TY - JOUR
T1 - Minimally invasive video-assisted thyroidectomy and transoral video-assisted thyroidectomy
T2 - A comparison of two systematic reviews
AU - Tartaglia, Francesco
AU - Giuliani, Alessandro
AU - Sorrenti, Salvatore
AU - Ulisse, Salvatore
N1 - Publisher Copyright:
© 2020 Journal of Minimal Access Surgery Published by Wolters Kluwer - Medknow.
PY - 2020/10/1
Y1 - 2020/10/1
N2 - Background: We compared two systematic reviews, one focusing on transoral video-assisted thyroidectomy (TOVAT) and the other on minimally invasive video-assisted thyroidectomy (MIVAT), to highlight the pros and cons that can determine the choice of one or the other procedure. Materials and Methods: PubMed, Scopus and ISI Web of Science databases were searched for relevant articles published from 2000 to June 2018. Both searches were performed using the same keywords. All articles describing human surgical case series of any size were included, while the following were excluded: articles published in languages other than English, case reports, reviews, early cadaver and animal studies and old reports of cases now included in more recent works. Application of the above selection criteria yielded 151 articles on TOVAT and 246 on MIVAT. Of these, 34 articles were selected for inclusion in the present study: 17 for the TOVAT group and 17 for the MIVAT group. The comparison was made considering the most common variables used in evaluating thyroid surgery procedures. The statistical methods used were Cohen's delta, Student's t-test and the non-parametric Mann-Whitney U-test. Results: The variable 'operative time' was found to show a very large effect size, and 'hospital stay' also differed significantly between the MIVAT and TOVAT groups. Conclusions: TOVAT and MIVAT should not be considered in competition with each other, but seen simply as alternative choices. Both appear to be safe methods, comparable in terms of post-operative complications, although the main reason for using TOVAT seems to be purely aesthetic.
AB - Background: We compared two systematic reviews, one focusing on transoral video-assisted thyroidectomy (TOVAT) and the other on minimally invasive video-assisted thyroidectomy (MIVAT), to highlight the pros and cons that can determine the choice of one or the other procedure. Materials and Methods: PubMed, Scopus and ISI Web of Science databases were searched for relevant articles published from 2000 to June 2018. Both searches were performed using the same keywords. All articles describing human surgical case series of any size were included, while the following were excluded: articles published in languages other than English, case reports, reviews, early cadaver and animal studies and old reports of cases now included in more recent works. Application of the above selection criteria yielded 151 articles on TOVAT and 246 on MIVAT. Of these, 34 articles were selected for inclusion in the present study: 17 for the TOVAT group and 17 for the MIVAT group. The comparison was made considering the most common variables used in evaluating thyroid surgery procedures. The statistical methods used were Cohen's delta, Student's t-test and the non-parametric Mann-Whitney U-test. Results: The variable 'operative time' was found to show a very large effect size, and 'hospital stay' also differed significantly between the MIVAT and TOVAT groups. Conclusions: TOVAT and MIVAT should not be considered in competition with each other, but seen simply as alternative choices. Both appear to be safe methods, comparable in terms of post-operative complications, although the main reason for using TOVAT seems to be purely aesthetic.
KW - Minimally invasive video-assisted thyroidectomy
KW - thyroid surgery
KW - transoral video-assisted thyroidectomy
UR - http://www.scopus.com/inward/record.url?scp=85092019606&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85092019606&partnerID=8YFLogxK
U2 - 10.4103/jmas.JMAS_123_19
DO - 10.4103/jmas.JMAS_123_19
M3 - Review article
AN - SCOPUS:85092019606
VL - 16
SP - 315
EP - 322
JO - Journal of Minimal Access Surgery
JF - Journal of Minimal Access Surgery
SN - 0972-9941
IS - 4
ER -