Early experience of transoral thyroidectomy: Comparison of robotic and endoscopic procedures

Tae, Kyung; Lee, Dong Won; Song, Chang Myeon; Ji, Yong Bae; Park, Jung Hwan; Kim, Dong Sun; Tufano, Ralph P.

doi:10.1002/hed.25426

Cited by 44 publications

(52 citation statements)

References 35 publications

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“…However, most studies of transoral thyroidectomy are case series with relatively small sample sizes, and there are only a few studies involving more than 100 cases . Transoral robotic thyroidectomy is performed in a very limited number of centers, and its surgical outcomes are not well determined. Hence, in this study, we evaluated the safety and efficacy of transoral robotic and endoscopic thyroidectomy in the first 100 patients, focusing on safety and complications.…”

Section: Discussionmentioning

confidence: 99%

“…Transoral thyroidectomy includes the sublingual approach and the oral vestibular approach, as well as other modifications with or without CO 2 insufflation . The oral vestibular approach has been the most popular recently, and transoral robotic and endoscopic thyroidectomy has been found to be feasible and safe in properly selected patients . Also some studies have compared the transoral and conventional transcervical approaches, and reported similar outcomes in the two .…”

Section: Introductionmentioning

confidence: 99%

“…We have performed transoral robotic and endoscopic thyroidectomy since 2017, and have reported our early experience previously . The aim of the present study was to evaluate the safety and effectiveness of transoral thyroidectomy by comparing the first 100 cases with conventional thyroidectomy.…”

Section: Introductionmentioning

confidence: 99%

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Safety and efficacy of transoral robotic and endoscopic thyroidectomy: The first 100 cases

Tae

Song

et al. 2019

Head & Neck

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Background: The aim of this study was to evaluate the safety and efficacy of transoral robotic and endoscopic thyroidectomy. Methods:We analyzed and compared the first 100 cases of transoral robotic (71 cases) and endoscopic (29 cases) thyroidectomy with 207 cases of conventional transcervical thyroidectomy. Results: Transoral thyroidectomy was completed successfully in all patients, except for three who were converted to the robotic facelift or transcervical approach. The mean operative time of the transoral procedure was significantly longer than that of the conventional procedure. Perioperative complications such as hypoparathyroidism, vocal cord palsy, hematoma, and seroma did not differ between the two groups. However, there were some unusual complications such as CO 2 embolism, surgical site infection, skin trauma, burn, and ecchymosis in transoral thyroidectomy. Postoperative cosmesis was significantly better in the transoral group.Conclusion: Transoral robotic and endoscopic thyroidectomy is feasible and comparable to conventional transcervical thyroidectomy in highly selected patients. K E Y W O R D Sendoscopic thyroidectomy, remote access thyroidectomy, robotic thyroidectomy, thyroid nodule, transoral thyroidectomy

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Safety and efficacy of transoral robotic and endoscopic thyroidectomy: The first 100 cases

Tae

Song

et al. 2019

Head & Neck

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“…Of the various remote access thyroidectomy procedures, the transoral vestibular approach, using endoscopy or a surgical robot, has been popularized and adopted worldwide due to its decreased surgical morbidity and superior cosmesis 1‐8 …”

Section: Introductionmentioning

confidence: 99%

Sensory change in the chin and neck after transoral thyroidectomy: Prospective study of mental nerve injury

et al. 2020

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Background: The study aimed to evaluate the sensory changes on the chin and neck in transoral thyroidectomy. Methods: We prospectively assessed the cutaneous sensation of 10 zones of the chin, face, and neck in 43 patients who underwent transoral robotic or endoscopic thyroidectomy using the Semmes-Weinstein monofilaments test, preoperatively and postoperatively at 1 week, 1 month, and 3 months. Results: The sensation of the chin and lower lip did not differ before and after surgery. However, the pressure threshold of the submental and level VI area increased significantly after surgery, and returned to the preoperative level 1 month and 3 months postoperatively, respectively. Conclusion: In terms of mental nerve injury, transoral thyroidectomy is safe when performed successfully. However, proper placement of oral vestibular incisions and minimal dissection of the chin is essential to avoid mental nerve injury.

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“…We have performed robotic and endoscopic surgery for the thyroid, parathyroid or submandibular glands, as well as branchial cleft cysts and other neck masses, since 2005, using transaxillary, postauricular facelift and transoral approaches [4][5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Robot-assisted excision of thyroglossal duct cyst by a postauricular facelift approach.

Lee

Tae

2019

Videosurgery and Other Miniinvasive Techniques

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AimHerein, we describe the surgical procedure used and the early surgical outcomes of this novel technique based on our experience of six cases. A b s t r a c tIntroduction: A trend towards robotic scarless surgery using remote site incisions has developed in head and neck surgery for better cosmetic outcomes. We have carried out robot-assisted excision of thyroglossal duct cysts (TGDC) by a postauricular facelift approach to avoid visible scars in the central neck related to the trans-cervical Sistrunk operation. Aim: To evaluate the technical feasibility and safety of robot-assisted excision of TGDC by a postauricular facelift approach. Material and methods: Six patients who underwent robot-assisted excision of TGDC by a postauricular facelift approach were analyzed. Results: The robotic procedures were done successfully in all patients, without any conversion to a trans-cervical approach or incomplete removal of the lesions. In terms of cosmetic satisfaction, three patients were "very satisfied" and three were "satisfied". Conclusions: Robot-assisted Sistrunk operations for TGDC by a postauricular facelift approach are feasible and safe and yield excellent postoperative cosmesis.

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Early experience of transoral thyroidectomy: Comparison of robotic and endoscopic procedures

Cited by 44 publications

References 35 publications

Safety and efficacy of transoral robotic and endoscopic thyroidectomy: The first 100 cases

Safety and efficacy of transoral robotic and endoscopic thyroidectomy: The first 100 cases

Sensory change in the chin and neck after transoral thyroidectomy: Prospective study of mental nerve injury

Robot-assisted excision of thyroglossal duct cyst by a postauricular facelift approach.

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