
Conclusion: We demonstrated that PTC patients operated on with MIVAT had a good outcome after 5 yr. This was similar to the outcome of patients treated with conventional thyroidectomy and the same degree of exposure to 131I. These results, together with the evidence of a similar degree of completeness and rate of complications between the two surgical techniques, show that MIVAT is a valid option to treat low- and intermediate-risk PTC patients.
The follow-up of papillary thyroid cancer patients treated with MIVAT or conventional thyroidectomy demonstrated no differences in the outcome and complications of the two groups. |
| doi_str_mv | 10.1210/jc.2008-1418 |
| format | Article |
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Objective: The aim of the study was to compare the outcome of two groups of PTC patients, one treated with MIVAT and the other with conventional thyroidectomy, after a median follow-up of 5 yr.
Study Group: A total of 221 PTC patients were enrolled in this study according to the following criteria: 171 were treated with MIVAT (group A), and 50 were treated with conventional thyroidectomy (group B).
Results: The outcome and the cumulative 131I activity administered to achieve curative status were compared. After a mean follow-up of 3.6 ± 1.5 yr (range, 1–8 yr; median, 5 yr), no differences were found between group A and group B. A similar rate of permanent hypoparathyroidism and/or nerve cord palsy was found in both groups.
Conclusion: We demonstrated that PTC patients operated on with MIVAT had a good outcome after 5 yr. This was similar to the outcome of patients treated with conventional thyroidectomy and the same degree of exposure to 131I. These results, together with the evidence of a similar degree of completeness and rate of complications between the two surgical techniques, show that MIVAT is a valid option to treat low- and intermediate-risk PTC patients.
The follow-up of papillary thyroid cancer patients treated with MIVAT or conventional thyroidectomy demonstrated no differences in the outcome and complications of the two groups.</description><identifier>ISSN: 0021-972X</identifier><identifier>EISSN: 1945-7197</identifier><identifier>DOI: 10.1210/jc.2008-1418</identifier><identifier>PMID: 19223525</identifier><identifier>CODEN: JCEMAZ</identifier><language>eng</language><publisher>Bethesda, MD: Endocrine Society</publisher><subject>Adolescent ; Adult ; Aged ; Biological and medical sciences ; Carcinoma, Papillary - pathology ; Carcinoma, Papillary - radiotherapy ; Carcinoma, Papillary - surgery ; Child ; Endocrinopathies ; Feeding. Feeding behavior ; Female ; Follow-Up Studies ; Fundamental and applied biological sciences. Psychology ; Humans ; Hypoparathyroidism - epidemiology ; Hypoparathyroidism - etiology ; Iodine Radioisotopes - therapeutic use ; Male ; Malignant tumors ; Medical sciences ; Middle Aged ; Minimally Invasive Surgical Procedures - adverse effects ; Minimally Invasive Surgical Procedures - methods ; Paralysis - epidemiology ; Paralysis - etiology ; Postoperative Complications - epidemiology ; Risk ; Thyroid Neoplasms - pathology ; Thyroid Neoplasms - radiotherapy ; Thyroid Neoplasms - surgery ; Thyroid. Thyroid axis (diseases) ; Thyroidectomy - adverse effects ; Thyroidectomy - methods ; Treatment Outcome ; Vertebrates: anatomy and physiology, studies on body, several organs or systems ; Vertebrates: endocrinology ; Video-Assisted Surgery - adverse effects ; Video-Assisted Surgery - methods ; Young Adult</subject><ispartof>The journal of clinical endocrinology and metabolism, 2009-05, Vol.94 (5), p.1618-1622</ispartof><rights>Copyright © 2009 by The Endocrine Society</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4465-61b010278be087024fcbc523af980c2aaac7107a605ef3f4aa8204240d8aad163</citedby><cites>FETCH-LOGICAL-c4465-61b010278be087024fcbc523af980c2aaac7107a605ef3f4aa8204240d8aad163</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27929,27930</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21525337$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19223525$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Miccoli, Paolo</creatorcontrib><creatorcontrib>Pinchera, Aldo</creatorcontrib><creatorcontrib>Materazzi, Gabriele</creatorcontrib><creatorcontrib>Biagini, Agnese</creatorcontrib><creatorcontrib>Berti, Piero</creatorcontrib><creatorcontrib>Faviana, Pinuccia</creatorcontrib><creatorcontrib>Molinaro, Eleonora</creatorcontrib><creatorcontrib>Viola, David</creatorcontrib><creatorcontrib>Elisei, Rossella</creatorcontrib><title>Surgical Treatment of Low- and Intermediate-Risk Papillary Thyroid Cancer with Minimally Invasive Video-Assisted Thyroidectomy</title><title>The journal of clinical endocrinology and metabolism</title><addtitle>J Clin Endocrinol Metab</addtitle><description>Background: Minimally invasive video-assisted thyroidectomy (MIVAT) was introduced in the clinical practice to treat small benign thyroid nodules. This method has recently been demonstrated to produce the same completeness as a conventional thyroidectomy in patients with papillary thyroid cancer (PTC). The low number of treated cases and the limited follow-up of these patients represent the major limitations of these studies.
