Outcomes of 109 patients with papillary thyroid carcinoma who underwent robotic total thyroidectomy with central node dissection via the bilateral axillo-breast approach

Background We developed the bilateral, axillo-breast approach (BABA) to endoscopic thyroidectomy and applied it to the da Vinci robotic surgical system in 2008. Herein, we have analyzed the immediate postoperative outcomes and 1-year follow-up results of robotic BABA total thyroidectomy with central...

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Bibliographic Details
Published in:Surgery 2010-12, Vol.148 (6), p.1207-1213
Main Authors: Lee, Kyu Eun, MD, Koo, Do Hoon, MD, Kim, Su-jin, MD, Lee, Jeonghun, MD, Park, Kyoung Sik, MD, Oh, Seung Keun, MD, Youn, Yeo-Kyu, MD
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Axilla - surgery
Biological and medical sciences
Breast
Carcinoma
Carcinoma, Papillary
Endocrinopathies
Female
Follow-Up Studies
General aspects
Humans
Korea
Laryngeal Nerves - pathology
Length of Stay
Lymph Node Excision - methods
Male
Malignant tumors
Medical sciences
Middle Aged
Neoplasm Staging
Paralysis - etiology
Postoperative Complications - epidemiology
Robotics - methods
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of endocrine glands
Thyroglobulin - blood
Thyroid Cancer, Papillary
Thyroid Neoplasms - pathology
Thyroid Neoplasms - surgery
Thyroid. Thyroid axis (diseases)
Thyroidectomy - methods
Time Factors
Treatment Outcome
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Summary:Background We developed the bilateral, axillo-breast approach (BABA) to endoscopic thyroidectomy and applied it to the da Vinci robotic surgical system in 2008. Herein, we have analyzed the immediate postoperative outcomes and 1-year follow-up results of robotic BABA total thyroidectomy with central node dissection (CND). Methods In 2008 and 2009, 109 patients with PTC underwent robotic BABA total thyroidectomy with CND. Clinicopathologic characteristics, short- and long-term complications, and postoperative thyroglobulin (Tg) level were obtained prospectively and analyzed. Results The mean age was 39 ± 10 years and the male to female ratio was 1:5.8. The mean operation time was 206 ± 36 minutes. Transient recurrent laryngeal nerve (RLN) palsy occurred in 17 cases (16%) and transient hypocalcemia in 21 cases (19%). The median follow-up was 12 months. There were 1 and 2 cases of permanent RLN palsy and permanent hypoparathyroidism, respectively. Postoperative radioactive iodine ablation was performed on 54 patients (50%). Their mean stimulated Tg level was 1.84 ± 6.35 ng/mL and 76% had stimulated Tg levels
ISSN:0039-6060
1532-7361
DOI:10.1016/j.surg.2010.09.018