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Perioperative clinical outcomes after robotic thyroidectomy for thyroid carcinoma: a multicenter study

Authors
 Jandee Lee  ;  Jong Ho Yun  ;  Kee Hyun Nam  ;  Un Jong Choi  ;  Woong Youn Chung  ;  Euy-Young Soh 
Citation
 SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, Vol.25(3) : 906-912, 2011 
Journal Title
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
ISSN
 0930-2794 
Issue Date
2011
MeSH
Adenocarcinoma, Follicular/secondary ; Adenocarcinoma, Follicular/surgery* ; Adolescent ; Adult ; Aged ; Axilla ; Carcinoma, Papillary/secondary ; Carcinoma, Papillary/surgery* ; Feasibility Studies ; Female ; Humans ; Length of Stay ; Lymphatic Metastasis ; Male ; Middle Aged ; Neck Dissection/methods ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Risk ; Robotics* ; Thyroid Neoplasms/surgery* ; Thyroidectomy/methods* ; Treatment Outcome ; Tumor Burden ; Young Adult
Keywords
Robot ; Thyroidectomy ; Transaxillary approach ; Multicenter study
Abstract
OBJECTIVES: Robotic thyroidectomy and lymph node dissection is rapidly emerging as an alternative to conventional endoscopic thyroidectomy for thyroid carcinoma. Robot techniques incorporate the advantages of endoscopic procedures while overcoming some of the problems. We present the largest multi-institution clinical study of robotic thyroidectomy for thyroid carcinomas. The robotic thyroidectomy involved gasless transaxillary approach using the da Vinci surgical robot system.

METHODS: We reviewed a database of 1,043 consecutive patients with low-risk differentiated thyroid carcinoma who underwent robotic thyroidectomy between October 2007 and August 2009. Operations were performed by five surgeons at four academic centers. We analyzed perioperative, clinical, and pathological data.

RESULTS: The study involved 71 men and 972 women, with a mean age of 39 (range, 15-70) years. All operations were performed successfully without any need for conventional open or endoscopic conversion. There were 366 total thyroidectomies and 677 subtotal thyroidectomies with cervical lymph node dissection. The mean overall operation time and console time were 132.4 and 63.9 min, respectively. There were ten (1%) major postoperative morbidities. The mean tumor size was 0.8 (range, 0.1-6.0) cm, and the mean number of retrieved central lymph nodes was 5.1 ± 3.8 (range, 0-26). The mean postoperative hospital stay was 2.9 (range, 1-8) days.

CONCLUSIONS: Robotic thyroidectomy using gasless transaxillary method was feasible, safe, and provided good outcomes for patients with differentiated thyroid carcinoma. Robotic technology overcame some technical limitations associated with conventional endoscopy
Full Text
http://link.springer.com/article/10.1007%2Fs00464-010-1296-3
DOI
10.1007/s00464-010-1296-3
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Nam, Kee Hyun(남기현) ORCID logo https://orcid.org/0000-0002-6852-1190
Chung, Woong Youn(정웅윤)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/93232
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