Surgical safety and effectiveness of bilateral axillo-breast approach robotic thyroidectomy: a systematic review and meta-analysis

Kang, Yun Jin; Stybayeva, Gulnaz; Hwang, Se Hwan

doi:10.1016/j.bjorl.2023.101376

Cited by 1 publication

(1 citation statement)

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“…BABA RT differs from conventional open thyroidectomy, in that it starts with the lower pole of the thyroid gland and continues to the upper pole. BABA RT allows thyroid lobectomy, total thyroidectomy, and total thyroidectomy with modified lateral neck dissection ( 16 , 17 ). This study, however, was restricted to surgery involving a midline incision to remove the dissected specimen and midline closure.…”

Section: Methodsmentioning

confidence: 99%

Defining competencies in robotic thyroidectomy: development of a model assessing an expert operator’s intraoperative performance skills and cognitive strategies

Kim,

Yu,

Ahn

et al. 2024

Gland Surg

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Background The changing medical education environment emphasizes the need for time efficiency, increasing the demand for competency-based medical education to improve trainees’ learning strategies. This study was performed to determine the competencies required for successful performance of robotic thyroidectomy (RT) and to determine the consensus of experts for performance of RT. Methods Data were collected through 12 semi-structured interviews with RT experts and 11 field observations. Cognitive task analysis was performed to determine the competencies required for experts to perform RT. A modified Delphi methodology was used to determine how 20 experts rated the importance of each item of RT performance on a Likert 7-point scale. The criteria for the Delphi consensus were set at a Cronbach’s α≥0.80 with two survey rounds. Results After 11 field observations and 12 semi-structured interviews, 89 items were identified within six modules. These items were grouped into sub-modules according to their theme. The modified Delphi survey, involving 21 experts, reached the consensus standard during the second round (Cronbach’s α=0.954), enabling the identification of the 64 most important items within six modules related to RT performance: midline incision to isthmectomy (MID module; n=8), lateral dissection (LAT module; n=7), preservation of inferior parathyroid glands (INF module; n=16), preservation of recurrent laryngeal nerve and dissection of the ligament of Berry (BER module; n=21), dissection of the thyroid upper pole (SUP module; n=10), and specimen removal and closure (END module; n=2). Conclusions This mixed-method study combining qualitative and quantitative methodology identified modules of core competencies required to perform RT. These modules can be used as a standard and objective guide to train surgeons to perform RT and evaluate outcomes.

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Section: Methodsmentioning

confidence: 99%