Surgical outcomes of different approaches in robotic assisted thyroidectomy for thyroid cancer: A systematic review and Bayesian network meta-analysis

Xing, Zhichao; Qiu, Yuxuan; Abuduwaili, Munire; Xia, Baoying; Yuan, Fangyan; Zhu, Jingqiang; Su, Anping

doi:10.1016/j.ijsu.2021.105941

Cited by 23 publications

(27 citation statements)

References 56 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This is to be expected since the docking of the robot platform is time consuming, and in some techniques a subcutaneous route to the thyroid needs to be developed. This longer operating time for the endoscopic and robotic surgical techniques is in concordance with the findings of two other meta-analyses (117,119).…”

Section: Discussionsupporting

confidence: 89%

“…The meta-analysis, however, showed that none of the minimally invasive technique had a statistically significant difference with the standard of care. Other meta-analyses also found no significant difference in RLN injury (112,114,119).…”

Section: Discussionmentioning

confidence: 92%

“…The metaanalysis showed no significant difference between the minimally invasive techniques and standard of care considering permanent hypocalcemia. Other meta-analyses also found no statistical difference in hypocalcemia between minimally invasive techniques and conventional thyroidectomy (112,117,119). Only Jiang et al reported a lower incidence of hypocalcemia after the endoscopic technique (116).…”

Section: Discussionmentioning

confidence: 97%

“…This systematic review and meta-analysis shows that minimally invasive techniques are not inferior to cervical thyroidectomy with regards to length of hospital stay, transient RLN injury, permanent RLN injury, transient hypocalcemia and permanent hypocalcemia. Prior to this study, multiple systematic reviews have been published regarding either the robotic thyroidectomy techniques or endoscopic thyroidectomy techniques (111)(112)(113)(114)(115)(116)(117)(118)(119). However, these systematic reviews combine the different types of techniques.…”

Section: Discussionmentioning

confidence: 99%

“…Outcomes of Minimally Invasive Thyroid Surgery (112,114,116,117,119). However, length of hospital stay is not a good metric to assess the best thyroidectomy approach, since it is mostly determined by local prevailing hospital protocols rather than outcome of surgery.…”

Section: Discussionmentioning

confidence: 99%

See 4 more Smart Citations

Outcomes of Minimally Invasive Thyroid Surgery – A Systematic Review and Meta-Analysis

et al. 2021

View full text Add to dashboard Cite

PurposeConventional thyroidectomy has been standard of care for surgical thyroid nodules. For cosmetic purposes different minimally invasive and remote-access surgical approaches have been developed. At present, the most used robotic and endoscopic thyroidectomy approaches are minimally invasive video assisted thyroidectomy (MIVAT), bilateral axillo-breast approach endoscopic thyroidectomy (BABA-ET), bilateral axillo-breast approach robotic thyroidectomy (BABA-RT), transoral endoscopic thyroidectomy via vestibular approach (TOETVA), retro-auricular endoscopic thyroidectomy (RA-ET), retro-auricular robotic thyroidectomy (RA-RT), gasless transaxillary endoscopic thyroidectomy (GTET) and robot assisted transaxillary surgery (RATS). The purpose of this systematic review was to evaluate whether minimally invasive techniques are not inferior to conventional thyroidectomy.MethodsA systematic search was conducted in Medline, Embase and Web of Science to identify original articles investigating operating time, length of hospital stay and complication rates regarding recurrent laryngeal nerve injury and hypocalcemia, of the different minimally invasive techniques.ResultsOut of 569 identified manuscripts, 98 studies met the inclusion criteria. Most studies were retrospective in nature. The results of the systematic review varied. Thirty-one articles were included in the meta-analysis. Compared to the standard of care, the meta-analysis showed no significant difference in length of hospital stay, except a longer stay after BABA-ET. No significant difference in incidence of recurrent laryngeal nerve injury and hypocalcemia was seen. As expected, operating time was significantly longer for most minimally invasive techniques.ConclusionsThis is the first comprehensive systematic review and meta-analysis comparing the eight most commonly used minimally invasive thyroid surgeries individually with standard of care. It can be concluded that minimally invasive techniques do not lead to more complications or longer hospital stay and are, therefore, not inferior to conventional thyroidectomy.

show abstract

Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Outcomes of Minimally Invasive Thyroid Surgery – A Systematic Review and Meta-Analysis

et al. 2021

View full text Add to dashboard Cite

show abstract

Comparison of surgical outcomes of transoral robotic and endoscopic thyroidectomy: A systematic review and network meta‐analysis

Nguyen,

Song,

et al. 2024

Head & Neck

View full text Add to dashboard Cite

This study aimed to compare surgical outcomes of transoral robotic thyroidectomy (TORT) and transoral endoscopic thyroidectomy vestibular approach (TOETVA), concurrently compared with conventional transcervical thyroidectomy (CTT). A network meta‐analysis, comprising 23 studies, was performed in this study. The operative time of the CTT group was significantly shorter than that of the TOETVA and TORT groups. The hospital stay of the TOETVA group was significantly longer than that of the CTT group. Rates of transient recurrent laryngeal nerve palsy and total complications were higher in association with TOETVA than with TORT. No significant differences were found between the three groups in intraoperative blood loss, retrieved lymph nodes, postoperative pain, and other complications. Cosmetic satisfaction was significantly superior with TORT and TOETVA than with CTT. Compared with CTT, TOETVA and TORT showed superior cosmesis but no significant difference in surgical outcomes except for operative time and hospital stay.

show abstract

Prince and princesses: The current status of robotic surgery in surgical oncology

Hays,

Corvino,

Lorié

et al. 2023

Journal of Surgical Oncology

View full text Add to dashboard Cite

Robotic surgery has experienced a dramatic increase in utilization across general surgery over the last two decades, including in surgical oncology. Although urologists and gynecologists were the first to show that this technology could be utilized in cancer surgery, the robot is now a powerful tool in the treatment of gastrointestinal, hepato–pancreatico–biliary, colorectal, endocrine, and soft tissue malignancies. While long‐term outcomes are still pending, short‐term outcomes have showed promise for this technologic advancement of cancer surgery.

show abstract

Surgical outcomes of different approaches in robotic assisted thyroidectomy for thyroid cancer: A systematic review and Bayesian network meta-analysis

Cited by 23 publications

References 56 publications

Outcomes of Minimally Invasive Thyroid Surgery – A Systematic Review and Meta-Analysis

Outcomes of Minimally Invasive Thyroid Surgery – A Systematic Review and Meta-Analysis

Comparison of surgical outcomes of transoral robotic and endoscopic thyroidectomy: A systematic review and network meta‐analysis

Prince and princesses: The current status of robotic surgery in surgical oncology

Contact Info

Product

Resources

About