Robotic thyroidectomy by bilateral axillo-breast approach: review of 1026 cases and surgical completeness

Abstract

BABA RoT is a safe and effective method that provides good surgical completeness and has low rates of postoperative complications and recurrence.

Oncoplastic Thyroid Surgery Using A Bilateral Axillo-Breast Approach

“…5 Other studies found that sTg levels at the first RAI treatment were similar in patients who underwent BABA RT and OT. 3,6,7,9,11 sTg levels at diagnostic whole body scan after RAI ablation were also similar in patients who underwent BABA RT and OT (1.01±2.16 vs. 1.17±3.73, p=0.778 ), 13,14 as was RAI uptake rate at the first whole body scan (11.1% vs. 5.9%, p=0.564).…”

“…Permanent RLN injury was observed in 0.2% of patients in one study, but not in other studies. [5][6][7][8][9][10] In addition, rates of transient and permanent RLN injury did not differ significantly in patients undergoing BABA RT and OT. [6][7][8][9]11 In BABA RT, intraoperative neuromonitoring (IONM) has been used to identify the RLN and to assess vocal cord function.…”

“…In some studies, transient and permanent hypoparathyroidism were classified as abnormalities lasting less than and more than 6 months, respectively. [5][6][7]11 In other institution, transient and permanent hypoparathyroidism were based on low serum Ca and PTH levels and the need for Ca supplementation 1 year after BABA RT. 8 The rate of permanent hypoparathyroidism in patients who underwent BABA RT was less than 2%.…”

“…8 The rate of permanent hypoparathyroidism in patients who underwent BABA RT was less than 2%. [5][6][7][8][9][10][11] Moreover, in five studies that compared BABA RT and OT, the incidence of permanent hypoparathyroidism was comparable in the two groups. [6][7][8][9]11 Other complications…”

“…In the study with the largest patient population, four patients experienced hematoma, but none had postoperative bleeding requiring reoperation. 5 …”