Robotic thyroidectomy using bilateral axillo-breast approach: Comparison of surgical results with open conventional thyroidectomy

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15 Citations (Scopus)

Abstract

Background: The aim of the present study was to compare the surgical outcomes of robotic thyroidectomy using the bilateral axillo-breast approach (BABA) with open conventional thyroidectomy. Methods: Database of patients who underwent thyroidectomy with cervical lymph node dissection after diagnosed as papillary thyroid carcinoma between July 2008 and February 2013 were examined. Clinicopathologic characteristics, surgical outcomes, and postoperative morbidities of robot group and open group were investigated. Results: The dominant tumor size (P = 0.974), body mass index (BMI) (P = 0.426), and the mean number of metastatic lymph nodes in central compartment neck dissection (P = 0.269) were comparable between the two groups. The mean number of retrieved central lymph nodes was higher in the open group than in the robot group (P = 0.001). Postoperative complications were comparable: hypoparathyroidism in 2 weeks (P = 0.296) and 3 months (P = 0.446) after the surgery; vocal cord palsy in 2 weeks (P = 0.363) and 3 months (P = 0.312); hematoma (P = 0.162); and wound infection (P = 0.421). Conclusions: Robotic thyroidectomy using BABA may be a technically feasible and safe procedure comparable to conventional open surgery especially in node-negative patients.

Original languageEnglish
Pages (from-to)141-145
Number of pages5
JournalJournal of Surgical Oncology
Volume111
Issue number2
DOIs
Publication statusPublished - 2015 Jan 1

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Thyroidectomy
Robotics
Breast
Lymph Nodes
Vocal Cord Paralysis
Hypoparathyroidism
Neck Dissection
Wound Infection
Lymph Node Excision
Hematoma
Body Mass Index
Databases
Morbidity
Neoplasms

Keywords

  • Bilateral axillo-breast approach
  • Oncoplastic thyroid surgery
  • Robotic thyroidectomy

ASJC Scopus subject areas

  • Surgery
  • Oncology

Cite this

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title = "Robotic thyroidectomy using bilateral axillo-breast approach: Comparison of surgical results with open conventional thyroidectomy",
abstract = "Background: The aim of the present study was to compare the surgical outcomes of robotic thyroidectomy using the bilateral axillo-breast approach (BABA) with open conventional thyroidectomy. Methods: Database of patients who underwent thyroidectomy with cervical lymph node dissection after diagnosed as papillary thyroid carcinoma between July 2008 and February 2013 were examined. Clinicopathologic characteristics, surgical outcomes, and postoperative morbidities of robot group and open group were investigated. Results: The dominant tumor size (P = 0.974), body mass index (BMI) (P = 0.426), and the mean number of metastatic lymph nodes in central compartment neck dissection (P = 0.269) were comparable between the two groups. The mean number of retrieved central lymph nodes was higher in the open group than in the robot group (P = 0.001). Postoperative complications were comparable: hypoparathyroidism in 2 weeks (P = 0.296) and 3 months (P = 0.446) after the surgery; vocal cord palsy in 2 weeks (P = 0.363) and 3 months (P = 0.312); hematoma (P = 0.162); and wound infection (P = 0.421). Conclusions: Robotic thyroidectomy using BABA may be a technically feasible and safe procedure comparable to conventional open surgery especially in node-negative patients.",
keywords = "Bilateral axillo-breast approach, Oncoplastic thyroid surgery, Robotic thyroidectomy",
author = "Kwak, {Hee Yong} and Kim, {Hoon Yub} and Lee, {Hye Yoon} and Jung, {Seung Pil} and Woo, {Sang- Uk} and Son, {Gil Soo} and Lee, {Jae Bok} and Bae, {Jeoung Won}",
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AU - Kwak, Hee Yong

AU - Kim, Hoon Yub

AU - Lee, Hye Yoon

AU - Jung, Seung Pil

AU - Woo, Sang- Uk

AU - Son, Gil Soo

AU - Lee, Jae Bok

AU - Bae, Jeoung Won

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N2 - Background: The aim of the present study was to compare the surgical outcomes of robotic thyroidectomy using the bilateral axillo-breast approach (BABA) with open conventional thyroidectomy. Methods: Database of patients who underwent thyroidectomy with cervical lymph node dissection after diagnosed as papillary thyroid carcinoma between July 2008 and February 2013 were examined. Clinicopathologic characteristics, surgical outcomes, and postoperative morbidities of robot group and open group were investigated. Results: The dominant tumor size (P = 0.974), body mass index (BMI) (P = 0.426), and the mean number of metastatic lymph nodes in central compartment neck dissection (P = 0.269) were comparable between the two groups. The mean number of retrieved central lymph nodes was higher in the open group than in the robot group (P = 0.001). Postoperative complications were comparable: hypoparathyroidism in 2 weeks (P = 0.296) and 3 months (P = 0.446) after the surgery; vocal cord palsy in 2 weeks (P = 0.363) and 3 months (P = 0.312); hematoma (P = 0.162); and wound infection (P = 0.421). Conclusions: Robotic thyroidectomy using BABA may be a technically feasible and safe procedure comparable to conventional open surgery especially in node-negative patients.

AB - Background: The aim of the present study was to compare the surgical outcomes of robotic thyroidectomy using the bilateral axillo-breast approach (BABA) with open conventional thyroidectomy. Methods: Database of patients who underwent thyroidectomy with cervical lymph node dissection after diagnosed as papillary thyroid carcinoma between July 2008 and February 2013 were examined. Clinicopathologic characteristics, surgical outcomes, and postoperative morbidities of robot group and open group were investigated. Results: The dominant tumor size (P = 0.974), body mass index (BMI) (P = 0.426), and the mean number of metastatic lymph nodes in central compartment neck dissection (P = 0.269) were comparable between the two groups. The mean number of retrieved central lymph nodes was higher in the open group than in the robot group (P = 0.001). Postoperative complications were comparable: hypoparathyroidism in 2 weeks (P = 0.296) and 3 months (P = 0.446) after the surgery; vocal cord palsy in 2 weeks (P = 0.363) and 3 months (P = 0.312); hematoma (P = 0.162); and wound infection (P = 0.421). Conclusions: Robotic thyroidectomy using BABA may be a technically feasible and safe procedure comparable to conventional open surgery especially in node-negative patients.

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