Video-Assisted Thyroidectomy for Papillary Thyroid Carcinoma

الملخص EN

Background.

The results of video-assisted thyroidectomy (VAT) were evaluated in a large series of patients with papillary thyroid carcinoma (PTC), especially in terms of completeness of the surgical resection and short-to-medium term recurrence.

Methods.

The medical records of all patients who underwent video-assisted thyroidectomy for PTC between June 1998 and May 2009 were reviewed.

Results.

Three hundred fifty-nine patients were included.

One hundred twenty-six patients underwent concomitant central neck node removal.

Final histology showed 285 pT1, 26 pT2, and 48 pT3 PTC.

Lymph node metastases were found in 27 cases.

Follow-up was completed in 315 patients.

Mean postoperative serum thyroglobulin level off levothyroxine was 5.4 ng/mL.

Post operative ultrasonography showed no residual thyroid tissue in all the patients.

Mean post-operative 131I uptake was 1.7%.

One patient developed lateral neck recurrence.

No other recurrence was observed.