A Comparison of Robotic Versus Open Thyroidectomy for Papillary Thyroid Cancer

Paek, Se Hyun; Kang, Kyung Ho; Park, Sung Jun

doi:10.1097/sle.0000000000000529

Cited by 17 publications

(17 citation statements)

References 19 publications

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“…Figure 2 shows that only T4 was performed in 100% of the cases and that Albumin, Calcium, Vitamin D and Parathyroid hormone were not performed in more than 50% of the cases. Similarly, preoperative and postoperative laryngoscopy was performed only in 1% and 24% respectively, thus making a complete analysis of the collected data impossible [21][22][23].…”

Section: Resultsmentioning

confidence: 99%

Postoperative Complications in Thyroidectomy Performed at Hospital Escuela Universitario and Hospital General San Felipe, Tegucigalpa MDC in 2018

Fes¹

2021

SMOAJ

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Introduction: Specific complications of thyroid surgery include injury to the recurrent laryngeal nerve and the parathyroid glands, without being exempt from other complications such as infection of the surgical site, bleeding, surgical wound dehiscence, and others. Methods:The present study is retrospective observational and aims to analyze the condition of thyroid surgery in the country, specifically in state hospitals in Tegucigalpa, its rate of complications and its relationship with associated factors before the procedure.Result: A total of 92 patients undergoing thyroid surgery were studied at the Hospital Escuela and Hospital General San Felipe by reviewing the clinical record. The preoperative status, comorbidities and the surgical procedure performed were recorded and were related to the main complications mentioned above. Conclusion:A global rate of complications related to laryngeal nerve injury of 15% and late hypocalcemia of 7% was found, which are higher than the incidences reported in international series, however these vary from 0% of recurrent laryngeal nerve injury in thyroidectomies subtotal up to 22% in radical dissections in patients with neo proliferative processes.

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Section: Resultsmentioning

confidence: 99%

Postoperative Complications in Thyroidectomy Performed at Hospital Escuela Universitario and Hospital General San Felipe, Tegucigalpa MDC in 2018

Fes¹

2021

SMOAJ

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“…To this effect the number of retrieved nodes needs to be evaluated. With respect to the aforementioned data on metastatic and retrieved lymph nodes, inter alia, a prospective comparison by Lee at al in 2014, 31 conclude that the number of dissected nodes with transaxillary robotic approach was comparable with that of open thyroidectomy, 31 – 37 thus fulfilling the criteria of oncological efficacy.…”

Section: Discussionmentioning

confidence: 97%

Robot-Assisted Thyroidectomy Versus Open Thyroidectomy in the Treatment of Well Differentiated Thyroid Carcinoma

Pavlidis

Psarras

Symeonidis

et al. 2021

JSLS

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Background: The incidence of thyroid cancer has increased worldwide during the last decade, becoming the most common endocrine malignancy and accounting for 3.8% of new cancer diagnosis. Surgical resection, namely conventional thyroidectomy, remains at the frontline of therapy, as surgical outcomes are undoubtedly successful. Minimally invasive techniques gained popularity through the years, in terms of feasibility, safety, and cosmesis. However, endoscopic approach could be characterized by some limitations concerning thyroid surgery. Robotic technology with its unique features was introduced to overcome these limitations. Since then, robotic thyroidectomy has been used for both benign and malignant thyroid disease. Database: This study presents the use of robot-assisted transaxillary thyroidectomy in well-differentiated thyroid carcinoma through an extensive review of the literature in the PubMed database, including previous meta-analyses and case series. Conclusion: In terms of oncological efficacy, morbidity, and quality of life, outcomes seem comparable in thyroid cancer patients undergoing either open or robotic thyroidectomy. Surgical completeness also appears similar. Moreover, the rates of locoregional recurrence and survival outcome at 5 years are similar between the former and the latter, thus confirming the oncological value of robotic thyroidectomy for differentiated thyroid cancer. In order for more surgeons to adopt robotic approaches several issues need to be resolved, namely: expansion of robotic thyroidectomy in treating larger well-differentiated carcinomas and neck dissection, equipment costs, and prolonged operation times.

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“…Some authors have added that using the da Vinci System in the treatment of PTC decreases the rate of complications without reducing oncological efficacy. 40 It has also been reported that the outcomes of RT may be similar to those of OT, possibly even with better preservation of the parathyroid blood supply. 40 With respect to postsurgical complications among the analyzed techniques, Lee et al 41 noted some benefits of RT.…”

Section: Postsurgical Complicationsmentioning

confidence: 91%

“…40 It has also been reported that the outcomes of RT may be similar to those of OT, possibly even with better preservation of the parathyroid blood supply. 40 With respect to postsurgical complications among the analyzed techniques, Lee et al 41 noted some benefits of RT. In their opinion, the 15-fold magnification in RT may increase the visibility of very small vessels, thus protecting the blood supply of the parathyroid glands.…”

Section: Postsurgical Complicationsmentioning

confidence: 91%

“…Some authors have emphasized that this delicate instrument allows for more precise dissection. 40 Moreover, in RT, the surgeon may control the traction force, while in OT, the surgeon does not have an absolute influence on assistance. According to some authors' opinion, inadequate surgical manipulation of the recurrent laryngeal nerve, such as a too-high traction force, is the most common cause of injury to this nerve.…”

Section: Postsurgical Complicationsmentioning

confidence: 99%

See 1 more Smart Citation

Thyroid cancer surgery – in what direction are we going? A mini-review

et al. 2020

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The prevalence of thyroid cancer, especially in women, is increasing dramatically. Therefore, patients often undergo thyroidectomy upon diagnosis. However, the cosmetic outcome after surgery is of particular concern for many patients. Thus, minimally invasive procedures for treating thyroid disease have been established in recent decades. Total endoscopic and robotic procedures have been slowly and successively introduced while meeting all oncological criteria. Our analysis of the advantages and disadvantages of scarless surgical procedures suggests that the cosmetic aspects of these surgeries will continue to become more important. This review assesses the recent findings regarding the roles of endoscopic and robotic procedures in thyroid cancer surgery.

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A Comparison of Robotic Versus Open Thyroidectomy for Papillary Thyroid Cancer

Abstract: Our study results show that outcomes of robotic thyroidectomy may be similar to that of conventional thyroidectomy, with possible better preservation of the parathyroid blood supply.

Cited by 17 publications

References 19 publications

Postoperative Complications in Thyroidectomy Performed at Hospital Escuela Universitario and Hospital General San Felipe, Tegucigalpa MDC in 2018

Postoperative Complications in Thyroidectomy Performed at Hospital Escuela Universitario and Hospital General San Felipe, Tegucigalpa MDC in 2018

Robot-Assisted Thyroidectomy Versus Open Thyroidectomy in the Treatment of Well Differentiated Thyroid Carcinoma

Thyroid cancer surgery – in what direction are we going? A mini-review

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