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Even clinical studies show that dexmedetomidine can increase blood glucose level during minimally invasive video gynecologic surgical procedures [ 8] and cause hypoinsulinemia in postoperative patients needing sedation in the intensive care unit [ 9].
On the other hand, video-assisted neck dissection is recently discussed topic [ 32] and minimally invasive video assisted thyroidectomy with the central neck dissection is current state of the art [ 33].
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To compare the cost of minimally invasive video-assisted thyroidectomy (MIVAT) with conventional thyroidectomy.
The minimally invasive video-assisted thyroidectomy (MIVAT) without gas infusion is considered safe and has advantages in terms of cosmetic results compared to the conventional approach.
Background: Since February 1997, a technique of minimally invasive video-assisted parathyroidectomy (MIVAP) was developed at our institution for the treatment of sporadic primary hyperparathyroidism (sPHPT).
We recently established minimally invasive video-assisted thoracic surgery (VATS) thymectomy for anterior mediastinal tumors using the subxiphoid approach [1, 2].
Miccoli and colleagues developed minimally invasive video-assisted approach to the cervical spine.
Thyroidectomy under local anaesthesia, specifically using a minimally invasive video-assisted technique, has been reported by Lombardi et al. [ 22].
Actual analysis prospectively compared thyroid surgeries, performed with both minimally invasive nonendoscopic and minimally invasive video-assisted approach.
2, 3 Of the direct approaches, the minimally invasive video-assisted thyroidectomy (VAT), first described by Miccoli et al. 4 is the most widely-adopted procedure.
Our previous work prospectively comparing conventional and minimally invasive video-assisted thyroidectomy proved both techniques to be equally effective, with some advantages in favor of minimally invasive surgery [ 22].
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