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Robot-Assisted Neck Dissection via a Transaxillary and Retroauricular Approach Versus a Conventional Transcervical Approach in Papillary Thyroid Cancer with Cervical Lymph Node Metastases

 Kim Won Shik  ;  Koh Yoon Woo  ;  Byeon Hyung Kwon  ;  Park Young Min  ;  Chung Hyo Jin  ;  Kim Eun Sung  ;  Lee Eun Jung  ;  Park Sang Chul  ;  Choi Eun Chang 
 Journal of Laparoendoscopic & Advanced Surgical Techniques, Vol.24(6) : 367-372, 2014 
Journal Title
 Journal of Laparoendoscopic & Advanced Surgical Techniques 
Issue Date
Adult ; Aged ; Carcinoma/pathology ; Carcinoma/surgery* ; Carcinoma, Papillary ; Female ; Humans ; Lymph Nodes/pathology ; Lymphatic Metastasis/pathology ; Male ; Middle Aged ; Neck Dissection/adverse effects ; Neck Dissection/methods* ; Operative Time ; Republic of Korea ; Robotic Surgical Procedures/methods* ; Thyroid Neoplasms/pathology ; Thyroid Neoplasms/surgery* ; Thyroidectomy/adverse effects ; Thyroidectomy/methods* ; Treatment Outcome
Background: Recently, robot-assisted neck dissection (ND) using a transaxillary approach in thyroid cancer patients with lateral neck metastases (LNM) was demonstrated to be feasible. The aim of this study was to compare the surgical outcomes of a modified transaxillary and retroauricular (TARA) versus a conventional transcervical approach in papillary thyroid carcinoma (PTC) patients with LNM. Patients and Methods: In total, 47 patients with PTC underwent total thyroidectomy with central compartment ND and modified radical ND except Level I. Twenty-two NDs were performed via the TARA approach, and 25 unilateral NDs were performed via the conventional transcervical approach. Results: The TARA and the open ND groups consisted of 22 and 25 patients, respectively. The operation time for ND in the TARA group was longer than that in the open ND group (209.4±38.2 minutes versus 143.1±30.5 minutes; P=.000). The mean scar satisfaction score in the TARA group was higher than in the conventional ND group (3.9±1.0 versus 2.8±1.0; P=.000). There were no differences in the mean number of retrieved lymph nodes. Conclusions: The robot-assisted ND via the TARA approach can be an alternative option that produces excellent esthetic results for the management of LNM in PTC patients.
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1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Kho, Yoon Woo(고윤우)
Kim, Won Shik(김원식)
Park, Sang Chul(박상철)
Byeon, Hyung Kwon(변형권)
Chung, Hyo Jin(정효진)
Choi, Eun Chang(최은창)
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