The minimal cervical access in thyroid surgery: indications and limitations

The aim of the study, was outcome with minimal cervical access in thyroid surgery. Methods. Since 1992 up to 2006, 1356 thyroidectomies were performed in our Unit. 1231 patients were treated with the classical Kocher’s incision, whereas in 125 cases the minimal cervical access was used. The patients were ruled in based on the presence of benign thyroid disease, small (even relapsing) goiters. Tumours (including invasive malignant masses, large goiters, mediastinal and recurrent goiters) were ruled out, with the exception of small papillary tumours with clinical instrumental and intraoperative negative assessment for regional extension. Results. In the patients operated with the “minimal cervical access” no complications were detected but temporary hypocalcemia in nine cases. Conclusion. The results of this study confirm that the “minimal cervical access” can be used in selected patients and by expert surgeons. Its advantages are: better aesthetic results, less postoperative pain, more patient’s comfort.