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Head Neck. 2018 May;40(5):886-892. doi: 10.1002/hed.25034. Epub 2017 Dec 14.

Comparative analysis of 2 robotic thyroidectomy procedures: Transoral versus bilateral axillo-breast approach.

Author information

1
Department of Surgery, Seoul Metropolitan Government - Seoul National University Boramae Medical Center, Seoul, Korea.
2
Department of Surgery, Korea University College of Medicine Thyroid Center, Korea University Hospital, Korea University College of Medicine, Seoul, Korea.
3
Division of Oral and Maxillofacial Surgery, Department of Dentistry, Korea University Anam Hospital, Seoul, Korea.
4
Division for Endocrine and Minimally Invasive Surgery, Department of Human Pathology in Adulthood and Childhood "G. Barresi", University Hospital "G. Martino", University of Messina, Italy.
5
Minimally Invasive and Endocrine Surgery Division, Department of Surgery, Police General Hospital, Bangkok, Thailand.
6
Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts.
7
Department of Otolaryngology - Head and Neck Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland.

Abstract

BACKGROUND:

The surgical outcomes of a single surgeon's initial cases of transoral robotic thyroidectomy (TORT) were compared with the surgeon's initial cases of a bilateral axillo-breast approach (BABA) robotic thyroidectomy.

METHODS:

The medical reports were retrospectively reviewed. The BABA robotic thyroidectomies were performed between 2008 and 2009, and TORTs were performed between 2012 and 2016.

RESULTS:

Each group comprised 50 patients. Operative time for total thyroidectomy was shorter, the pain scores were lower, and hospital stays were shorter in the TORT group than in the BABA robotic thyroidectomy group. There were no significant differences between groups in either vocal cord palsy or hypoparathyroidism rates. There were 9 cases of mental nerve injury in the first 12 cases of TORT, but none subsequently.

CONCLUSION:

The TORT procedure could be performed safely and showed comparable outcomes with BABA robotic thyroidectomy in selected patients. Therefore, TORT may be an alternative approach for patients who prefer a scar-free thyroidectomy.

KEYWORDS:

robotic; thyroid carcinoma; thyroid nodule; thyroidectomy; transoral

PMID:
29240281
DOI:
10.1002/hed.25034

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