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Surgery. 2019 Mar;165(3):608-616. doi: 10.1016/j.surg.2018.07.038. Epub 2018 Sep 13.

Comparison of short-term oncologic outcome of robotic thyroid surgery using dynamic risk stratification: A propensity score-matched comparison study.

Author information

1
Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Wonju, Gangwon-do, Korea.
2
Department of Surgery, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, KorGangwon-do, Korea.
3
Department of Surgery, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, KorGangwon-do, Korea. Electronic address: gsyoon@yonsei.ac.kr.

Abstract

BACKGROUND:

The long-term oncologic outcome of robotic surgery for thyroid cancer is not well established. The aim of this study was to predict the long-term oncologic outcome of robotic surgery by using dynamic risk stratification in classic papillary thyroid carcinoma.

METHODS:

A total of 444 propensity score-matched pairs of patients with papillary thyroid carcinoma treated with robotic surgery and conventional open surgery were classified into 4 response-to-therapy categories. The results were compared between the robotic surgery and open surgery groups.

RESULTS:

The median follow-up duration was 60 months. After propensity score matching, the robotic surgery group showed less extensive thyroid surgery and lymph node dissection and a higher proportion of patients who underwent radioactive iodine remnant ablation than the open surgery group; however, the dynamic risk stratification did not differ between the 2 groups (P = .086).

CONCLUSION:

The long-term oncologic outcome of robotic surgery is expected to be comparable with that of open surgery based on the dynamic risk stratification.

PMID:
30219245
DOI:
10.1016/j.surg.2018.07.038

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