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Robotic thyroidectomy by a gasless unilateral axillo-breast or axillary approach: our early experiences

Robotic thyroidectomy by a gasless unilateral axillo-breast or axillary approach: our early experiences,10.1007/s00464-010-1163-2,Surgical Endoscopy a

Robotic thyroidectomy by a gasless unilateral axillo-breast or axillary approach: our early experiences   (Citations: 9)
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Background  Various endoscopic thyroidectomy procedures have been designed to minimize visible scarring. However, endoscopic thyroidectomies have some limitations in obtaining adequate surgical views and in the precise manipulations of the endoscopic instrument. Recently, robotic technology has been applied to thyroid surgery. The aim of this study was to determine the technical feasibility, intraoperative safety, and efficacy of robotic thyroidectomy. Methods  We analyzed 41 patients with thyroid nodules who underwent robot-assisted endoscopic thyroidectomy from October 2008 to August 2009 using a gasless unilateral axillo-breast or axillary approach with a da Vinci S Surgical System robot at Hanyang University Hospital, Seoul, Korea. We also compared the early surgical outcomes of robotic thyroidectomies with those of 167 patients who underwent conventional open thyroidectomies during the same period. Results  In the robotic group, there were more female patients (P = 0.001) and the mean age was younger than that of the open thyroidectomy group (P < 0.001). The robotic thyroidectomy surgical procedure was completed successfully in all patients. Unilateral lobectomy was performed in 29 patients and total thyroidectomy was performed in 10 patients. The rate of central compartment neck dissection (CCND) for thyroid cancer was not different between the two groups (P = 0.127). The operative time was longer and the amount of drainage was higher in the robotic group than the open group (P P = 0.002, respectively). The complication rate was not different between the two groups. The postoperative pain score of the neck and anterior chest was not different between the two groups except the anterior chest pain score at postoperative week 1. The cosmetic satisfaction was greater in the robotic group (P < 0.001). Conclusion  Robot-assisted endoscopic thyroidectomy by a gasless unilateral axillo-breast or axillary approach using a da Vinci S Surgical System robot is a safe, feasible, and cosmetically excellent procedure. It can be a promising alternative to endoscopic thyroidectomy or conventional open thyroidectomy.
Journal: Surgical Endoscopy and Other Interventional Techniques - SURG ENDOSC , vol. 25, no. 1, pp. 221-228, 2011
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    • ...Tae et al. [1] reported their comprehensive experience on endoscopic thyroidectomy...

    Gianlorenzo Dionigiet al. Evolution of endoscopic thyroidectomy

    • ...A number of studies have compared RT with the conventional open technique [16, 27, 28]...
    • ... [16] reported a shorter operation time, fewer postoperative complications, and a similar number of retrieved lymph nodes for RT. In a prospective study comparing the open procedure with RT, Lee et al. [28] showed an excellent cosmetic outcome, reduced postoperative neck and swallowing discomfort, similar pain level and number of retrieved central lymph nodes, but higher operative times for RT. In another comparison study by Tae et al. [ ...
    • ...Tae [27] 41 RATT PTC (27) Total (10) CCND (24) NR 1.63 179 6.4 Transient RLN palsy (1); transient hypocalcemia (2); seroma (2)...

    Volkan Gencet al. Robotic endocrine surgery: technical details and review of the literat...

    • ...I would like to thank Dr. Dionigi et al. for their interest in our paper entitled ‘‘Robotic Thyroidectomy by Gasless Unilateral Axillo-Breast or Axillary Approach: Our Early Experiences’’ [1]...
    • ...The area dissected to expose the thyroid gland, the amount of drainage, and postoperative pain were more than with open thyroidectomy [1, 3]...

    Kyung Tae. Reply to: Evolution of endoscopic thyroidectomy (10.1007/s00464-011-17...

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