Keyhole Surgery


Thyroidectomy is conventional ‘open’ surgery which dates back to 1909 and is performed through a large (5-8cm) curved neck incision just above the collar-bone. Our surgeons have performed over 2000 thyroid and parathyroid operations and are still actively managing very busy surgical practices, operating on patients weekly. Cutting-edge surgical instruments such as harmonic scalpels and nerve monitoring are used to minimize complications such as bleeding and voice change as a result of nerve damage.

Parathyroidectomy is an operation to remove one or more of the abnormal glands that causes hyperparathyroidism. It is most frequently performed (in over 85% of patients) to remove a single abnormal parathyroid adenoma. In a 

minority of cases, patients may require surgery for multiple adenomas, a condition called parathyroid hyperplasia which affect all 4 glands, and in very rare cases a parathyroid cancer.

Robotic Surgery​ is a breakthrough technology now available as Specialist Surgery. Until recently, your options included traditional open surgery with a large incision or laparoscopic ‘key-hole’ surgery, which uses small incisions but is often limited to simple procedures given the limitations of the rigid hand instruments. This state-of-the-art technology offers another category of minimally invasive ‘key-hole’ surgery that may be an option for you. It is an effective alternative to both open and laparoscopic surgery.

The da Vinci Robotic Surgical System

is set to revolutionise ‘key-hole’ surgery. It is anticipated it will soon replace all endoscopic procedures given its superior features and benefits of current minimally invasive ‘key-hole’ surgery by providing the surgeons with all of the clinical and technical capabilities of traditional ‘open’ surgery, while still enabling them to operate within the most confined areas of the body through a few tiny skin incisions. 

thyroid & Parathyroid

Robotic Surgery


London Thyroid Surgeons


Keyhole Surgery (Also known as

Minimally Invasive Video Assisted Thyroidectomy - MIVAT)  With Keyhole Surgery, the surgeon uses a special high-definition endoscope and video screen to operate on the thyroid (and parathyroid) glands through tiny incisions. An advanced Ultrasonic ‘Harmonic’ scalpel is used to precisely cut and seal blood vessels around the thyroid gland. Most patients, after the MIVAT technique, have significantly less post-operative pain than after a conventional ‘open’ surgery, less problems with swallowing and they recover much faster overall. Patients often return to work after just 1 week. Most patients are discharged early the next morning.  In some patients it can be performed as a day-case procedure. The incision is either closed using surgical glue or dissolvable stitches requiring minimal care.

Advantages over conventional open surgery includes:

  • Small ‘cosmetic’ incision
  • Less pain and swelling
  • Faster recovery & return to work
  • Reduced scarring
  • Patients may be treated as day-case.