A Propensity Score-matched Comparison Study of Surgical Outcomes in Patients with Differentiated Thyroid Cancer After Robotic Versus Open Total Thyroidectomy

Introduction The aim of this study, from a surgical, oncological, and functional perspective, was to identify whether bilateral axillo-breast approach robotic total thyroidectomy (RTT) for differentiated thyroid cancer (DTC) has different surgical outcomes compared to open total thyroidectomy (OTT)....

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Bibliographic Details
Published in:World journal of surgery 2019-02, Vol.43 (2), p.540-551
Main Authors: Bae, Dong Sik, Koo, Do Hoon
Format: Article
Language:English
Subjects:
Abdominal Surgery
Body mass
Body mass index
Body size
Cancer
Cardiac Surgery
General Surgery
Medicine
Medicine & Public Health
Original Scientific Report
Parathyroid
Patients
Recovery
Robotic surgery
Robotics
Surgery
Surgical outcomes
Thoracic Surgery
Thyroid
Thyroid cancer
Thyroidectomy
Thyroiditis
Vascular Surgery
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Summary:Introduction The aim of this study, from a surgical, oncological, and functional perspective, was to identify whether bilateral axillo-breast approach robotic total thyroidectomy (RTT) for differentiated thyroid cancer (DTC) has different surgical outcomes compared to open total thyroidectomy (OTT). Methods Initially, 796 patients who underwent total thyroidectomy were primarily reviewed and 178 who were ineligible for analysis were excluded. Propensity score matching analysis adjusted for clinicopathological characteristics (sex, age, body mass index, extent of central node dissection, tumor size, extrathyroidal extension, and thyroiditis) was conducted, with 246 patients in the OTT group matched with 123 patients in the RTT group. Results There were no significant differences in surgical outcomes in terms of surgical safety and oncological safety between the OTT and RTT groups, except in mean operation times (123.51 ± 32.63 vs. 198.39 ± 37.93 min, respectively; P  
ISSN:0364-2313
1432-2323
DOI:10.1007/s00268-018-4802-8