0 685

Cited 54 times in

Yonsei Experience of 5000 Gasless Transaxillary Robotic Thyroidectomies

Authors
 Min Jhi Kim  ;  Kee-Hyun Nam  ;  Seul Gi Lee  ;  Jung Bum Choi  ;  Tae Hyung Kim  ;  Cho Rok Lee  ;  Jandee Lee  ;  Sang-Wook Kang  ;  Jong Ju Jeong  ;  Woong Youn Chung 
Citation
 WORLD JOURNAL OF SURGERY, Vol.42(2) : 393-401, 2018 
Journal Title
WORLD JOURNAL OF SURGERY
ISSN
 0364-2313 
Issue Date
2018
MeSH
Adenocarcinoma, Papillary/surgery ; Adenoma/surgery ; Adult ; Female ; Graves Disease/surgery ; Humans ; Male ; Middle Aged ; Minimally Invasive Surgical Procedures ; Operative Time ; Postoperative Complications/etiology ; Retrospective Studies ; Robotic Surgical Procedures*/adverse effects ; Thyroid Diseases/surgery* ; Thyroid Neoplasms/surgery* ; Thyroidectomy/adverse effects ; Thyroidectomy/methods*
Abstract
BACKGROUND:

Since the use of robot systems in thyroid surgery was introduced in 2007, we have advanced a novel method of robotic thyroidectomy (RT) using a gasless transaxillary approach (TAA). We report our experience with this technique and detail the surgical outcome of 5000 robotic thyroidectomies.

METHODS:

From October 2007 to May 2016, we successfully performed 5000 robotic thyroidectomies using a gasless TAA at the Department of Surgery, Yonsei University Health System. The medical records of the patients are reviewed retrospectively, and the details of clinicopathologic characteristics, operation times, perioperative complications, and oncologic outcomes are analyzed.

RESULTS:

The 5000 patients with thyroid tumor (4804 with cancer and 196 with benign tumor) underwent RT using a gasless TAA. Mean operation time was 134.5 ± 122.0 min. The most common histologic subtype of thyroid cancer was papillary (98%), and the mean tumor size was 8.0 ± 6.0 mm. Stage I was found in 85.4% patients regarding tumor nodes metastasis staging. The 196 benign tumors consisted of 104 adenomatous hyperplasias (53.0%), 43 follicular adenomas (21.9%), 30 Graves' diseases (15.3%), and 19 others (9.7%). Postoperative complication occurred in 24.1% without any serious one, and overall morbidity tended to decrease over time. No disease-specific mortality was observed during the follow-up period. Locoregional recurrence was developed in 26 patients (0.5%).

CONCLUSION:

The authors have tried to improve RT technique using gasless TAA and achieved acceptable surgical outcomes. The rapid evolution of surgical robot technology and our constant effort to advance RT technique using gasless TAA would make it possible to reduce the perioperative morbidity and gain the best possible operative and oncologic outcomes.
Full Text
https://link.springer.com/article/10.1007%2Fs00268-017-4209-y
DOI
10.1007/s00268-017-4209-y
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Yonsei Biomedical Research Center (연세의생명연구원) > 1. Journal Papers
Yonsei Authors
Kang, Sang Wook(강상욱) ORCID logo https://orcid.org/0000-0001-5355-833X
Kim, Min Jhi(김민지)
Kim, Tae Hyung(김태형)
Nam, Kee Hyun(남기현) ORCID logo https://orcid.org/0000-0002-6852-1190
Lee, Seul Gi(이슬기)
Lee, Seul Gi(이슬기) ORCID logo https://orcid.org/0000-0003-3233-7823
Lee, Jan Dee(이잔디) ORCID logo https://orcid.org/0000-0003-4090-0049
Lee, Cho Rok(이초록) ORCID logo https://orcid.org/0000-0001-7848-3709
Chung, Woong Youn(정웅윤)
Jeong, Jong Ju(정종주) ORCID logo https://orcid.org/0000-0002-4155-6035
Choi, Jung Bum(최정범)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/165306
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse

Links