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Is minimally invasive thyroidectomy and parathyroidectomy a real progress?
Epublication WebSurg.com, Apr 2017;17(04). URL: http://websurg.com/doi/lt03enduh009
In this video, Dr. QY Duh briefly describes the main principles of MIVAT and MIVAP and compares the novel techniques used for minimal incision thyroidectomy. He presents the advantages, disadvantages and complications of MIVAP & MIVAT, and outlines current innovative approaches for transaxillary thyroidectomy, e.g. robot-assisted BABA, RATS, facelift thyroidectomy, eMIT, TOVAT, TOVANS, and TOETVA. He demonstrates the key steps in the evolution of MIS thyroidectomy from Kocher, mini-incision, MIVAT, extracervical access to NOTES with main advantages of safety –short incision and no neck incision. Finally, he stresses that minimally invasive thyroid surgery is a real progress to evaluate new operations based on safety and efficacy. However, it may not be a real progress in terms of cost and mortality or morbidity.