A minimally invasive video-assisted thyroidectomy (MIVAT) procedure relies on Miccoli instruments added to the standard thyroid or neck dissection setup, a 30-degree endoscope, and an ultrasonic (harmonic) scalpel with scissors to ligate and divide the vessels. An important risk reduction strategy for any minimally invasive procedure would be (select all that apply from the options below):

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The possibility of conversion to open thyroidectomy should be included on the operative consent form. Instruments and supplies for a possible open procedure are readied. A set of long Miccoli instruments is added to the standard thyroid or neck dissection setup. A 30-degree endoscope and harmonic scalpel with scissors are used to ligate and divide vessels. Fire safety precautions are implemented for illuminated light cords, endoscopes, light sources, and cable connection. The patient is positioned and draped as for thyroidectomy.

A Minimally Invasive Video-Assisted Thyroidectomy (MIVAT) Procedure Relies on Miccoli