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Comparison of endoscopic and robotic thyroidectomy.

Authors
 J. Lee  ;  J. H. Lee  ;  K. Y. Nah  ;  E. Y. Soh  ;  W. Y. Chung 
Citation
 ANNALS OF SURGICAL ONCOLOGY, Vol.18(5) : 1439-1446, 2011 
Journal Title
ANNALS OF SURGICAL ONCOLOGY
ISSN
 1068-9265 
Issue Date
2011
MeSH
Adenoma/pathology ; Adenoma/surgery* ; Adult ; Aged ; Carcinoma, Papillary/pathology ; Carcinoma, Papillary/surgery* ; Endoscopy* ; Female ; Humans ; Hyperplasia/pathology ; Hyperplasia/surgery* ; Learning Curve ; Male ; Middle Aged ; Robotics/instrumentation ; Robotics/methods* ; Thyroid Neoplasms/pathology ; Thyroid Neoplasms/surgery* ; Thyroidectomy* ; Treatment Outcome ; Young Adult
Keywords
Differentiate Thyroid Carcinoma ; Endoscopic Thyroidectomy ; Robotic Thyroidectomy ; Cervical Lymph Node Dissection ; Robot Group
Abstract
BACKGROUND: Endoscopic thyroidectomy is a technically challenging procedure. Robot-assisted thyroidectomy has been recently introduced and offers improved visualization and dexterity. The present study compared conventional endoscopic and robotic thyroidectomy for thyroid cancer patients in terms of perioperative outcomes and learning curve. All operations were performed by the same surgeon.

MATERIALS AND METHODS: Between April 2007 and March 2010, 96 patients underwent endoscopic thyroidectomy (endoscopy group) and 163 patients underwent robotic thyroidectomy (robot group). A gasless transaxillary approach was used in both groups. The 2 groups were compared in terms of patient characteristics, perioperative clinical results, complications, and pathologic details. Learning curves for the 2 procedures were compared based on the number of cases required to reach a consistent operation time.

RESULTS: Patient characteristics were similar for both groups. The mean total operation time for thyroidectomy with central compartment neck dissection was 142.7 ± 52.1 min in the endoscopy group and 110.1 ± 50.7 min in the robot group (P = .041). Both patient groups were similar in terms of pathological features including TNM stage, intraoperative blood loss, length of hospital stay, and complication rate. However, the mean number of retrieved central lymph nodes was 2.4 ± 1.9 for the endoscopy group and 4.5 ± 1.5 for the robot group (P = .004). The learning curve was 55-60 cases for endoscopic thyroidectomy and 35-40 cases for robotic thyroidectomy.

CONCLUSION: Robotic thyroidectomy was found to be superior to endoscopic thyroidectomy in terms of operation time, lymph node retrieval, and learning curve. Complication rates and postoperative hospital stay were similar for the 2 procedures.
Full Text
http://link.springer.com/article/10.1245%2Fs10434-010-1486-1
DOI
10.1245/s10434-010-1486-1
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Chung, Woong Youn(정웅윤)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/93231
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