{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T06:57:22Z","timestamp":1768460242750,"version":"3.49.0"},"reference-count":0,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2002,8,1]],"date-time":"2002-08-01T00:00:00Z","timestamp":1028160000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2002,8]]},"abstract":"<jats:p>\nMinimally invasive video\u2010assisted thyroidectomy (MIVAT) was described in 1998. In this study we collected the experience of four third\u2010level referral centers that adopted this technique. A total of 336 patients (279 females, 57\u00a0males) were selected for MIVAT. Selection criteria were thyroid volume &lt;15\nml, nodules not exceeding 3.5\u00a0cm of diameter, and an absence of thyroiditis, previous neck surgery, or previous irradiation. The procedure, totally gasless, is carried out through a 15\u00a0mm central incision above the sternal notch. Dissection is performed under endoscopic vision using conventional and endoscopic instruments. The mean operating time was 69.4 \u00b1 30.6\u00a0minutes for lobectomy (range\n20\u2013150\u00a0minutes) and 87.4 \u00b1 43.5\u00a0minutes for total thyroidectomy\n(range 30\u2013220\u00a0minutes). The mean postoperative stay was 1.9 \u00b1\n0.8\u00a0days. Postoperative complications were 7 transient and 1 definitive recurrent nerve palsies and 11 cases of hypoparathyroidism (9\ntransient, 2 definitive). Conversion to open surgery was necessary in\n15 patients (4.5%). This study confirms in a large number of cases the safety and feasibility of MIVAT, even in different surgical settings where similar results were achieved. The complication rate was not different from that of standard thyroidectomy. Although the operating time appears longer than with conventional procedures, the learning curve demonstrates a sharp decrease with increasing experience and the introduction of new technologies. The number of patients eligible for this approach remains low, thereby limiting its use, but it should be considered a valid option in selected surgical centers, offering some advantages to patients in terms of cosmetic results and postoperative distress.\n<\/jats:p>","DOI":"10.1007\/s00268-002-6627-7","type":"journal-article","created":{"date-parts":[[2002,10,14]],"date-time":"2002-10-14T16:45:16Z","timestamp":1034613916000},"page":"972-975","source":"Crossref","is-referenced-by-count":166,"title":["Minimally Invasive Video\u2010assisted Thyroidectomy: Multiinstitutional Experience"],"prefix":"10.1002","volume":"26","author":[{"given":"Paolo","family":"Miccoli","sequence":"first","affiliation":[{"name":"Dipartimento di Chirurgia Universit\u00e0 degli Studi di Pisa Via Roma 67 56100 Pisa Italy<!--<country1>ITALY<\/country1>-->"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rocco","family":"Bellantone","sequence":"additional","affiliation":[{"name":"Unit\u00e0 di Endocrinochirurgia Universit\u00e0 Cattolica di Roma Via della Pineta Sacchetti Rome Italy<!--<country1>ITALY<\/country1>-->"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michel","family":"Mourad","sequence":"additional","affiliation":[{"name":"Services Transplantation Renale et Chirurgie Endocrinienne Cliniques Universitaires Saint Luc Avenue Hippocrate 10 1200 Bruxelles Belgium<!--<country1>BELGIUM<\/country1>-->"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Walz","sequence":"additional","affiliation":[{"name":"Center for Minimal Invasive Surgery Kliniken Essen, Henricistrasse Mitte 92 45136 Essen Germany<!--<country1>GERMANY<\/country1>-->"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco","family":"Raffaelli","sequence":"additional","affiliation":[{"name":"Dipartimento di Chirurgia Universit\u00e0 degli Studi di Pisa Via Roma 67 56100 Pisa Italy<!--<country1>ITALY<\/country1>-->"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Piero","family":"Berti","sequence":"additional","affiliation":[{"name":"Dipartimento di Chirurgia Universit\u00e0 degli Studi di Pisa Via Roma 67 56100 Pisa Italy<!--<country1>ITALY<\/country1>-->"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2002,8]]},"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-002-6627-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00268-002-6627-7\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-002-6627-7","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,27]],"date-time":"2023-12-27T20:18:08Z","timestamp":1703708288000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-002-6627-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2002,8]]},"references-count":0,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2002,8]]}},"alternative-id":["10.1007\/s00268-002-6627-7"],"URL":"https:\/\/doi.org\/10.1007\/s00268-002-6627-7","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2002,8]]}}}