Is Robotic Surgery Superior to Endoscopic and Open Surgeries in Thyroid Cancer?

Abstract

Robotic surgery was equal to open surgery except with respect to operative time and was superior to endoscopic surgery in Off-Tg levels presenting completeness of the operation in thyroid cancer surgery. Because it has excellent cosmetic results and various technical advantages, it should be considered in young, low-risk patients with thyroid carcinoma less than 1 cm.

Oncoplastic Thyroid Surgery Using A Bilateral Axillo-Breast Approach

“…[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. Postoperative transient and permanent vocal cord palsy were not observed by indirect laryngoscopy, with rates of transient RLN palsy being less than 2%.…”

“…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…”

Surgical Treatment Guidelines for Patients with Differentiated Thyroid Cancer: The Korean Association of Thyroid and Endocrine Surgeons (KATES) Guidelines Taskforce

“…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)…”

“…(194,196,198,201) 저위 험 분화갑상선암환자의 수술적 완성도에 있어 로봇 갑상선 절제술 시 획득된 중앙 경부 림프절의 범위가 전통적 개경 수술과 비교하 여 동등하다고 보고되었으며, (183,184,(191)(192)(193)197,198,202) 일부에서는 로봇수술에 획득된 림프절의 수가 전통적 개경 수술 과 비교하여 적다고 보고하였다. (189,190,194,195) 갑상선 암 수술 후 혈청 Tg 농도는 로봇 수술과 전통적 수술이 동등하게 나 타났으며, (187,(190)(191)(192)(193)(194)(195)202,203) …”