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Article: A comparison of surgical outcomes between endoscopic and robotically assisted thyroidectomy: the authors’ initial experience
| Title | A comparison of surgical outcomes between endoscopic and robotically assisted thyroidectomy: the authors’ initial experience |
|---|---|
| Authors | |
| Keywords | Medicine & Public Health Surgery Gynecology Gastroenterology Hepatology Proctology Abdominal Surgery |
| Issue Date | 2010 |
| Publisher | Springer New York |
| Citation | Surgical Endoscopy, 2010, v. 25, n. 5, p. 1617-1623 How to Cite? |
| Abstract | Background: 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 Identifier | http://hdl.handle.net/10722/145054 |
| ISSN | 2023 Impact Factor: 2.4 2023 SCImago Journal Rankings: 1.120 |
| 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 Field | Value | Language |
|---|---|---|
| dc.contributor.author | Lang, BHH | en_US |
| dc.contributor.author | Chow, MP | en_US |
| dc.date.accessioned | 2012-02-21T05:44:30Z | - |
| dc.date.available | 2012-02-21T05:44:30Z | - |
| dc.date.issued | 2010 | en_US |
| dc.identifier.citation | Surgical Endoscopy, 2010, v. 25, n. 5, p. 1617-1623 | en_US |
| dc.identifier.issn | 0930-2794 | en_US |
| dc.identifier.uri | http://hdl.handle.net/10722/145054 | - |
| dc.description.abstract | Background: 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 | en_US |
| dc.language | eng | en_US |
| dc.publisher | Springer New York | en_US |
| dc.relation.ispartof | Surgical Endoscopy | en_US |
| dc.rights | The Author(s) | en_US |
| dc.rights | This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. | en_US |
| dc.subject | Medicine & Public Health | en_US |
| dc.subject | Surgery | en_US |
| dc.subject | Gynecology | en_US |
| dc.subject | Gastroenterology | en_US |
| dc.subject | Hepatology | en_US |
| dc.subject | Proctology | en_US |
| dc.subject | Abdominal Surgery | en_US |
| dc.title | A comparison of surgical outcomes between endoscopic and robotically assisted thyroidectomy: the authors’ initial experience | en_US |
| dc.type | Article | en_US |
| dc.identifier.openurl | http://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 Chow | en_US |
| dc.description.nature | published_or_final_version | en_US |
| dc.identifier.doi | 10.1007/s00464-010-1450-y | en_US |
| dc.identifier.pmid | 21088857 | - |
| dc.identifier.pmcid | PMC3071467 | - |
| dc.identifier.scopus | eid_2-s2.0-79954428053 | en_US |
| dc.identifier.hkuros | 183492 | - |
| dc.relation.references | Gagner M (1996) Endoscopic subtotal parathyroidectomy in patients with primary hyperparathyroidism. Br J Surg 83:875 | en_US |
| dc.relation.references | doi: 10.1002/bjs.1800830656 | en_US |
| dc.relation.references | Lang BH (2010) Minimally invasive thyroid and parathyroid operations: surgical techniques and pearls. Adv Surg 44:185–198 | en_US |
| dc.relation.references | doi: 10.1016/j.yasu.2010.05.012 | en_US |
| dc.relation.references | 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 | en_US |
| dc.relation.references | doi: 10.1007/s00268-008-9505-0 | en_US |
| dc.relation.references | 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 | en_US |
| dc.relation.references | doi: 10.1002/jso.21367 | en_US |
| dc.relation.references | 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 | en_US |
| dc.relation.references | doi: 10.1097/00129689-200608000-00006 | en_US |
| dc.relation.references | 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 | en_US |
| dc.relation.references | doi: 10.1507/endocrj.K08E-306 | en_US |
| dc.relation.references | 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 | en_US |
| dc.relation.references | doi: 10.1016/S1072-7515(00)00342-2 | en_US |
| dc.relation.references | Chantawibul S, Lokechcareonlarp S, Pokawatana C (2003) Total video endoscopic thyroidectomy by an axillary approach. J Laparoendosc Adv Surg Tech A 13:295–299 | en_US |
| dc.relation.references | doi: 10.1089/109264203769681655 | en_US |
| dc.relation.references | 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 | en_US |
| dc.relation.references | doi: 10.1007/s00464-009-0366-x | en_US |
| dc.relation.references | 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 | en_US |
| dc.relation.references | doi: 10.1016/j.jamcollsurg.2009.05.003 | en_US |
| dc.relation.references | Lewis CM, Chung WY, Holsinger FC (2010) Fesaibility and surgical approach of transaxillary robotic thyroidectomy without CO2 insufflation. Head Neck 32:121–126 | en_US |
| dc.relation.references | 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 | en_US |
| dc.relation.references | doi: 10.1097/SLE.0b013e3181d7e350 | en_US |
| dc.relation.references | 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 | en_US |
| dc.relation.references | doi: 10.1148/radiol.2473070944 | en_US |
| dc.relation.references | 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 | en_US |
| dc.relation.references | doi: 10.1007/s00268-008-9555-3 | en_US |
| dc.relation.references | 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 | en_US |
| dc.relation.references | doi: 10.1007/s00464-010-1113-z | en_US |
| dc.relation.references | Miyano G, Lobe TE, Wright SK (2008) Bilateral transaxillary endoscopic total thyroidectomy. J Paediatr Surg 43:299–303 | en_US |
| dc.relation.references | doi: 10.1016/j.jpedsurg.2007.10.018 | en_US |
| dc.relation.references | 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 | en_US |
| dc.relation.references | doi: 10.1097/SLE.0b013e3181a4ccae | en_US |
| dc.relation.references | 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 | en_US |
| dc.relation.references | doi: 10.1016/j.surg.2009.09.007 | en_US |
| dc.relation.references | Lang BH, Lo CY (2010) Technological innovations in surgical approach for thyroid cancer. J Oncol. doi:10.1155/2010/490719 | en_US |
| dc.relation.references | doi: 10.1155/2010/490719 | en_US |
| dc.identifier.volume | 25 | en_US |
| dc.identifier.issue | 5 | en_US |
| dc.identifier.spage | 1617 | en_US |
| dc.identifier.epage | 1623 | en_US |
| dc.identifier.eissn | 1432-2218 | en_US |
| dc.identifier.isi | WOS:000289211300042 | - |
| dc.description.other | Springer Open Choice, 21 Feb 2012 | en_US |
| dc.identifier.citeulike | 8300708 | - |
| dc.identifier.issnl | 0930-2794 | - |