Surgical Safety and Oncologic Effectiveness in Robotic versus Conventional Open Thyroidectomy in Thyroid Cancer: A Systematic Review and Meta-Analysis

Abstract

RT seems to be associated with a lesser amount of estimated blood loss, better cosmetic satisfaction, and a low level of swallowing impairment, while OT was associated with a shorter operation time and more retrieved lymph nodes. Randomized clinical trials with large samples and comparative studies that reflect long-term follow-up data are needed to validate our findings.

Report of a Track Seeding of Thyroid Papillary Carcinoma During Robot- Assisted Transaxillary Thyroidectomy

“…Multiple meta-analysis with large series compared RT to OT [3][4][5][6][7][8][9][10], without noticing any significant difference in most of the surgical complications: transient or permanent hypoparathyroidism, permanent recurrent laryngeal nerve palsy, hematoma, seroma... The blood loss is also similar.…”

“…In the case of an peroperative frozen-section examination in favour of a cancer, the central neck dissection can be carried out under robotic assistance, but the number of retrieved lymph nodes is significantly inferior to the conventional approach [4,5]. According to the recent American Head and Neck Society consensus statement [18], a large tumor size (T3 or T4) is an indication for central neck dissection, but it is not consensual.…”

Gasless trans-axillary robotic thyroidectomy: the introduction and principle

“…The amount of blood loss was lower, lesser swallowing difficulties and of course superior cosmetic results, patient satisfaction and thus better quality of life. However, robotic surgery is associated with a longer operative time, a higher number of excised lymph nodes (40)(41)(42)(43).…”

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) …”