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Invited Critique
March 2002

Video-Assisted vs Conventional Thyroid Lobectomy—Invited Critique

Arch Surg. 2002;137(3):305. doi:10.1001/archsurg.137.3.305

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.