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Yonsei Experience of 5000 Gasless Transaxillary Robotic Thyroidectomies.
Min Jhi Kim1, Kee-Hyun Nam1, Seul Gi Lee1
1Department of Surgery, Severance Hospital, Yonsei Cancer Center, Yonsei University College of Medicine, 50-1, Yonsei-ro, Seodaemun-gu, Seoul, 03722, Korea.
World Journal of Surgery
|September 8, 2017
Summary
This study reports on 5000 robotic thyroidectomies using a gasless transaxillary approach, demonstrating acceptable surgical outcomes with low recurrence rates. The technique shows promise for reduced morbidity in thyroid cancer surgery.
Area of Science:
- Surgical Oncology
- Robotic Surgery
- Endocrine Surgery
Background:
- Robotic thyroidectomy (RT) using a gasless transaxillary approach (TAA) has advanced since its introduction in 2007.
- This study details the experience and outcomes of 5000 RT procedures performed with this novel technique.
Purpose of the Study:
- To report the surgical outcomes of a large series of robotic thyroidectomies.
- To evaluate the efficacy and safety of the gasless transaxillary approach for robotic thyroidectomy.
Main Methods:
- Retrospective review of 5000 robotic thyroidectomies performed between October 2007 and May 2016.
- Analysis of clinicopathologic characteristics, operation times, complications, and oncologic outcomes.
Main Results:
- The study included 5000 patients (4804 with cancer, 196 with benign tumors).
- Mean operation time was 134.5 minutes; 98% of cancers were papillary type.
- Postoperative complications occurred in 24.1% without serious events, and locoregional recurrence was 0.5%.
Conclusions:
- The gasless transaxillary robotic thyroidectomy technique has achieved acceptable surgical outcomes.
- Continuous advancements in robotic technology and surgical technique aim to further reduce morbidity and improve oncologic results.