Objective: The aim of the study was to compare the outcome of two groups of PTC patients, one treated with MIVAT and the other with conventional thyroidectomy, after a median follow-up of 5 yr.
Study Group: A total of 221 PTC patients were enrolled in this study according to the following criteria: 171 were treated with MIVAT (group A), and 50 were treated with conventional thyroidectomy (group B).
Results: The outcome and the cumulative 131I activity administered to achieve curative status were compared. After a mean follow-up of 3.6 ± 1.5 yr (range, 1–8 yr; median, 5 yr), no differences were found between group A and group B. A similar rate of permanent hypoparathyroidism and/or nerve cord palsy was found in both groups.
Conclusion: We demonstrated that PTC patients operated on with MIVAT had a good outcome after 5 yr. This was similar to the outcome of patients treated with conventional thyroidectomy and the same degree of exposure to 131I. These results, together with the evidence of a similar degree of completeness and rate of complications between the two surgical techniques, show that MIVAT is a valid option to treat low- and intermediate-risk PTC patients.
The follow-up of papillary thyroid cancer patients treated with MIVAT or conventional thyroidectomy demonstrated no differences in the outcome and complications of the two groups.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Carcinoma, Papillary - pathology</subject><subject>Carcinoma, Papillary - radiotherapy</subject><subject>Carcinoma, Papillary - surgery</subject><subject>Child</subject><subject>Endocrinopathies</subject><subject>Feeding. Feeding behavior</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Humans</subject><subject>Hypoparathyroidism - epidemiology</subject><subject>Hypoparathyroidism - etiology</subject><subject>Iodine Radioisotopes - therapeutic use</subject><subject>Male</subject><subject>Malignant tumors</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Minimally Invasive Surgical Procedures - adverse effects</subject><subject>Minimally Invasive Surgical Procedures - methods</subject><subject>Paralysis - epidemiology</subject><subject>Paralysis - etiology</subject><subject>Postoperative Complications - epidemiology</subject><subject>Risk</subject><subject>Thyroid Neoplasms - pathology</subject><subject>Thyroid Neoplasms - radiotherapy</subject><subject>Thyroid Neoplasms - surgery</subject><subject>Thyroid. Thyroid axis (diseases)</subject><subject>Thyroidectomy - adverse effects</subject><subject>Thyroidectomy - methods</subject><subject>Treatment Outcome</subject><subject>Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><subject>Vertebrates: endocrinology</subject><subject>Video-Assisted Surgery - adverse effects</subject><subject>Video-Assisted Surgery - methods</subject><subject>Young Adult</subject><issn>0021-972X</issn><issn>1945-7197</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkE2P0zAURSMEYsrAjjXyBlZ4eHacOFmOKj5GKgJBQeysV-eFupPExU6myobfjksLbLBkWZbOvfY7WfZUwJWQAl7t7JUEqLhQorqXLUStCq5Fre9nCwApeK3lt4vsUYw7AKFUkT_MLkQtZV7IYpH9_DyF785ix9aBcOxpGJlv2cofOMOhYTfDSKGnxuFI_JOLt-wj7l3XYZjZejsH7xq2xMFSYAc3btl7N7geu25OyTuM7o7YV9eQ59cxujhS8ydFdvT9_Dh70GIX6cn5vMy-vHm9Xr7jqw9vb5bXK26VKgteig0IkLraEFQapGrtxhYyx7auwEpEtFqAxhIKavNWIVYSlFTQVIiNKPPL7MWpdx_8j4niaHoXLaU5BvJTNKWWUos8T-DLE2iDjzFQa_YhDRRmI8AcfZudNUff5ug74c_OvdMmWfoHnwUn4PkZwJgstyG5cvEvJ8URynXi1Ik7-C4Zj7fddKBgtoTduDWQlip1xdPLNRTpxtP-XZ-fYjQ03gY30D5QjGbnpzAkof__9S8qpKoQ</recordid><startdate>200905</startdate><enddate>200905</enddate><creator>Miccoli, Paolo</creator><creator>Pinchera, Aldo</creator><creator>Materazzi, Gabriele</creator><creator>Biagini, Agnese</creator><creator>Berti, Piero</creator><creator>Faviana, Pinuccia</creator><creator>Molinaro, Eleonora</creator><creator>Viola, David</creator><creator>Elisei, Rossella</creator><general>Endocrine