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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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| Published in: | World journal of surgery 2019-02, Vol.43 (2), p.540-551 |
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| container_title | World journal of surgery |
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| creator | Bae, Dong Sik Koo, Do Hoon |
| description | 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
|
| doi_str_mv | 10.1007/s00268-018-4802-8 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2111142022</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2110394522</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4222-37b8e421aa80a0bf09475dd394118e3f1f7aae10d733ae98b87abcd73ce5fd373</originalsourceid><addsrcrecordid>eNqFkV-LEzEUxYMobl39AL5IwBdfRm_-tJN5rNVdlYUutupjyGTubLN0JjXJsMyH8btu6lQFQcxDkgu_c-6BQ8hzBq8ZQPkmAvCFKoCpQirghXpAZkwKXnDBxUMyA7GQ-c_EGXkS4y0AKxeweEzOBHDJ5byckR9Leh38Afvo0kg31gcsOpPsDhu68t3BBBd9TzdpaEbqW7oZwo2zZk_XQ7K-w0hdT69NctinSO9c2tF3rm0x5NmZlF22uzF4l91MbzHQZZvy_dnXPjlLv2KIQ6TrHIBufcq-Jxxt8t34lDxqzT7is9N7Tr5cvN-uPhRX68uPq-VVYSXnvBBlrVByZowCA3ULlSznTSMqyZhC0bK2NAYZNKUQBitVq9LUNk8W520jSnFOXk2-h-C_DxiT7ly0uN-bHv0QNWf5SA6cZ_TlX-itH0Kf0x0pyDvnPyk2UTb4GAO2-hBcZ8KoGehjd3rqTufu9LE7rbLmxcl5qDtsfit-lZWBagLu3B7H_zvqb582by-gYuoYiE_amGX9DYY_sf-d6B4wErdH</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2110394522</pqid></control><display><type>article</type><title>A Propensity Score-matched Comparison Study of Surgical Outcomes in Patients with Differentiated Thyroid Cancer After Robotic Versus Open Total Thyroidectomy</title><source>Springer Link</source><creator>Bae, Dong Sik ; Koo, Do Hoon</creator><creatorcontrib>Bae, Dong Sik ; Koo, Do Hoon</creatorcontrib><description>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
< 0.001). However, the median parathyroid and laryngeal function recovery times were shorter in the RTT group than in the OTT group [88 ± 33.09 (95% CI: 23.148–152.852) vs. 100 ± 16.20 (95% CI: 68.242–131.768) days;
P
= 0.044 and 87 ± 32.40 (95% CI: 23.489–150.511) vs. 118 ± 49.50 (95% CI: 20.985–215.015) days;
P
= 0.002].
Conclusions
The recovery times of laryngeal and parathyroid function were significantly shorter in RTT patients than in OTT patients for DTC. To verify a definitive conclusion about the superiority of robotic total thyroidectomy in terms of parathyroid and laryngeal function recovery, further studies may be necessary.</description><identifier>ISSN: 0364-2313</identifier><identifier>EISSN: 1432-2323</identifier><identifier>DOI: 10.1007/s00268-018-4802-8</identifier><identifier>PMID: 30242457</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>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</subject><ispartof>World journal of surgery, 2019-02, Vol.43 (2), p.540-551</ispartof><rights>Société Internationale de Chirurgie 2018</rights><rights>2019 The Author(s) under exclusive licence to Société Internationale de Chirurgie</rights><rights>World Journal of Surgery is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4222-37b8e421aa80a0bf09475dd394118e3f1f7aae10d733ae98b87abcd73ce5fd373</citedby><cites>FETCH-LOGICAL-c4222-37b8e421aa80a0bf09475dd394118e3f1f7aae10d733ae98b87abcd73ce5fd373</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30242457$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bae, Dong Sik</creatorcontrib><creatorcontrib>Koo, Do Hoon</creatorcontrib><title>A Propensity Score-matched Comparison Study of Surgical Outcomes in Patients with Differentiated Thyroid Cancer After Robotic Versus Open Total Thyroidectomy</title><title>World journal of surgery</title><addtitle>World J Surg</addtitle><addtitle>World J Surg</addtitle><description>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
< 0.001). However, the median parathyroid and laryngeal function recovery times were shorter in the RTT group than in the OTT group [88 ± 33.09 (95% CI: 23.148–152.852) vs. 100 ± 16.20 (95% CI: 68.242–131.768) days;
P
= 0.044 and 87 ± 32.40 (95% CI: 23.489–150.511) vs. 118 ± 49.50 (95% CI: 20.985–215.015) days;
P
= 0.002].
