Evidence map›Paper›PMID 21487856›Full record

ArticleSurgical endoscopy2011

Long-term cosmetic results after minimally invasive video-assisted thyroidectomy.

Maik Sahm, Beate Schwarz, Sybille Schmidt, Matthias Pross, Hans Lippert

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In one paragraph

Article in Surgical endoscopy, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Short and long-term cosmesis of cervical thyroidectomy scars.Annals of the Royal College of Surgeons of England · 2016
    Pooled it
  2. Trial
  3. Article
  4. Article
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  7. Reducing neck incision length during thyroid surgery does not improve satisfaction in patients.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2015
    Article
  8. Minimally invasive video-assisted thyroidectomy: experience of 200 cases in a single center.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2014
    Article
  9. Article
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  11. [Minimally invasive video-assisted thyroidectomy: establishment in a thyroid center].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2014
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  12. Article
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  14. Pros and cons of robotic transaxillary thyroidectomy.Thyroid : official journal of the American Thyroid Association · 2012
    Article
  15. Minimally invasive video-assisted thyroidectomy: seven-year experience with 240 cases.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2012
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Maik SahmDepartment of Surgery, DRK Kliniken Berlin Köpenick, Berlin, Germany. m.sahm@drk-kliniken-berlin.de
Beate Schwarz
Sybille Schmidt
Matthias Pross
Hans Lippert

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMinimally invasive video-assisted thyroidectomy (MIVAT) has been performed in the authors' department since 2004. Many authors have described some of its advantages over conventional surgery in terms of cosmetic results. The published literature on this topic variously describes the average central incision as 1 to 3 cm. The end point of the cosmetic results (e.g. the question of keloids) cannot be documented during the inpatient stay. This report describes the long-term cosmetic results for this method and analyzes the subjective and objective outcomes after MIVAT.

methodsFrom January 2004 until March 2010, 116 patients underwent MIVAT in the authors' department. The authors included 96 patients in their subsequent examination, with a follow-up period of 22.4 months (range, 1-64 months).

resultsThe measurable cervical scar length was 1.9 cm (range, 1-3 cm). The measurable wideness of the cervical scar was 0.17 cm (range, 0.05-1.5 cm). Keloids in 10 female patients (10.4%) had diverse proliferation. Of the 116 patients, 93 (96.8%) were very satisfied or satisfied with the cosmetic result. The Patient Scar Assessment Scale score was 9.7, and of the Observer Scar Assessment Scale score was 8.1.

conclusionIn terms of long-term results, MIVAT appears to provide excellent cosmetic outcomes. The problem with the development of keloids in the region of the cervical incision, especially in female patients, remains unresolved. The satisfaction of patients with the long-term outcome of MIVAT is high.

Indexed as

EstheticsMinimally Invasive Surgical ProceduresVideo-Assisted SurgeryAdultAgedAged, 80 and overCicatrixFemaleGoiterHumansMaleMiddle AgedPatient SatisfactionThyroidectomyTreatment Outcome

Identifiers

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.