Society</general><general>Copyright by The Endocrine Society</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200905</creationdate><title>Surgical Treatment of Low- and Intermediate-Risk Papillary Thyroid Cancer with Minimally Invasive Video-Assisted Thyroidectomy</title><author>Miccoli, Paolo ; Pinchera, Aldo ; Materazzi, Gabriele ; Biagini, Agnese ; Berti, Piero ; Faviana, Pinuccia ; Molinaro, Eleonora ; Viola, David ; Elisei, Rossella</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4465-61b010278be087024fcbc523af980c2aaac7107a605ef3f4aa8204240d8aad163</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Carcinoma, Papillary - pathology</topic><topic>Carcinoma, Papillary - radiotherapy</topic><topic>Carcinoma, Papillary - surgery</topic><topic>Child</topic><topic>Endocrinopathies</topic><topic>Feeding. Feeding behavior</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Humans</topic><topic>Hypoparathyroidism - epidemiology</topic><topic>Hypoparathyroidism - etiology</topic><topic>Iodine Radioisotopes - therapeutic use</topic><topic>Male</topic><topic>Malignant tumors</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Minimally Invasive Surgical Procedures - adverse effects</topic><topic>Minimally Invasive Surgical Procedures - methods</topic><topic>Paralysis - epidemiology</topic><topic>Paralysis - etiology</topic><topic>Postoperative Complications - epidemiology</topic><topic>Risk</topic><topic>Thyroid Neoplasms - pathology</topic><topic>Thyroid Neoplasms - radiotherapy</topic><topic>Thyroid Neoplasms - surgery</topic><topic>Thyroid. Thyroid axis (diseases)</topic><topic>Thyroidectomy - adverse effects</topic><topic>Thyroidectomy - methods</topic><topic>Treatment Outcome</topic><topic>Vertebrates: anatomy and physiology, studies on body, several organs or systems</topic><topic>Vertebrates: endocrinology</topic><topic>Video-Assisted Surgery - adverse effects</topic><topic>Video-Assisted Surgery - methods</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Miccoli, Paolo</creatorcontrib><creatorcontrib>Pinchera, Aldo</creatorcontrib><creatorcontrib>Materazzi, Gabriele</creatorcontrib><creatorcontrib>Biagini, Agnese</creatorcontrib><creatorcontrib>Berti, Piero</creatorcontrib><creatorcontrib>Faviana, Pinuccia</creatorcontrib><creatorcontrib>Molinaro, Eleonora</creatorcontrib><creatorcontrib>Viola, David</creatorcontrib><creatorcontrib>Elisei, Rossella</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The journal of clinical endocrinology and metabolism</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Miccoli, Paolo</au><au>Pinchera, Aldo</au><au>Materazzi, Gabriele</au><au>Biagini, Agnese</au><au>Berti, Piero</au><au>Faviana, Pinuccia</au><au>Molinaro, Eleonora</au><au>Viola, David</au><au>Elisei, Rossella</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgical Treatment of Low- and Intermediate-Risk Papillary Thyroid Cancer with Minimally Invasive Video-Assisted Thyroidectomy</atitle><jtitle>The journal of clinical endocrinology and metabolism</jtitle><addtitle>J Clin Endocrinol