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Article: A comparison of surgical outcomes between endoscopic and robotically assisted thyroidectomy: the authors’ initial experience

TitleA comparison of surgical outcomes between endoscopic and robotically assisted thyroidectomy: the authors’ initial experience
Authors
KeywordsMedicine & Public Health
Surgery
Gynecology
Gastroenterology
Hepatology
Proctology
Abdominal Surgery
Issue Date2010
PublisherSpringer New York
Citation
Surgical Endoscopy, 2010, v. 25, n. 5, p. 1617-1623 How to Cite?
AbstractBackground: The gasless, transaxillary endoscopic thyroidectomy (GTET) offers a distinct advantage over the conventional open operation by leaving no visible neck scar, and in an attempt to improve its ergonomics and surgical outcomes, the robotically assisted thyroidectomy (RAT) was introduced. The RAT uses the same endoscopic route as the GTET but with the assistance of the da Vinci S robotic system. Excellent results for RAT have been reported, but it remains unclear whether RAT offers any potential benefits over GTET. Methods: From June to December 2009, 46 patients underwent endoscopic thyroidectomy. Of these patients, 39 had surgery without the robot (GTET) and 7 had surgery with the robot (RAT). Demographics, surgical indications, operative findings, and postoperative outcomes were compared between the two groups. All the patients were followed up for at least 6 months after surgery. Results: Patient demographics, surgical indications, and extent of resection were similar between the two groups. The median total procedure time was significantly longer for RAT (149 min) than for GTET (100 min; p = 0.018), but the contralateral recurrent laryngeal nerve was more likely to identified in RAT (100%) than in GTET (42.9%; p = 0.070). On the average, GTET needed one more surgical assistant than RAT (1 vs. 0; p
Persistent Identifierhttp://hdl.handle.net/10722/145054
ISSN
2015 Impact Factor: 3.54
2015 SCImago Journal Rankings: 1.695
PubMed Central ID
ISI Accession Number ID
References

Gagner M (1996) Endoscopic subtotal parathyroidectomy in patients with primary hyperparathyroidism. Br J Surg 83:875 doi: 10.1002/bjs.1800830656

Lang BH (2010) Minimally invasive thyroid and parathyroid operations: surgical techniques and pearls. Adv Surg 44:185–198 doi: 10.1016/j.yasu.2010.05.012

Slotema ET, Sebag F, Henry JF (2008) What is the evidence for endoscopic thyroidectomy in the management of benign thyroid disease? World J Surg 32:1325–1332 doi: 10.1007/s00268-008-9505-0

Jeong JJ, Kang SW, Yun JS, Sung TY, Lee SC, Lee YS, Nam KH, Chang HS, Chung WY, Park CS (2009) Comparative study of endoscopic thyroidectomy versus conventional open thyroidectomy in papillary thyroid microcarcinoma (PTMC) patients. J Surg Oncol 100:477–480 doi: 10.1002/jso.21367

Yoon JH, Park CH, Chung WY (2006) Gasless endoscopic thyroidectomy via an axillary approach: experience of 30 cases. Surg Laparosc Endosc Percutan Tech 16:226–231 doi: 10.1097/00129689-200608000-00006

Kang SW, Jeong JJ, Yun JS, Sung TY, Lee SC, Lee YS, Nam KH, Chang HS, Chung WY, Park CS (2009) Gasless endoscopic thyroidectomy using transaxillary approach: surgical outcome of 581 patients. Endocr J 56:361–369 doi: 10.1507/endocrj.K08E-306

Ikeda Y, Takami H, Sasaki Y, Kan S, Niimi M (2000) Endoscopic neck surgery by the axillary approach. J Am Coll Surg 191:336–340 doi: 10.1016/S1072-7515(00)00342-2

Chantawibul S, Lokechcareonlarp S, Pokawatana C (2003) Total video endoscopic thyroidectomy by an axillary approach. J Laparoendosc Adv Surg Tech A 13:295–299 doi: 10.1089/109264203769681655

Kang SW, Jeong JJ, Yun JS, Sung TY, Lee SC, Lee YS, Nam KH, Chang HS, Chung WY, Park CS (2009) Robot-assisted endoscopic surgery for thyroid cancer: experience with the first 100 patients. Surg Endosc 23:2399–2406 doi: 10.1007/s00464-009-0366-x

