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Surgical complications after robotic thyroidectomy for thyroid carcinoma: a single center experience with 3,000 patients

Authors
 Eun Jeong Ban  ;  Ji Young Yoo  ;  Won Woong Kim  ;  Hae Young Son  ;  Seulkee Park  ;  So Hee Lee  ;  Cho Rok Lee  ;  Sang-Wook Kang  ;  Jong Ju Jeong  ;  Kee-Hyun Nam  ;  Woong Youn Chung  ;  Cheong Soo Park 
Citation
 SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, Vol.28(9) : 2555-2563, 2014 
Journal Title
 SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES 
ISSN
 0930-2794 
Issue Date
2014
MeSH
Adolescent ; Adult ; Aged ; Axilla ; Female ; Humans ; Male ; Middle Aged ; Postoperative Complications/epidemiology* ; Postoperative Complications/physiopathology ; Postoperative Complications/prevention & control ; Republic of Korea ; Retrospective Studies ; Robotic Surgical Procedures/methods* ; Thyroid Neoplasms/surgery* ; Thyroidectomy/methods* ; Young Adult
Keywords
Transaxillary robotic thyroidectomy ; Surgical complications ; Thyroid carcinoma
Abstract
BACKGROUND: Robotic thyroidectomy (RT), a new gasless, transaxillary approach developed by the Yonsei University group in Seoul, Korea, eliminates the need for a cervical incision. Since RT is technically complex and has a steep learning curve, the surgical complication rate may initially be higher than with conventional surgery. This study evaluated the complication rates of transaxillary RT and assessed ways to prevent surgical complications. METHODS: Between October 2007 and March 2013, 3,000 patients underwent RT for thyroid cancer in the Department of Surgery, Yonsei University College of Medicine at Severance Hospital, Seoul. The medical records of these patients were reviewed retrospectively, and surgical complications were assessed on the basis of clinical findings. RESULTS: The most common surgical complication was symptomatic hypocalcemia, of which 37.43 % cases were transient and 1.10 % permanent. Other surgical complications included recurrent laryngeal nerve injury (1.23 % transient, 0.27 % permanent), seroma (1.73 %), hematoma (0.37 %), chyle leakage (0.37 %), trachea injury (0.2 %), Horner's syndrome (0.03 %), carotid artery injury (0.03 %), and brachiocephalic vein injury (0.03 %). The technique-related complications, which were never seen in conventional open thyroidectomy, were axillary skin flap perforation (0.1 %), and traction injury of the arm on the side the lesion was located (0.13 %). CONCLUSIONS: Surgeons who have mastered standardized robotic surgical procedures and who understand potential complications and how to prevent them can perform RT safely.
Full Text
http://link.springer.com/article/10.1007%2Fs00464-014-3502-1
DOI
10.1007/s00464-014-3502-1
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Sang Wook(강상욱) ORCID logo https://orcid.org/0000-0001-5355-833X
Kim, Won Woong(김원웅)
Nam, Kee Hyun(남기현) ORCID logo https://orcid.org/0000-0002-6852-1190
Park, Seul Kee(박슬기) ORCID logo https://orcid.org/0000-0002-7639-1015
Park, Cheong Soo(박정수)
Ban, Eun Jeong(반은정)
Son, Hai Young(손해영)
Yoo, Ji Young(유지영)
Lee, So Hee(이소희)
Lee, Cho Rok(이초록) ORCID logo https://orcid.org/0000-0001-7848-3709
Chung, Woung Youn(정웅윤)
Jeong, Jong Ju(정종주) ORCID logo https://orcid.org/0000-0002-4155-6035
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/99379
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