{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T04:18:03Z","timestamp":1783484283949,"version":"3.55.0"},"reference-count":32,"publisher":"The Endocrine Society","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2009,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>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.<\/jats:p>\n               <jats:p>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.<\/jats:p>\n               <jats:p>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).<\/jats:p>\n               <jats:p>Results: The outcome and the cumulative 131I activity administered to achieve curative status were compared. After a mean follow-up of 3.6 \u00b1 1.5 yr (range, 1\u20138 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.<\/jats:p>\n               <jats:p>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.<\/jats:p>","DOI":"10.1210\/jc.2008-1418","type":"journal-article","created":{"date-parts":[[2009,2,18]],"date-time":"2009-02-18T03:35:14Z","timestamp":1234928114000},"page":"1618-1622","source":"Crossref","is-referenced-by-count":72,"title":["Surgical Treatment of Low- and Intermediate-Risk Papillary Thyroid Cancer with Minimally Invasive Video-Assisted Thyroidectomy"],"prefix":"10.1210","volume":"94","author":[{"given":"Paolo","family":"Miccoli","sequence":"first","affiliation":[{"name":"Departments of Surgery (P.M., G.M., P.B., P.F.), University of Pisa, 56100 Pisa, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aldo","family":"Pinchera","sequence":"additional","affiliation":[{"name":"Endocrinology and Metabolism (A.P., A.B., E.M., D.V., 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