Kang SW, Jeong JJ, Nam KH, Chang HS, Chung WY, Park CS (2009) Robot-assisted endoscopic thyroidectomy for thyroid malignancies using a gasless transaxillary approach. J Am Coll Surg 209:e1–e7 doi: 10.1016/j.jamcollsurg.2009.05.003

Berber E, Heiden K, Akyidiz H, Milas M, Mitchell J, Siperstein A (2010) Robotic transaxillary thyroidectomy: report of 2 cases and description of the technique. Surg Laparosc Endosc Percutan Tech 20:e60–e63 doi: 10.1097/SLE.0b013e3181d7e350

Moon WJ, Jung SL, Lee JH, Na DG, Baek JH, Lee YH, Kim J, Kim HS, Byun JS, Lee DH, Thyroid Study Group, Korean Society of Neuro- and Head and Neck Radiology (2008) Benign and malignant thyroid nodules: US differentiation—multicenter retrospective study. Radiology 247:762–770 doi: 10.1148/radiol.2473070944

Tan CT, Cheak WK, Delbridge L (2008) “Scarless” (in the neck) endoscopic thyroidectomy (SET): an evidence-based review of published techniques. World J Surg 32:1349–1357 doi: 10.1007/s00268-008-9555-3

Lee J, Nah KY, Kim RM, Ahn YH, Soh E-Y, Chung WY (2010) Differences in postoperative outcomes, function, and cosmesis: open versus robotic thyroidectomy. Surg Endosc. doi:10.1007/s00464-010-1113-z

Miyano G, Lobe TE, Wright SK (2008) Bilateral transaxillary endoscopic total thyroidectomy. J Paediatr Surg 43:299–303 doi: 10.1016/j.jpedsurg.2007.10.018

Lee KE, Rao J, Youn YK (2009) Endoscopic thyroidectomy with the da Vinci robot system using the bilateral axillary breast approach (BABA): our initial experience. Surg Laparosc Endosc Percutan Tech 19:e71–e75 doi: 10.1097/SLE.0b013e3181a4ccae

Kang SW, Lee SC, Lee SH, Lee KY, Jeong JJ, Lee YS, Nam KH, Chang HS, Chung WY, Park CS (2009) Robotic thyroid surgery using a gasless, transaxillary approach and the da Vinci S system: the operative outcomes of 338 consecutive patients. Surgery 146:1048–1055 doi: 10.1016/j.surg.2009.09.007

Lang BH, Lo CY (2010) Technological innovations in surgical approach for thyroid cancer. J Oncol. doi:10.1155/2010/490719

 

