Robotic thyroidectomy versus conventional open thyroidectomy for thyroid cancer: a systematic review and meta-analysis

Pan, Jinghua; Zhou, Hong; Zhao, Xiaoxu; Ding, Hui; Li, Wei; Qin, Li; Pan, Yun-long

doi:10.1007/s00464-017-5433-0

Cited by 67 publications

(83 citation statements)

References 52 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“… 6 , 7 Both transaxillary and retroauricular techniques are safe surgical options and provide better cosmetic outcomes by avoiding a visible central neck incision. A systematic review by Pan et al 8 also found that robotic thyroidectomy had less blood loss and a lower level of swallowing impairment when compared to open thyroidectomy.…”

Section: Introductionmentioning

confidence: 96%

Robotic Neck Surgery in the Pediatric Population

Garstka

Kang

et al. 2018

JSLS

View full text Add to dashboard Cite

Introduction:Thyroid, parathyroid, and thymus surgeries are traditionally performed via a cervical approach. However, robot-assisted procedures can provide a safe alternative for neck surgeries. We report our experiences with robotic transaxillary and retroauricular approaches in pediatric patients.Case Presentation:We conducted a retrospective review of pediatric patients who underwent robot-assisted neck surgery by a single surgeon between April 2010 and May 2017. Patient demographics and surgical outcomes including operative time, incidence of complications, and length of hospital stay were evaluated.Management and Outcomes:Nine surgeries in 7 female patients were reviewed (mean age, 16.0 ± 1.58 years; mean body mass index, 22.5 ± 0.75). Two thyroid lobectomies, 2 complete thyroidectomies, 1 subtotal thyroidectomy, 1 thyroid lobectomy with thymectomy, 2 subtotal parathyroidectomies with thymectomy, and 1 dermoid cyst excision were performed. Two surgeries with the retroauricular approach had a mean surgical time of 142.0 ± 6.13 minutes. Seven surgeries with the transaxillary approach had a mean surgical time of 146.1 ± 21.01 minutes. There were no reported conversions, permanent vocal cord paralysis, permanent hypoparathyroidism, hematoma, or seroma. There was 1 case (11%) of temporary shoulder hypoesthesia and 2 cases of temporary vocal cord paresis (22%).Discussion:This series on robot-assisted neck surgeries in children describes procedures performed with robotic transaxillary and retroauricular approaches. In the hands of a high-volume surgeon the techniques are feasible and safe options for operations in the neck in a select group of pediatric patients.

show abstract

Section: Introductionmentioning

confidence: 96%

Robotic Neck Surgery in the Pediatric Population

Garstka

Kang

et al. 2018

JSLS

View full text Add to dashboard Cite

show abstract

“…Despite all progress, the financial commitment and time sacrifice are the major limitations for a broad implementation of robotic thyroidectomy into daily routine. Despite our promising operative results, an expanded population from careful selection of eligible patients is mandatory, and future prospective trials should be conducted to evaluate long-term outcomes and to overcome potential limitations [17][18][19][20][21][22][23][24].…”

Section: Discussionmentioning

confidence: 99%

Robotic lateral cervical lymph node dissection via bilateral axillo-breast approach for papillary thyroid carcinoma: a single-center experience of 260 cases

He¹,

Zhu²,

Zhuang³

et al. 2019

J Robotic Surg

View full text Add to dashboard Cite

To evaluate the feasibility and safety of robotic lateral cervical lymph node dissection via BABA, 260 thyroid cancer patients with suspected level II, III, IV, and V b lymph node metastasis were selected. The lateral cervical compartment was exposed by splitting the sternocleidomastoid muscle longitudinally, and separating between the strap muscles and the anterior margin of the sternocleidomastoid muscle. The procedure was completed in 260 patients. Mean time for robotic lateral node dissection took 80 ± 21 min. The wound catheter was removed 6.3 days. Postoperative transient symptomatic hypocalcemia was observed in 51 patients, transient hoarseness in three, seroma in three, chyle leakage in two, and tracheal injury in one. 124 patients were confirmed to have lymph node metastasis on final pathological report. Average postoperative hospital stay was 6.5 days. Robotic lateral neck dissection by BABA is the acceptable operative alternative for thyroid cancer patients who wished to keep their surgical history private.

show abstract

“…Many systematic reviews and meta-analyses have been published regarding the safety and efficiency of robotic thyroidectomy. Those reviews relied mainly on Korean publications [13-15] showing that robotic thyroidectomy was as safe as OpenT for benign and cancer cases, with the same rate of complications, but a longer operative time. In our study, morbidity with TARS appears comparable to OpenT since the percentage of postoperative complications, such as hypoparathyroidism or recurrent laryngeal nerve injury, is similar to those reported in several meta-analyses [7, 10].…”

Section: Discussionmentioning

confidence: 99%

“…One of the reasons is that most of the nodules in Korean publications are smaller than our series (largest diameter of around 10 mm vs. 20 mm in our series). American [15] and Chinese [13] meta-analyses of Korean articles showed that the postoperative Tg level after TARS was significantly higher than after openT, but the interpretation remains difficult because some patients had only lobectomy, the condition and the time of postoperative Tg dosage were not specified, and the use of RAI was not specified.…”

Section: Discussionmentioning

confidence: 99%

Successful Treatment of Differentiated Thyroid Carcinoma with Transaxillary Robotic Surgery and Radioiodine: The First European Experience

et al. 2018

View full text Add to dashboard Cite

Objectives: Transaxillary robotic thyroidectomy surgery (TARS) has been reported to be a safe approach in patients with differentiated thyroid carcinoma, and oncological responses are promising. Study Design: This study aimed to evaluate the oncological outcomes of TARS followed by radioiodine (RAI) therapy in patients with differentiated thyroid carcinoma. Between 2011 and 2016, patients treated for differentiated thyroid carcinoma by TARS in a single institution, followed by RAI, were retrospectively included. The oncological response was performed according to the 2015 American Thyroid Association (ATA) guidelines 6–12 months later and at the last available visit. Results: A total of 42 patients (30 females) were included, with a median tumor size of 20 mm (12 cases of N1a and 5 cases of N1b on initial pathology report). According to ATA classification of recurrence risk after surgery, 17 and 25 patients were classified as low and intermediate risk, respectively. After RAI, all patients had a normal posttherapeutic whole body scan (except 1 patient, who had pathological lymph node uptake), but no unusual uptake was seen. At the 6- to 12-month evaluation (n = 37), 24 patients had excellent response, 8 had indeterminate response, and 5 had incomplete response (2 biological and 3 structural); no distant metastasis was found. At the last evaluation (median follow-up 15.9 months), 35 patients had no evidence of disease and 1 patient had a structural incomplete response. In total, a second open surgery was necessary for 3 patients to treat persistent lymph nodes (all intermediate risk). Conclusion: In this study, TARS followed by RAI therapy seems to be curative, even for patients with lymph node metastases, after good preoperative staging. More studies are required to confirm the findings.

show abstract

Robotic thyroidectomy versus conventional open thyroidectomy for thyroid cancer: a systematic review and meta-analysis

Cited by 67 publications

References 52 publications

Robotic Neck Surgery in the Pediatric Population

Robotic Neck Surgery in the Pediatric Population

Robotic lateral cervical lymph node dissection via bilateral axillo-breast approach for papillary thyroid carcinoma: a single-center experience of 260 cases

Successful Treatment of Differentiated Thyroid Carcinoma with Transaxillary Robotic Surgery and Radioiodine: The First European Experience

Contact Info

Product

Resources

About