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Robert V. Rege, MD
Dallas, Tex

Arch Surg. 2002;137:305.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Bellantone et al are to be congratulated on their technical expertise in safely and efficiently performing VAS through a small (15- to 20-mm) incision. The technical aspects of the surgical procedure are clearly outlined, and it was successfully performed in 27 (87%) of 31 patients. Conversion, most frequently for lesions greater than 2 cm, was caused by inability to visualize the recurrent laryngeal nerve. This minimally invasive approach was associated with benefits relating to cosmetic outcome, postoperative pain, and length of postoperative hospital stay. Clearly, this procedure benefits patients with benign thyroid diseases.

However, use of this operation for malignant lesions remains a concern. Although only patients with thyroid nodules less than 3 cm and no malignancy on fine-needle aspiration biopsy were included in the study, cancer was found on final pathological examination in more than 30% of patients. Although no lobes were fractured, all lesions . . . [Full Text of this Article]

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Video-Assisted vs Conventional Thyroid Lobectomy: A Randomized Trial
Rocco Bellantone, Celestino Pio Lombardi, Maurizio Bossola, Mauro Boscherini, Carmela De Crea, Pier Francesco Alesina, and Emanuela Traini
Arch Surg. 2002;137(3):301-305.
ABSTRACT | FULL TEXT