DC FieldValueLanguage
dc.contributor.authorLang, BHHen_US
dc.contributor.authorChow, MPen_US
dc.date.accessioned2012-02-21T05:44:30Z-
dc.date.available2012-02-21T05:44:30Z-
dc.date.issued2010en_US
dc.identifier.citationSurgical Endoscopy, 2010, v. 25, n. 5, p. 1617-1623en_US
dc.identifier.issn0930-2794en_US
dc.identifier.urihttp://hdl.handle.net/10722/145054-
dc.description.abstractBackground: The gasless, transaxillary endoscopic thyroidectomy (GTET) offers a distinct advantage over the conventional open operation by leaving no visible neck scar, and in an attempt to improve its ergonomics and surgical outcomes, the robotically assisted thyroidectomy (RAT) was introduced. The RAT uses the same endoscopic route as the GTET but with the assistance of the da Vinci S robotic system. Excellent results for RAT have been reported, but it remains unclear whether RAT offers any potential benefits over GTET. Methods: From June to December 2009, 46 patients underwent endoscopic thyroidectomy. Of these patients, 39 had surgery without the robot (GTET) and 7 had surgery with the robot (RAT). Demographics, surgical indications, operative findings, and postoperative outcomes were compared between the two groups. All the patients were followed up for at least 6 months after surgery. Results: Patient demographics, surgical indications, and extent of resection were similar between the two groups. The median total procedure time was significantly longer for RAT (149 min) than for GTET (100 min; p = 0.018), but the contralateral recurrent laryngeal nerve was more likely to identified in RAT (100%) than in GTET (42.9%; p = 0.070). On the average, GTET needed one more surgical assistant than RAT (1 vs. 0; pen_US
dc.languageengen_US
dc.publisherSpringer New Yorken_US
dc.relation.ispartofSurgical Endoscopyen_US
dc.rightsThe Author(s)en_US
dc.rightsCreative Commons: Attribution 3.0 Hong Kong Licenseen_US
dc.subjectMedicine & Public Healthen_US
dc.subjectSurgeryen_US
dc.subjectGynecologyen_US
dc.subjectGastroenterologyen_US
dc.subjectHepatologyen_US
dc.subjectProctologyen_US
dc.subjectAbdominal Surgeryen_US
dc.titleA comparison of surgical outcomes between endoscopic and robotically assisted thyroidectomy: the authors’ initial experienceen_US
dc.typeArticleen_US
dc.identifier.openurlhttp://library.hku.hk:4551/resserv?sid=springerlink&genre=article&atitle=A comparison of surgical outcomes between endoscopic and robotically assisted thyroidectomy: the authors’ initial experience&title=Surgical Endoscopy&issn=09302794&date=2011-05-01&volume=25&issue=5& spage=1617&authors=Brian Hung-Hin Lang, Man-Po Chowen_US
dc.description.naturepublished_or_final_versionen_US
dc.identifier.doi10.1007/s00464-010-1450-yen_US
dc.identifier.pmid21088857-
dc.identifier.pmcidPMC3071467-
dc.identifier.scopuseid_2-s2.0-79954428053en_US
dc.identifier.hkuros183492-
dc.relation.referencesGagner M (1996) Endoscopic subtotal parathyroidectomy in patients with primary hyperparathyroidism. Br J Surg 83:875en_US
dc.relation.referencesdoi: 10.1002/bjs.1800830656en_US
dc.relation.referencesLang BH (2010) Minimally invasive thyroid and parathyroid operations: surgical techniques and pearls. Adv Surg 44:185–198en_US
dc.relation.referencesdoi: 10.1016/j.yasu.2010.05.012en_US
dc.relation.referencesSlotema ET, Sebag F, Henry JF (2008) What is the evidence for endoscopic thyroidectomy in the management of benign thyroid disease? World J Surg 32:1325–1332en_US
dc.relation.referencesdoi: 10.1007/s00268-008-9505-0en_US
dc.relation.referencesJeong JJ, Kang SW, Yun JS, Sung TY, Lee SC, Lee YS, Nam KH, Chang HS, Chung WY, Park CS (2009) Comparative study of endoscopic thyroidectomy versus conventional open thyroidectomy in papillary thyroid microcarcinoma (PTMC) patients. J Surg Oncol 100:477–480en_US
dc.relation.referencesdoi: 10.1002/jso.21367en_US
dc.relation.referencesYoon JH, Park CH, Chung WY (2006) Gasless endoscopic thyroidectomy via an axillary approach: experience of 30 cases. Surg Laparosc Endosc Percutan Tech 16:226–231en_US
dc.relation.referencesdoi: 10.1097/00129689-200608000-00006en_US