Metab</addtitle><date>2009-05</date><risdate>2009</risdate><volume>94</volume><issue>5</issue><spage>1618</spage><epage>1622</epage><pages>1618-1622</pages><issn>0021-972X</issn><eissn>1945-7197</eissn><coden>JCEMAZ</coden><abstract>Background: Minimally invasive video-assisted thyroidectomy (MIVAT) was introduced in the clinical practice to treat small benign thyroid nodules. This method has recently been demonstrated to produce the same completeness as a conventional thyroidectomy in patients with papillary thyroid cancer (PTC). The low number of treated cases and the limited follow-up of these patients represent the major limitations of these studies.
Objective: The aim of the study was to compare the outcome of two groups of PTC patients, one treated with MIVAT and the other with conventional thyroidectomy, after a median follow-up of 5 yr.
Study Group: A total of 221 PTC patients were enrolled in this study according to the following criteria: 171 were treated with MIVAT (group A), and 50 were treated with conventional thyroidectomy (group B).
Results: The outcome and the cumulative 131I activity administered to achieve curative status were compared. After a mean follow-up of 3.6 ± 1.5 yr (range, 1–8 yr; median, 5 yr), no differences were found between group A and group B. A similar rate of permanent hypoparathyroidism and/or nerve cord palsy was found in both groups.
Conclusion: We demonstrated that PTC patients operated on with MIVAT had a good outcome after 5 yr. This was similar to the outcome of patients treated with conventional thyroidectomy and the same degree of exposure to 131I. These results, together with the evidence of a similar degree of completeness and rate of complications between the two surgical techniques, show that MIVAT is a valid option to treat low- and intermediate-risk PTC patients.
The follow-up of papillary thyroid cancer patients treated with MIVAT or conventional thyroidectomy demonstrated no differences in the outcome and complications of the two groups.</abstract><cop>Bethesda, MD</cop><pub>Endocrine Society</pub><pmid>19223525</pmid><doi>10.1210/jc.2008-1418</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| issn | 0021-972X 1945-7197 |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection |
| subjects | Adolescent Adult Aged Biological and medical sciences Carcinoma, Papillary - pathology Carcinoma, Papillary - radiotherapy Carcinoma, Papillary - surgery Child Endocrinopathies Feeding. Feeding behavior Female Follow-Up Studies Fundamental and applied biological sciences. Psychology Humans Hypoparathyroidism - epidemiology Hypoparathyroidism - etiology Iodine Radioisotopes - therapeutic use Male Malignant tumors Medical sciences Middle Aged Minimally Invasive Surgical Procedures - adverse effects Minimally Invasive Surgical Procedures - methods Paralysis - epidemiology Paralysis - etiology Postoperative Complications - epidemiology Risk Thyroid Neoplasms - pathology Thyroid Neoplasms - radiotherapy Thyroid Neoplasms - surgery Thyroid. Thyroid axis (diseases) Thyroidectomy - adverse effects Thyroidectomy - methods Treatment Outcome Vertebrates: anatomy and physiology, studies on body, several organs or systems Vertebrates: endocrinology Video-Assisted Surgery - adverse effects Video-Assisted Surgery - methods Young Adult |
| title | Surgical Treatment of Low- and Intermediate-Risk Papillary Thyroid Cancer with Minimally Invasive Video-Assisted Thyroidectomy |
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