Comparative study of robotic versus endoscopic thyroidectomy by a gasless unilateral axillo-breast or axillary approach

被引：43
作者：
Tae, Kyung [1 ]
Ji, Yong Bae [1 ]
Jeong, Jin Hyeok [1 ]
Kim, Kyung Rae [1 ]
Choi, Woong Hwan [2 ]
Ahn, You Hern [2 ]
机构：
[1] Hanyang Univ, Dept Otolaryngol Head & Neck Surg, Coll Med, Seoul 133792, South Korea
[2] Hanyang Univ, Coll Med, Seoul 133792, South Korea
来源：
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2013年 / 35卷 / 04期
关键词：
robotic thyroidectomy; endoscopic thyroidectomy; da Vinci Surgical System; axillo-breast approach; axillary approach; LEARNING-CURVE; SURGERY; INSUFFLATION; EXPERIENCE; SCARLESS;
D O I：
10.1002/hed.22989
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
Background Robotic thyroidectomy and conventional endoscopic thyroidectomy have not been thoroughly compared. In this study, we compared the potential advantages of robotic versus endoscopic thyroidectomy. Methods We analyzed 218 consecutive patients who underwent endoscopic (105 cases) or robotic (113 cases) thyroidectomy using a gasless unilateral axillo-breast or gasless unilateral axillary approach. Results Because of the dexterity of robotic instruments and the improved surgical view, it was subjectively easier and took less time to perform a complete total thyroidectomy and central compartment neck dissection in robotic thyroidectomy. In the case of unilateral lobectomy, endoscopic and robotic thyroidectomy had quite similar surgical outcomes. Cosmetic satisfaction was excellent in both groups. Conclusion In this series by a single surgeon, robotic thyroidectomy was superior to endoscopic thyroidectomy for performing total thyroidectomy and bilateral central compartment neck dissection. However, in terms of cost-effectiveness, endoscopic thyroidectomy was comparable to robotic thyroidectomy in patients who undergo unilateral lobectomy. (c) 2012 Wiley Periodicals, Inc. Head Neck, 2013
引用
收藏
页码：477 / 484
页数：8
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