dc.relation.referencesKang SW, Jeong JJ, Yun JS, Sung TY, Lee SC, Lee YS, Nam KH, Chang HS, Chung WY, Park CS (2009) Gasless endoscopic thyroidectomy using transaxillary approach: surgical outcome of 581 patients. Endocr J 56:361–369en_US
dc.relation.referencesdoi: 10.1507/endocrj.K08E-306en_US
dc.relation.referencesIkeda Y, Takami H, Sasaki Y, Kan S, Niimi M (2000) Endoscopic neck surgery by the axillary approach. J Am Coll Surg 191:336–340en_US
dc.relation.referencesdoi: 10.1016/S1072-7515(00)00342-2en_US
dc.relation.referencesChantawibul S, Lokechcareonlarp S, Pokawatana C (2003) Total video endoscopic thyroidectomy by an axillary approach. J Laparoendosc Adv Surg Tech A 13:295–299en_US
dc.relation.referencesdoi: 10.1089/109264203769681655en_US
dc.relation.referencesKang SW, Jeong JJ, Yun JS, Sung TY, Lee SC, Lee YS, Nam KH, Chang HS, Chung WY, Park CS (2009) Robot-assisted endoscopic surgery for thyroid cancer: experience with the first 100 patients. Surg Endosc 23:2399–2406en_US
dc.relation.referencesdoi: 10.1007/s00464-009-0366-xen_US
dc.relation.referencesKang SW, Jeong JJ, Nam KH, Chang HS, Chung WY, Park CS (2009) Robot-assisted endoscopic thyroidectomy for thyroid malignancies using a gasless transaxillary approach. J Am Coll Surg 209:e1–e7en_US
dc.relation.referencesdoi: 10.1016/j.jamcollsurg.2009.05.003en_US
dc.relation.referencesLewis CM, Chung WY, Holsinger FC (2010) Fesaibility and surgical approach of transaxillary robotic thyroidectomy without CO2 insufflation. Head Neck 32:121–126en_US
dc.relation.referencesBerber E, Heiden K, Akyidiz H, Milas M, Mitchell J, Siperstein A (2010) Robotic transaxillary thyroidectomy: report of 2 cases and description of the technique. Surg Laparosc Endosc Percutan Tech 20:e60–e63en_US
dc.relation.referencesdoi: 10.1097/SLE.0b013e3181d7e350en_US
dc.relation.referencesMoon WJ, Jung SL, Lee JH, Na DG, Baek JH, Lee YH, Kim J, Kim HS, Byun JS, Lee DH, Thyroid Study Group, Korean Society of Neuro- and Head and Neck Radiology (2008) Benign and malignant thyroid nodules: US differentiation—multicenter retrospective study. Radiology 247:762–770en_US
dc.relation.referencesdoi: 10.1148/radiol.2473070944en_US
dc.relation.referencesTan CT, Cheak WK, Delbridge L (2008) “Scarless” (in the neck) endoscopic thyroidectomy (SET): an evidence-based review of published techniques. World J Surg 32:1349–1357en_US
dc.relation.referencesdoi: 10.1007/s00268-008-9555-3en_US
dc.relation.referencesLee J, Nah KY, Kim RM, Ahn YH, Soh E-Y, Chung WY (2010) Differences in postoperative outcomes, function, and cosmesis: open versus robotic thyroidectomy. Surg Endosc. doi:10.1007/s00464-010-1113-zen_US
dc.relation.referencesdoi: 10.1007/s00464-010-1113-zen_US
dc.relation.referencesMiyano G, Lobe TE, Wright SK (2008) Bilateral transaxillary endoscopic total thyroidectomy. J Paediatr Surg 43:299–303en_US
dc.relation.referencesdoi: 10.1016/j.jpedsurg.2007.10.018en_US
dc.relation.referencesLee KE, Rao J, Youn YK (2009) Endoscopic thyroidectomy with the da Vinci robot system using the bilateral axillary breast approach (BABA): our initial experience. Surg Laparosc Endosc Percutan Tech 19:e71–e75en_US
dc.relation.referencesdoi: 10.1097/SLE.0b013e3181a4ccaeen_US
dc.relation.referencesKang SW, Lee SC, Lee SH, Lee KY, Jeong JJ, Lee YS, Nam KH, Chang HS, Chung WY, Park CS (2009) Robotic thyroid surgery using a gasless, transaxillary approach and the da Vinci S system: the operative outcomes of 338 consecutive patients. Surgery 146:1048–1055en_US
dc.relation.referencesdoi: 10.1016/j.surg.2009.09.007en_US
dc.relation.referencesLang BH, Lo CY (2010) Technological innovations in surgical approach for thyroid cancer. J Oncol. doi:10.1155/2010/490719en_US
dc.relation.referencesdoi: 10.1155/2010/490719en_US
dc.identifier.volume25en_US
dc.identifier.issue5en_US
dc.identifier.spage1617en_US
dc.identifier.epage1623en_US
dc.identifier.eissn1432-2218en_US
dc.identifier.isiWOS:000289211300042-
dc.description.otherSpringer Open Choice, 21 Feb 2012en_US
dc.identifier.citeulike8300708-

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