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Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
Published on: September 15, 2023
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Single-incision endoscopic thyroidectomy for papillary thyroid cancer: A pilot study.
Jinbeom Cho1, Yohan Park1, Jongmin Baek1
1Department of Surgery, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul, 06591, Republic of Korea.
International Journal of Surgery (London, England)
|May 16, 2017
Summary
Single incision endoscopic thyroidectomy (SIET) is safe for papillary thyroid cancer (PTC), offering cosmetic benefits and reduced pain. Oncologic outcomes were acceptable, with one recurrence managed effectively.
Area of Science:
- Endocrine Surgery
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Conventional endoscopic thyroidectomy can be invasive.
- Single incision endoscopic thyroidectomy (SIET) using an axillary approach with gas inflation was previously reported for benign tumors.
- This study evaluates SIET for papillary thyroid cancer (PTC).
Purpose of the Study:
- To present experiences with SIET for papillary thyroid cancer (PTC).
- To assess the safety, efficacy, and cosmetic outcomes of SIET in PTC patients.
Main Methods:
- Included patients with histologically confirmed papillary thyroid carcinoma (≤1 cm), single, unilateral, intra-thyroidal lesion, and no clinical lymph node metastasis.
- Analyzed clinico-pathological characteristics, surgical outcomes, and oncologic adequacy.
- 75 patients underwent hemi-thyroidectomy with ipsilateral central lymph node dissection via SIET.
Main Results:
- Mean tumor size was 0.5 cm; 4.1 central lymph nodes were removed.
- 98.3% patient satisfaction with surgical wounds; no critical complications except one post-operative bleeding.
- One case of recurrence in a contralateral cervical lymph node region 6 months post-SIET, successfully managed with completion thyroidectomy and selective neck dissection.
Conclusions:
- SIET is a safe and acceptable procedure for PTC.
- SIET offers reduced dissection field, less post-operative pain, and greater cosmetic satisfaction compared to conventional endoscopic thyroid surgery.
