共查询到20条相似文献,搜索用时 15 毫秒
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Comparative analysis of 2 robotic thyroidectomy procedures: Transoral versus bilateral axillo‐breast approach
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Young Jun Chai MD PhD Hoon Yub Kim MD PhD Hong Kyu Kim MD Sang Ho Jun DDS PhD Gianlorenzo Dionigi MD Angkoon Anuwong MD Jeremy D. Richmon MD Ralph P. Tufano MD 《Head & neck》2018,40(5):886-892
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Dawon Park Mohammad Shaear Yu‐Hsien Chen Jonathon O. Russell Hoon Yub Kim Ralph P. Tufano 《Head & neck》2019,41(12):4229-4233
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Brian Hung-Hin Lang Carlos K.H. Wong Julian Shun Tsang Kai Pun Wong 《The Journal of surgical research》2014
Background
Despite its feasibility, using the da Vinci robot in remote-access thyroidectomy remains controversial. This meta-analysis compared surgical and oncological outcomes between robotic-assisted thyroidectomy (RT) and non-robotic endoscopic thyroidectomy (ET).Methods
A systematic review was performed to identify studies comparing outcomes between RT and ET. Outcomes included operating time, drain output, complications, number of central lymph nodes retrieved, and preablation stimulated thyroglobulin level. A random-effects model was used.Results
Six studies were eligible. Of the 3510 patients, 2167 (61.7%) underwent RT whereas 1343 (38.3%) underwent ET. Despite a higher drain output (185.8 mLs versus 173.3 mLs, P = 0.019), RT had fewer temporary recurrent laryngeal nerve injury (2.6% versus 3.3%, P = 0.035) and shorter length of hospital stay (3.4 d versus 3.5 d, P = 0.030). In terms of oncological outcomes, despite higher incidence of multicentricity and larger tumors, the number of central lymph nodes retrieved during unilateral central neck dissection in RT was significantly greater than ET (4.5 ± 2.6 and 3.4 ± 2.5, P < 0.001) whereas the preablation stimulated thyroglobulin was comparable (0.8 ng/mL versus 1.1 ng/mL, P = 0.456). However, follow-up data were relatively scarce.Conclusions
Adding the robot in remote-access thyroidectomy was associated with a significantly lower risk of temporary recurrent laryngeal nerve injury and shorter length of hospital stay. However, despite achieving a comparable level of surgical completeness for low-risk differentiated thyroid carcinoma between RT and ET, this study highlighted the limitations with the current literature and the need for more prospective studies with adequate follow-up. 相似文献12.
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Surgical outcomes of robotic thyroid surgery using a double incision gasless transaxillary approach: Analysis of 400 cases treated by the same surgeon
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Yu‐Mi Lee MD Onvox Yi MD Tae‐Yon Sung MD PhD Ki‐Wook Chung MD PhD Jong Ho Yoon MD PhD Suck Joon Hong MD PhD 《Head & neck》2014,36(10):1413-1419
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Predictive factors for difficult robotic thyroidectomy using the bilateral axillo‐breast approach
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Hee Yong Kwak MD PhD Hoon Yub Kim MD PhD Hye Yoon Lee MD PhD Seung Pil Jung MD PhD Sang Uk Woo MD PhD Gil Soo Son MD PhD Jae Bok Lee MD PhD Jeoung Won Bae MD PhD 《Head & neck》2016,38(Z1):E954-E960
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Video-assisted thyroidectomy: indications and results 总被引:9,自引:2,他引:7
Paolo Miccoli Piero Berti Gian Luca Frustaci Carlo Enrico Ambrosini Gabriele Materazzi 《Langenbeck's archives of surgery / Deutsche Gesellschaft fur Chirurgie》2006,391(2):68-71
Background and aims Minimally invasive video-assisted thyroidectomy (MIVAT) was set up and introduced in our department in 1998. Its results,
after an acceptable relapse, can now be evaluated, also speculating on new possible indications.
Patients and methods The procedure is based on a unique incision in the central neck, 2 cm above the sternal notch, using small conventional retractors
and needlescopic (2 mm) reusable instruments. Haemostasis is achieved by a harmonic scalpel. Patients, 833, underwent MIVAT
since June 1998. There were 715 females and 118 males (ratio 4:1). Lobectomy was carried out in 323 (38.7%) patients, total
thyroidectomy in 510 (61.2%) patients.
Results Mean operative time of lobectomy was 36.2 min (range: 20–120); for total thyroidectomy, 46.1 min (30–130). Conversion to standard
cervicotomy was required in 16 cases (1.9%); Operative complications were represented by transient monolateral recurrent nerve
palsy in eight cases (0.9%), definitive monolateral recurrent nerve palsy in seven cases (0.8%). Twenty patients exhibited
a hypoparathyroidism, which corresponds to 3.9% of total thyroidectomies performed, but only two showed permanent hypoparathyroidism
(0.3%).
Conclusion MIVAT can be considered a safe operation offering significant cosmetic advantages with possible new promising indications
such as prophylactic thyroidectomy in rearranged during transfection (RET) gene mutation carriers. It is still limited to
a minority of patients, in particular, in endemic goitre countries.
Electronic Supplementary Materials Supplementary material is available for this article at
Presented at the International Symposium, Modern Technologies in Thyroid Surgery”, 10–11 February 2006, Halle/Saale, Germany. 相似文献