Nan Lin1, Lihui Yu2, Jun Ma3 and Yu Wang1*
1Department of General Surgery, Xiamen University, China
2Department of General Surgery, Fujian Medical University, China
3Department of Thoracic Surgery, Air Force Military Medical University Xi’an, China
Background: To provide a preliminary comparison between Minimally Invasive Non-endoscopic Thyroidectomy with a low anterior cervical incision (L-MINT) and MIVAT.
Methods: We retrospectively examined the medical records of 89 patients receiving L-MINT and 102 patients receiving Minimally Invasive Video-Assisted Thyroidectomy (MIVAT). Parameters included: demographic and baseline information, incision length, operation time and bleeding, postoperative pain, drainage, cosmetic satisfaction and complications.
Results: Patients receiving L-MINT vs. MIVAT did not differ in age, gender, nodule diameter (2.35 ± 1.03 vs. 2.69 ± 1.11 cm), and pathological type (follicular tumors 14.6% vs. 17.6%, nodular goiter 81.9% vs. 75.5%). Patients receiving L-MINT had significantly shorter operation time (43.4 ± 14.1 vs. 67.5 ± 19.0 min; p<0.05). L-MINT and MIVAT did not differ in incision length (2.20 ± 0.45 vs.
1.97 ± 0.32 cm), postoperative pain (VAS score of 3.68 ± 0.84 vs. 3.90 ± 1.00 at 12 h and 1.54 ± 0.64 vs. 1.59 ± 0.63 at 1w) and cosmetic satisfaction (8.08 ± 1.08 vs. 8.06 ± 0.98 at 24 h and 8.94 ± 0.79 vs. 9.03 ± 0.59 at 12w), and complications.
Conclusion: L-MINT is as safe as MIVAT, but requires shorter surgical time than MIVAT. Considering the requirement for less equipment, we recommend L-MINT as an alternative to MIVAT, particularly in less developed parts of the world.
Low incision; Microsurgery; MINT; MIVAT; Thyroidectomy
Lin N, Yu L, Ma J, Wang Y. Minimally Invasive Non-Endoscopic Thyroidectomy with a Low Anterior Cervical Incision. Clin Oncol. 2021;6:1776..