Is robotic hemithyroidectomy comparable to its conventional counterpart?

Noureldine, Salem I.; Abdelghani, Ramsy; Saeed, Ahmad; Cortés, Natalia; Abbas, Ali; Aslam, Rizwan; Kandil, Emad

doi:10.1016/j.surg.2013.04.066

Cited by 8 publications

(13 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The RT group showed a significantly longer operating time. The main contributing factors are the process of creating the flap and robotic docking, which are required for the robotic system operation, and most of the other studies showed similar results [ 8 – 24 ]. But, the robotic operative time is likely to decrease with accumulation of experience and overcoming the learning curve [ 7 ].…”

Section: Discussionmentioning

confidence: 78%

Surgical outcomes of robotic thyroidectomy vs. conventional open thyroidectomy for papillary thyroid carcinoma

et al. 2016

View full text Add to dashboard Cite

BackgroundThe purpose of this study was to compare the surgical outcomes of robotic thyroidectomy (RT) using bilateral axillo-breast approach (BABA) with conventional open thyroidectomy (OT) in papillary thyroid carcinoma patients.MethodsBetween January 2009 and December 2013, 815 patients who had received thyroidectomy for papillary thyroid carcinoma were enrolled. Of these, 126 patients received RT and 689 patients underwent OT. Age, gender, body mass index, extent of surgery, tumor size, multiplicity, bilaterality, extrathyroidal extension, and tumor stage were used for the propensity score matching analysis. One hundred and nine patients were selected in each group, and surgical outcomes were compared between the two groups.ResultsThe RT group showed a significantly longer operating time (290.6 ± 74.4 vs. 107.9 ± 30.8 min, P < 0.001). However, the mean hospital stay after surgery (3.6 ± 0.8 vs. 3.4 ± 1.2 days, P = 0.293), postoperative complication rates (major and minor, P = 0.754 and P = 0.852), and pain score (postoperative day, P = 0.669; postoperative day 1, P = 0.952) were comparable between the two groups. There was no difference in the number of metastatic lymph nodes, but the mean number of retrieved lymph nodes in the RT group was lesser than that in the OT group (3.5 ± 3.5 vs. 5.3 ± 5.2, P = 0.002).ConclusionsRobotic thyroidectomy via the BABA may be a safe and acceptable surgical technique. But, further development that resolves the limitation of central node dissection is needed.

show abstract

Section: Discussionmentioning

confidence: 78%

Surgical outcomes of robotic thyroidectomy vs. conventional open thyroidectomy for papillary thyroid carcinoma

et al. 2016

View full text Add to dashboard Cite

show abstract

“…All of the remaining 18 articles underwent full text review and were included in final meta-analysis (Figure 1; Table 1). [8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25]…”

Section: Search Resultsmentioning

confidence: 99%

“…However, one study reported 82.3% of the robotic patients were discharged home the same day verus 34.5% of that of the open group. 8 Recently, some centers started implementing robotic thyroidectomy as an outpatient procedure, with preliminary data published, though this issue is still being studied. Nevertheless, some studies conducted in Korea suggested that patients given the option to leave earlier in the case of robotic surgery preferred to stay for a longer period to ensure full recovery and drain removal.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Robotic Thyroidectomy Versus Nonrobotic Approaches

et al. 2015

Self Cite

View full text Add to dashboard Cite

Background Robotic surgery has been recently used as a novel tool for remote access thyroid surgery. We performed a meta-analysis of the current literature to examine the safety and oncological efficacy of robotic surgery compared to endoscopic and conventional approaches for different thyroid procedures. Methods A systematic search of the online data bases was done using the following (MeSH) terms "robotic surgery," "robotic thyroidectomy," "robot-assisted thyroidectomy," and "robot-assisted thyroid surgery." Outcomes measured included total operative time, length of hospital stay, postoperative thyroglobulin levels, and postoperative complications. Statistical differences were analyzed between groups through the standard means and/or relative risk by using STATA analytical software. Results In this study, 144 articles were identified; of which 18 of them met our inclusion criteria, totaling 4878 patients. Robotic approach was associated with longer total operative time (mean difference of 43.5 minutes) when compared to the conventional cervical approach (95% CI = 20.9-66.2; P < .001). Robotic approach was also found to have a similar risk of total postoperative complications when compared to the conventional and endoscopic approaches. Conclusion Robotic thyroid surgery is as safe, feasible and provides similar periperative complications and oncological outcomes when compared to both, conventional cervical and endoscopic approaches. However, robotic thyroid surgery is associated with longer operative time when compared to the conventional open approach.

show abstract

“…에서 동일하며, (183)(184)(185)189,191,(193)(194)(195)197) 수술의 합병증은 일시적 부갑상선 기능저하, (183)(184)(185)(186)(188)(189)(190)192,193,195,199) 영구적 부갑상선 지능저하, (183)(184)(185)(186)(187)(188)(189)(190)(191)(192)(193)(194)(195)199) 되돌이 후두 신경 손 상, (183)(184)(185)(186)(187)(189)(190)(191)(192)(193)(194)(195)199) 장액종, (183)(184)(185)…”

unclassified