Outcomes of 109 patients with papillary thyroid carcinoma who underwent robotic total thyroidectomy with central node dissection via the bilateral axillo-breast approach

Lee, Kyu Eun; Koo, Do Hoon; Kim, Sujin; Lee, Jeonghun; Park, Kyoung Sik; Oh, Seung Keun; Youn, Yeo-Kyu

doi:10.1016/j.surg.2010.09.018

Cited by 99 publications

(77 citation statements)

References 23 publications

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“…With the advent of the Da Vinci robotic system (Intuitive Surgical, Inc., Sunnyvale, CA, USA), many technical disadvantages of BABA ET could be substantially overcome and the indications of BABA robotic thyroidectomy (RT) could be largely extended (7). With the eminent technology of multi-articulated endo-wrist function, hand tremor filtration and three-dimensional magnification, BABA RT can now be safely and effectively applied to the management of benign and malignant thyroid conditions (8)(9)(10)(11)(12)(13)(14).…”

Section: Review Articlementioning

confidence: 99%

Bilateral axillo-breast approach robotic thyroidectomy: review of evidences

Liu

Kim

2017

Gland Surg.

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Abstract:The bilateral axillo-breast approach (BABA) is one of the most popular contemporary remoteaccess thyroidectomy techniques. While the initial experiences with BABA endoscopic thyroidectomy (ET)were associated with some technical challenges and safety concerns, many limitations of the technique could now be substantially overcome by BABA robotic thyroidectomy (RT). In this review, the current literature evidences of BABA RT were analyzed. Data regarding the patient selection, the learning curve, and the comparison with open thyroidectomy (OT) and BABA ET were examined. Careful case selection for BABA RT should be undertaken according to factors related to the patient and the thyroid pathology.The learning curve of BABA RT was about 40 cases. Comparing to OT, BABA RT was comparable to OT for the complication profiles and most perioperative outcomes. But it was associated with longer operative time, higher cost and possibly inferior oncological control with lower number of central lymph node (LN) retrieved. When compared to BABA ET, BABA RT was comparable for most perioperative outcomes except longer operative time and higher cost. Yet, BABA RT was superior to BABA ET for better oncological control. BABA RT is a safe and effective procedure for most benign thyroid conditions and low-risk differentiated thyroid cancers (DTC).

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Section: Review Articlementioning

confidence: 99%

Bilateral axillo-breast approach robotic thyroidectomy: review of evidences

Liu

Kim

2017

Gland Surg.

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“…The complication rate is similar with conventional open thyroidectomy in experienced surgeons [3][4][5]. However for the learning curve, the rate of recurrent laryngeal nerve palsy might be higher than open thyroid surgery due to the difficulty of the technique and the need for a period of learning.…”

mentioning

confidence: 74%

Reply to: Evolution of endoscopic thyroidectomy (10.1007/s00464-011-1763-5)

Tae

2011

Surg Endosc

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“…Initially, the indications for robotic thyroidectomy were limited to small thyroid tumors, including benign nodules and follicular neoplasms, and low-risk thyroid carcinomas without cervical LN metastasis (26,27). However, the surgical indications for robotic thyroidectomy have expanding as surgeons' experience levels have increased.…”

Section: Surgical Indications For Robotic Thyroidectomymentioning

confidence: 99%

“…The two prevalent methods of robotic thyroid surgery are the trans-axillary approach (TAA) and the BABA (26,27). At our institute, we are using a general BABA method.…”

Section: Surgical Indications For Robotic Thyroidectomymentioning

confidence: 99%

Robotic thyroidectomy and cervical neck dissection for thyroid cancer

Paek

Kang

2016

Gland Surg.

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A robotic approach for thyroid surgery was developed to overcome the limitations of endoscopic thyroidectomy and provide many technical advantages. This approach facilitates the surgeon's control through a magnified three-dimensional view, decreased tremor, and freedom of motion with articulated instruments. Robotic thyroidectomy is safe and technically feasible in patients with well-differentiated, lowrisk thyroid cancer. Furthermore, robotic thyroidectomy may become a good surgical alternative option for patients with more advanced thyroid cancer. Our modified bilateral axillo-breast approach (BABA) for central and lateral cervical neck lymph node (LN) dissection has yielded excellent surgical outcomes as an open procedure. The incorporation of robotics in thyroid cancer surgery will continue to evolve, and the surgical indications for robotic thyroidectomy will continue to expand. Further analyses that include longterm outcomes and randomized comparative trials remain important.

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Outcomes of 109 patients with papillary thyroid carcinoma who underwent robotic total thyroidectomy with central node dissection via the bilateral axillo-breast approach

Cited by 99 publications

References 23 publications

Bilateral axillo-breast approach robotic thyroidectomy: review of evidences

Bilateral axillo-breast approach robotic thyroidectomy: review of evidences

Reply to: Evolution of endoscopic thyroidectomy (10.1007/s00464-011-1763-5)

Robotic thyroidectomy and cervical neck dissection for thyroid cancer

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