Table of Contents Author Guidelines Submit a Manuscript
Journal of Oncology
Volume 2010, Article ID 148542, 5 pages
http://dx.doi.org/10.1155/2010/148542
Clinical Study

Video-Assisted Thyroidectomy for Papillary Thyroid Carcinoma

1Division of Endocrine Surgery, Department of Surgery, Università Cattolica del Sacro Cuore-Policlinico “A. Gemelli”, L.go A. Gemelli 8, 00168 Rome, Italy
2Institute of Nuclear Medicine, Università Cattolica del Sacro Cuore-Policlinico “A. Gemelli”, L.go A. Gemelli 8, 00168 Rome, Italy

Received 10 August 2009; Revised 17 March 2010; Accepted 4 May 2010

Academic Editor: Steven K. Libutti

Copyright © 2010 Celestino Pio Lombardi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.