Abstract: Background. Minimally invasive video-assisted thyroidectomy (MIVAT) has received increasing attention as a technique applicable for a subset of thyroid nodules. Methods. We prospectively assessed 51 MIVAT procedures in 40 patients. Demographic and clinical data were collected, relating to indications, outcome, and oncologic completeness. Results. Twenty-nine (29) benign and 22 malignant lesions up to 5.9 cm were removed (median, 1.7 cm). All surgical mar-gins of resection were negative. Residual thyroid tissue in the operative bed was assessed by radioiodine uptake in 16 patients (median, 1.76%). Eighty percent (41/51) of procedures were performed on an outpatient basis, and 94 % (48/51) did not require a suction drain. No bleeding events or permanent inju-ries to the recurrent laryngeal nerve occurred. Conclusions. MIVAT is a safe, thorough, and adaptable pro-cedure. An expanded set of indications makes this procedure available to a broader population of patients. VC 2008 Wile
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