Evidence map›Paper›PMID 22038162›Full record

ArticleSurgical endoscopy2012

Minimally invasive video-assisted thyroidectomy: an analysis of results and a revision of indications.

Michele N Minuto, Piero Berti, Mario Miccoli, Clara Ugolini, Valeria Matteucci, Manuela Moretti, Fulvio Basolo, Paolo Miccoli

Abstract read
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In one paragraph

Article in Surgical endoscopy, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
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  10. Review
  11. 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
  12. [Minimally invasive video-assisted thyroidectomy: establishment in a thyroid center].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2014
    Article
  13. Article
  14. Is open surgery for head and neck cancers truly declining?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 · 2013
    Review
  15. Three-dimensional minimally invasive video-assisted thyroidectomy: preliminary report.Journal of experimental & clinical cancer research : CR · 2013
    Article
  16. Article
  17. Minimally invasive video-assisted thyroidectomy: seven-year experience with 240 cases.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2012
    Article
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Michele N MinutoDepartment of Surgery, University of Pisa, Via Paradisa 2, 56124, Pisa, Italy. micheleminuto@hotmail.com
Piero Berti
Mario Miccoli
Clara Ugolini
Valeria Matteucci
Manuela Moretti
Fulvio Basolo
Paolo Miccoli

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe first report of minimally invasive video-assisted thyroidectomy (MIVAT) was published in 1999, and the indications were progressively implemented: from cytologically undetermined thyroid nodules to intermediate-risk differentiated thyroid cancers. The aim of this study was to review the entire series of patients who underwent a MIVAT, critically analyzing its indications and contraindications and trying to figure out how the indications might be extended.

methodsFrom 1998 to 2009, a total of 1,946 patients (1,659 females, 287 males; mean age = 40.2 years) underwent MIVAT in our department. Inclusion criteria were benign thyroid nodules <35 mm, malignant nodules <20 mm, and an ultrasonographically estimated thyroid volume (ETV) <25 cc. The presence of suspicious or metastatic lymph nodes and the presence of severe thyroiditis were considered a contraindication for MIVAT.

resultsA total thyroidectomy was performed in 1,435 patients (72.3%). A total lobectomy was performed in 511 cases (26.3%), and a central neck node sampling was associated with total thyroidectomy in 104 cases. Final histology revealed benign disease in 979 cases (51.5%) and a malignancy was diagnosed in 915 cases (48.5%). Unexpected thyroiditis was found on final histology in 17.9% of the patients with benign disease and 30.9% of patients with malignancy. The incidence of thyroiditis was significantly different in these two populations (p < 0.0001).

conclusionOur data confirm the validity of the traditional indications for MIVAT: low-risk differentiated thyroid cancer (DTC), cytologically undetermined nodules, and small-volume benign thyroid disease. The indications may be further and safely extended to those patients with associated thyroiditis and those with intermediate-risk DTC. MIVAT can be proposed on a much larger scale than it was at its onset and cannot be considered an option for only a limited number of patients.

Indexed as

AdolescentAdultAgedAged, 80 and overChildFemaleHumansMaleMiddle AgedNeoplasm StagingReoperationRisk AssessmentRisk FactorsThyroidectomyThyroiditisThyroid Neoplasms

Identifiers

PMID22038162

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.