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Transaxillary robotic modified radical neck dissection: a 5-year assessment of operative and oncologic outcomes

DC FieldValueLanguage
dc.contributor.author김민지-
dc.contributor.author김태형-
dc.contributor.author남기현-
dc.contributor.author반은정-
dc.contributor.author이잔디-
dc.contributor.author이초록-
dc.contributor.author정웅윤-
dc.contributor.author정종주-
dc.contributor.author조영석-
dc.contributor.author최정범-
dc.contributor.author이슬기-
dc.date.accessioned2017-11-02T08:17:13Z-
dc.date.available2017-11-02T08:17:13Z-
dc.date.issued2017-
dc.identifier.issn0930-2794-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/154296-
dc.description.abstractBACKGROUND: Robotic modified radical neck dissection (MRND) using a gasless transaxillary approach has been reported to be a safe and meticulous technique in patients with papillary thyroid carcinoma (PTC) and lateral neck node metastasis (N1b). Few studies, however, have attempted to assess the long-term oncologic outcomes of robotic MRND in these patients. This study aimed to compare perioperative and 5-year oncologic outcomes of robotic MRND with conventional open procedures in patients with N1b PTC. METHODS: Between September 2007 and February 2010, 193 patients with N1b PTC underwent total thyroidectomy and MRND by a single surgeon. Of these, 42 (21.8 %) underwent robotic procedures and 151 (78.2 %) underwent conventional open procedures. All patients received 3.7- to 5.5-GBq radioactive iodine (RAI) ablation, post-therapy whole-body scans (TxWBSs), and diagnostic WBS (DxWBSs) during follow-up. An exact 1:3 matching for age and stage was performed to minimize selection bias, and perioperative and 5-year oncologic outcomes were compared in the matched groups. RESULTS: The mean follow-up period was 66.0 months (range 60-90 months). Number of retrieved cervical lymph nodes (LNs) (p = .102) and postoperative ablation success rates (p = .864) were similar between the two groups. TSH-suppressed serum Tg concentrations after 5 years (0.7 ± 1.5 vs. 2.4 ± 14.1 ng/ml; p = .471) and recurrence rates in the robotic and open groups (1/41 [2.4 %] vs. 3/102 [2.9 %]; p = .864) were similar for the 5-year follow-up period. Four patients experienced recurrence: Three exhibited regional lymph node metastasis, and one showed bilateral lung metastases. CONCLUSION: The perioperative and 5-year oncologic outcomes were similar after robotic and conventional open MRND. Large, prospective randomized controlled trials with long-term follow-up data are needed to validate these results.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherSpringer-
dc.relation.isPartOfSURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES-
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.MESHCarcinoma, Papillary/mortality-
dc.subject.MESHCarcinoma, Papillary/pathology-
dc.subject.MESHCarcinoma, Papillary/surgery*-
dc.subject.MESHFemale-
dc.subject.MESHFollow-Up Studies-
dc.subject.MESHHumans-
dc.subject.MESHLength of Stay/statistics & numerical data-
dc.subject.MESHLymph Nodes/pathology*-
dc.subject.MESHLymphatic Metastasis/pathology-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHNeck Dissection*/methods-
dc.subject.MESHNeoplasm Recurrence, Local/pathology-
dc.subject.MESHNeoplasm Recurrence, Local/surgery*-
dc.subject.MESHProspective Studies-
dc.subject.MESHRobotic Surgical Procedures*-
dc.subject.MESHThyroid Neoplasms/mortality-
dc.subject.MESHThyroid Neoplasms/pathology-
dc.subject.MESHThyroid Neoplasms/surgery*-
dc.subject.MESHThyroidectomy*/methods-
dc.subject.MESHTreatment Outcome-
dc.subject.MESHWhole Body Imaging-
dc.titleTransaxillary robotic modified radical neck dissection: a 5-year assessment of operative and oncologic outcomes-
dc.typeArticle-
dc.publisher.locationGermany-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Surgery-
dc.contributor.googleauthorMin Jhi Kim-
dc.contributor.googleauthorJandee Lee-
dc.contributor.googleauthorSeul Gi Lee-
dc.contributor.googleauthorJung Bum Choi-
dc.contributor.googleauthorTae Hyung Kim-
dc.contributor.googleauthorEun Jeong Ban-
dc.contributor.googleauthorCho Rok Lee-
dc.contributor.googleauthorSang-Wook Kang-
dc.contributor.googleauthorJong Ju Jeong-
dc.contributor.googleauthorKee-Hyun Nam-
dc.contributor.googleauthorYoung Suk Jo-
dc.contributor.googleauthorWoong Youn Chung-
dc.identifier.doi10.1007/s00464-016-5146-9-
dc.contributor.localIdA03674-
dc.contributor.localIdA03722-
dc.contributor.localIdA03853-
dc.contributor.localIdA04696-
dc.contributor.localIdA03256-
dc.contributor.localIdA01083-
dc.contributor.localIdA01245-
dc.contributor.localIdA01782-
dc.contributor.localIdA03066-
dc.contributor.localIdA00032-
dc.contributor.localIdA04524-
dc.relation.journalcodeJ02703-
dc.identifier.eissn1432-2218-
dc.identifier.pmid27572060-
dc.identifier.urlhttps://link.springer.com/article/10.1007%2Fs00464-016-5146-9-
dc.subject.keywordLateral neck node metastasis-
dc.subject.keywordModified radical neck dissection-
dc.subject.keywordOncologic outcome-
dc.subject.keywordPapillary thyroid cancer-
dc.subject.keywordRobotic surgery-
dc.contributor.alternativeNameKim, Min Jhi-
dc.contributor.alternativeNameKim, Tae Hyung-
dc.contributor.alternativeNameNam, Kee Hyun-
dc.contributor.alternativeNameBan, Eun Jeong-
dc.contributor.alternativeNameLee, Jan Dee-
dc.contributor.alternativeNameLee, Cho Rok-
dc.contributor.alternativeNameChung, Woung Youn-
dc.contributor.alternativeNameJeong, Jong Ju-
dc.contributor.alternativeNameJo, Young Suk-
dc.contributor.alternativeNameChoi, Jung Bum-
dc.contributor.affiliatedAuthorChung, Woung Youn-
dc.contributor.affiliatedAuthorJeong, Jong Ju-
dc.contributor.affiliatedAuthorJo, Young Suk-
dc.contributor.affiliatedAuthorChoi, Jung Bum-
dc.contributor.affiliatedAuthorLee, Cho Rok-
dc.contributor.affiliatedAuthorKim, Tae Hyung-
dc.contributor.affiliatedAuthorNam, Kee Hyun-
dc.contributor.affiliatedAuthorBan, Eun Jeong-
dc.contributor.affiliatedAuthorLee, Jan Dee-
dc.contributor.affiliatedAuthorKang, Sang Wook-
dc.contributor.affiliatedAuthorKim, Min Jhi-
dc.citation.titleSurgical Endoscopy -
dc.citation.volume31-
dc.citation.number4-
dc.citation.startPage1599-
dc.citation.endPage1606-
dc.identifier.bibliographicCitationSURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, Vol.31(4) : 1599-1606, 2017-
dc.date.modified2017-11-01-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers

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