AIM: Minimally invasive video-assisted thyroidectomy (MIVAT) and endoscopic thyroidectomy through areola ( @entity20292 ) access are among the endoscopic approaches for thyroidectomy that have been perfected, but reports comparing the two are lacking. This study evaluated the safety, postoperative recovery, and @entity1 satisfaction of MIVAT compared with @entity20292 . METHODS: This study included 119 @entity1 undergoing MIVAT and 42 @entity1 undergoing @entity20292 from January 2006 to October 2009. Operative time, complications, postoperative recovery, cosmetic result, and @entity1 satisfaction were analyzed. RESULTS: The @entity20292 group had a higher percentage of @entity1 (100% vs. 78.2%, P<0.05) and was younger (33.5 vs. 39 years, P<0.05). Thyroid volume (24.5 vs. 14.5 mL, P<0.001) and nodular diameter (26 vs. 22 mm, P<0.05) were larger in @entity20292 group. The MIVAT group had a shorter operative time (28.2 vs. 112.8 minutes) and a lower rate of intraoperative (7.2 vs. 21.2 mL) and postoperative (0 vs. 80 mL, P<0.0001) @entity190 . Rates of conversion and complications were similar. @entity282 at 12 hours was 1.9 in MIVAT vs. 3.1 in @entity20292 (P<0.0001). Hospitalization was 1 day in the MIVAT group vs. 3.5 days in @entity20292 (P<0.0001). @entity1 satisfaction was similar. CONCLUSION: MIVAT and @entity20292 showed similar results for safety, although @entity20292 might be considered more invasive than MIVAT. @entity1 of both groups were equally satisfied with the cosmetic result. Differently from @entity20292 , MIVAT allows total thyroidectomy to be performed also for @entity5 . Although different, the two approaches were safe and reliable and both are valid options. Choice might depend on the surgeon's preference, thyroid size, type of disease, and the @entity1 's expectation about cosmesis.

Minimally invasive video assisted thyroidectomy versus endoscopic thyroidectomy via the areola approach: a retrospective analysis of safety, postoperative recovery, and XXXX satisfaction.

@entity1 :: ('9606', 'Species') :: ['women', 'Patients', 'patients', 'patient', 'Patient'] @entity190 :: ('MESH:D006473', 'Disease') :: ['blood loss'] @entity5 :: ('MESH:D009369', 'Disease') :: ['malignant diseases'] @entity20292 :: ('CHEBI:53460', 'Chemical') :: ['ETA'] @entity282 :: ('MESH:D010149', 'Disease') :: ['Postoperative pain']
@entity1 :: (9606,Species) :: ['patient']
