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Yonsei Experience of 5000 Gasless Transaxillary Robotic Thyroidectomies

DC Field Value Language
dc.contributor.author강상욱-
dc.contributor.author김민지-
dc.contributor.author김태형-
dc.contributor.author남기현-
dc.contributor.author이슬기-
dc.contributor.author이잔디-
dc.contributor.author이초록-
dc.contributor.author정웅윤-
dc.contributor.author정종주-
dc.contributor.author최정범-
dc.contributor.author이슬기-
dc.date.accessioned2018-11-16T16:46:09Z-
dc.date.available2018-11-16T16:46:09Z-
dc.date.issued2018-
dc.identifier.issn0364-2313-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/165306-
dc.description.abstractBACKGROUND: 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.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherSpringer International-
dc.relation.isPartOfWORLD JOURNAL OF SURGERY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdenocarcinoma, Papillary/surgery-
dc.subject.MESHAdenoma/surgery-
dc.subject.MESHAdult-
dc.subject.MESHFemale-
dc.subject.MESHGraves Disease/surgery-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHMinimally Invasive Surgical Procedures-
dc.subject.MESHOperative Time-
dc.subject.MESHPostoperative Complications/etiology-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHRobotic Surgical Procedures*/adverse effects-
dc.subject.MESHThyroid Diseases/surgery*-
dc.subject.MESHThyroid Neoplasms/surgery*-
dc.subject.MESHThyroidectomy/adverse effects-
dc.subject.MESHThyroidectomy/methods*-
dc.titleYonsei Experience of 5000 Gasless Transaxillary Robotic Thyroidectomies-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Surgery (외과학교실)-
dc.contributor.googleauthorMin Jhi Kim-
dc.contributor.googleauthorKee-Hyun Nam-
dc.contributor.googleauthorSeul Gi Lee-
dc.contributor.googleauthorJung Bum Choi-
dc.contributor.googleauthorTae Hyung Kim-
dc.contributor.googleauthorCho Rok Lee-
dc.contributor.googleauthorJandee Lee-
dc.contributor.googleauthorSang-Wook Kang-
dc.contributor.googleauthorJong Ju Jeong-
dc.contributor.googleauthorWoong Youn Chung-
dc.identifier.doi10.1007/s00268-017-4209-y-
dc.contributor.localIdA00032-
dc.contributor.localIdA04524-
dc.contributor.localIdA01083-
dc.contributor.localIdA01245-
dc.contributor.localIdA02909-
dc.contributor.localIdA03066-
dc.contributor.localIdA03256-
dc.contributor.localIdA03674-
dc.contributor.localIdA03722-
dc.contributor.localIdA04696-
dc.contributor.localIdA04626-
dc.relation.journalcodeJ02802-
dc.identifier.eissn1432-2323-
dc.identifier.pmid28879559-
dc.identifier.urlhttps://link.springer.com/article/10.1007%2Fs00268-017-4209-y-
dc.contributor.alternativeNameKang, Sang Wook-
dc.contributor.alternativeNameKim, Min Jhi-
dc.contributor.alternativeNameKim, Tae Hyung-
dc.contributor.alternativeNameNam, Kee Hyun-
dc.contributor.alternativeNameLee, Seul Gi-
dc.contributor.alternativeNameLee, Jan Dee-
dc.contributor.alternativeNameLee, Cho Rok-
dc.contributor.alternativeNameChung, Woung Youn-
dc.contributor.alternativeNameJeong, Jong Ju-
dc.contributor.alternativeNameChoi, Jung Bum-
dc.contributor.affiliatedAuthor강상욱-
dc.contributor.affiliatedAuthor김민지-
dc.contributor.affiliatedAuthor김태형-
dc.contributor.affiliatedAuthor남기현-
dc.contributor.affiliatedAuthor이슬기-
dc.contributor.affiliatedAuthor이잔디-
dc.contributor.affiliatedAuthor이초록-
dc.contributor.affiliatedAuthor정웅윤-
dc.contributor.affiliatedAuthor정종주-
dc.contributor.affiliatedAuthor최정범-
dc.contributor.affiliatedAuthor이슬기-
dc.citation.volume42-
dc.citation.number2-
dc.citation.startPage393-
dc.citation.endPage401-
dc.identifier.bibliographicCitationWORLD JOURNAL OF SURGERY, Vol.42(2) : 393-401, 2018-
dc.identifier.rimsid58720-
dc.type.rimsART-
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

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