Conclusions
The recovery times of laryngeal and parathyroid function were significantly shorter in RTT patients than in OTT patients for DTC. To verify a definitive conclusion about the superiority of robotic total thyroidectomy in terms of parathyroid and laryngeal function recovery, further studies may be necessary.</description><subject>Abdominal Surgery</subject><subject>Body mass</subject><subject>Body mass index</subject><subject>Body size</subject><subject>Cancer</subject><subject>Cardiac Surgery</subject><subject>General Surgery</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Scientific Report</subject><subject>Parathyroid</subject><subject>Patients</subject><subject>Recovery</subject><subject>Robotic surgery</subject><subject>Robotics</subject><subject>Surgery</subject><subject>Surgical outcomes</subject><subject>Thoracic Surgery</subject><subject>Thyroid</subject><subject>Thyroid cancer</subject><subject>Thyroidectomy</subject><subject>Thyroiditis</subject><subject>Vascular Surgery</subject><issn>0364-2313</issn><issn>1432-2323</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNqFkV-LEzEUxYMobl39AL5IwBdfRm_-tJN5rNVdlYUutupjyGTubLN0JjXJsMyH8btu6lQFQcxDkgu_c-6BQ8hzBq8ZQPkmAvCFKoCpQirghXpAZkwKXnDBxUMyA7GQ-c_EGXkS4y0AKxeweEzOBHDJ5byckR9Leh38Afvo0kg31gcsOpPsDhu68t3BBBd9TzdpaEbqW7oZwo2zZk_XQ7K-w0hdT69NctinSO9c2tF3rm0x5NmZlF22uzF4l91MbzHQZZvy_dnXPjlLv2KIQ6TrHIBufcq-Jxxt8t34lDxqzT7is9N7Tr5cvN-uPhRX68uPq-VVYSXnvBBlrVByZowCA3ULlSznTSMqyZhC0bK2NAYZNKUQBitVq9LUNk8W520jSnFOXk2-h-C_DxiT7ly0uN-bHv0QNWf5SA6cZ_TlX-itH0Kf0x0pyDvnPyk2UTb4GAO2-hBcZ8KoGehjd3rqTufu9LE7rbLmxcl5qDtsfit-lZWBagLu3B7H_zvqb582by-gYuoYiE_amGX9DYY_sf-d6B4wErdH</recordid><startdate>20190215</startdate><enddate>20190215</enddate><creator>Bae, Dong Sik</creator><creator>Koo, Do Hoon</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20190215</creationdate><title>A Propensity Score-matched Comparison Study of Surgical Outcomes in Patients with Differentiated Thyroid Cancer After Robotic Versus Open Total Thyroidectomy</title><author>Bae, Dong Sik ; Koo, Do Hoon</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4222-37b8e421aa80a0bf09475dd394118e3f1f7aae10d733ae98b87abcd73ce5fd373</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Abdominal Surgery</topic><topic>Body mass</topic><topic>Body mass index</topic><topic>Body size</topic><topic>Cancer</topic><topic>Cardiac Surgery</topic><topic>General Surgery</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Scientific Report</topic><topic>Parathyroid</topic><topic>Patients</topic><topic>Recovery</topic><topic>Robotic surgery</topic><topic>Robotics</topic><topic>Surgery</topic><topic>Surgical outcomes</topic><topic>Thoracic Surgery</topic><topic>Thyroid</topic><topic>Thyroid cancer</topic><topic>Thyroidectomy</topic><topic>Thyroiditis</topic><topic>Vascular Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bae, Dong Sik</creatorcontrib><creatorcontrib>Koo, Do Hoon</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Immunology Abstracts</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>World journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bae, Dong Sik</au><au>Koo, Do Hoon</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Propensity Score-matched Comparison Study of Surgical Outcomes in Patients with Differentiated Thyroid Cancer After Robotic Versus Open Total Thyroidectomy</atitle><jtitle>World journal of surgery</jtitle><stitle>World J Surg</stitle><addtitle>World J Surg</addtitle><date>2019-02-15</date><risdate>2019</risdate><volume>43</volume><issue>2</issue><spage>540</spage><epage>551</epage><pages>540-551</pages><issn>0364-2313</issn><eissn>1432-2323</eissn><abstract>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
< 0.001). However, the median parathyroid and laryngeal function recovery times were shorter in the RTT group than in the OTT group [88 ± 33.09 (95% CI: 23.148–152.852) vs. 100 ± 16.20 (95% CI: 68.242–131.768) days;
P
= 0.044 and 87 ± 32.40 (95% CI: 23.489–150.511) vs. 118 ± 49.50 (95% CI: 20.985–215.015) days;
P
= 0.002].
Conclusions
The recovery times of laryngeal and parathyroid function were significantly shorter in RTT patients than in OTT patients for DTC. To verify a definitive conclusion about the superiority of robotic total thyroidectomy in terms of parathyroid and laryngeal function recovery, further studies may be necessary.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>30242457</pmid><doi>10.1007/s00268-018-4802-8</doi><tpages>12</tpages></addata></record> |
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| 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 |
| title | A Propensity Score-matched Comparison Study of Surgical Outcomes in Patients with Differentiated Thyroid Cancer After Robotic Versus Open Total Thyroidectomy |
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