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

Perioperative clinical outcomes after robotic thyroidectomy for thyroid carcinoma: a multicenter study,10.1007/s00464-010-1296-3,Surgical Endoscopy an

Perioperative clinical outcomes after robotic thyroidectomy for thyroid carcinoma: a multicenter study   (Citations: 8)
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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.
Journal: Surgical Endoscopy and Other Interventional Techniques - SURG ENDOSC , vol. 25, no. 3, pp. 906-912, 2011
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    • ...Chung and colleagues defined the indications for robotic transaxillary thyroidectomy as well-differentiated thyroid carcinoma less than 2 cm without extrathyroidal extension, lateral lymph node metastasis, and distant metastasis [25]...
    • ...Lee [25] 1,043 RATT PTC (1,041) Total (366) CCND (940) 1 (878) 0.8 132.4 2.9 Permanent RLN injury (5); brachial plexus neuropraxia (3); hematoma (5); seroma (21); transient hypocalcemia (192); tracheal injury (3); transient hoarseness (45); Horner’s syndrome (1); chyle leakage (12) FTC (2) Subtotal (677) SLND (11) II (7)...
    • ...Moreover, in a multicenter study, Lee et al. [25] also reported that robotic thyroidectomy using a gasless transaxillary approach for thyroid malignancy provided similar outcomes compared with open or endoscopic procedures...

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

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