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Initial experience with robot-assisted modified radical neck dissection for the management of thyroid carcinoma with lateral neck node metastasis

DC FieldValueLanguage
dc.contributor.author유행랑-
dc.contributor.author이소희-
dc.contributor.author정웅윤-
dc.contributor.author정종주-
dc.contributor.author강상욱-
dc.contributor.author남기헌-
dc.contributor.author박정수-
dc.date.accessioned2015-04-23T17:42:36Z-
dc.date.available2015-04-23T17:42:36Z-
dc.date.issued2010-
dc.identifier.issn0039-6060-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/102980-
dc.description.abstractBACKGROUND: Since the introduction of endoscopic techniques in thyroid surgery, several trials of endoscopic lateral neck dissection have been conducted with the aim of avoiding a long cervical scar, but these endoscopic procedures require more effort than open surgery, mainly because of the relatively nonsophisticated instruments used. However, the recent introduction of surgical robotic systems has simplified the operations and increased the precision of endoscopic techniques. We have described our initial experience with robot-assisted modified radical neck dissection (MRND) in thyroid cancer using the da Vinci S system. METHODS: From October 2007 to October 2009, 33 patients with thyroid cancer with lateral neck lymph node (LN) metastases underwent robot-assisted thyroidectomy and additional robotic MRND using a gasless, transaxillary approach. Clinicopathologic data were analyzed retrospectively. RESULTS: Mean patient age was 37 ± 9 years and the gender ratio (male to female) was 7:26. The mean operating time was 281 ± 41 minutes and mean postoperative hospital stay was 5.4 ± 1.6 days. The mean tumor size was 1.1 ± 0.5 cm and 20 cases (61%) had papillary thyroid microcarcinoma. The mean number of retrieved LNs was 6.1 ± 4.4 in the central neck compartment and 27.7 ± 11.0 in the lateral compartment. No serious postoperative complications, such as Horner's syndrome or major nerve injury, occurred. CONCLUSION: Robot-assisted MRND is technically feasible, safe, and produces excellent cosmetic results. Based on our initial experience, robot-assisted MRND should be viewed as an acceptable alternative method in patients with low-risk, well-differentiated thyroid cancer with lateral neck node metastasis.-
dc.description.statementOfResponsibilityopen-
dc.format.extent1214~1221-
dc.relation.isPartOfSURGERY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAxilla/pathology-
dc.subject.MESHFemale-
dc.subject.MESHFunctional Laterality-
dc.subject.MESHHumans-
dc.subject.MESHLength of Stay-
dc.subject.MESHLymph Node Excision/methods*-
dc.subject.MESHLymph Nodes/pathology*-
dc.subject.MESHLymph Nodes/surgery-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHNeck/surgery-
dc.subject.MESHNeoplasm Staging-
dc.subject.MESHRobotics/methods*-
dc.subject.MESHSurgical Flaps/pathology-
dc.subject.MESHSurgical Instruments-
dc.subject.MESHThyroid Gland/anatomy & histology-
dc.subject.MESHThyroid Neoplasms/pathology-
dc.subject.MESHThyroid Neoplasms/surgery*-
dc.subject.MESHTreatment Outcome-
dc.subject.MESHYoung Adult-
dc.titleInitial experience with robot-assisted modified radical neck dissection for the management of thyroid carcinoma with lateral neck node metastasis-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Surgery (외과학)-
dc.contributor.googleauthorSang-Wook Kang-
dc.contributor.googleauthorSo Hee Lee-
dc.contributor.googleauthorHaeng Rang Ryu-
dc.contributor.googleauthorKang Young Lee-
dc.contributor.googleauthorJong Ju Jeong-
dc.contributor.googleauthorKee-Hyun Nam-
dc.contributor.googleauthorWoong Youn Chung-
dc.contributor.googleauthorCheong Soo Park-
dc.identifier.doi10.1016/j.surg.2010.09.016-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA02531-
dc.contributor.localIdA02886-
dc.contributor.localIdA03674-
dc.contributor.localIdA03722-
dc.contributor.localIdA00032-
dc.contributor.localIdA01646-
dc.contributor.localIdA01245-
dc.relation.journalcodeJ02700-
dc.identifier.eissn1532-7361-
dc.identifier.pmid21134554-
dc.identifier.urlhttp://www.sciencedirect.com/science/article/pii/S0039606010005088-
dc.contributor.alternativeNameRyu, Haeng Rang-
dc.contributor.alternativeNameLee, So Hee-
dc.contributor.alternativeNameChung, Woung Youn-
dc.contributor.alternativeNameJeong, Jong Ju-
dc.contributor.alternativeNameKang, Sang Wook-
dc.contributor.alternativeNameNam, Ki Heon-
dc.contributor.alternativeNamePark, Cheong Soo-
dc.contributor.affiliatedAuthorRyu, Haeng Rang-
dc.contributor.affiliatedAuthorLee, So Hee-
dc.contributor.affiliatedAuthorChung, Woung Youn-
dc.contributor.affiliatedAuthorJeong, Jong Ju-
dc.contributor.affiliatedAuthorKang, Sang Wook-
dc.contributor.affiliatedAuthorPark, Cheong Soo-
dc.citation.volume148-
dc.citation.number6-
dc.citation.startPage1214-
dc.citation.endPage1221-
dc.identifier.bibliographicCitationSURGERY, Vol.148(6) : 1214-1221, 2010-
dc.identifier.rimsid35137-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

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