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Mixed Reality Assisted Radical Endoscopic Thyroidectomy
Published on: January 31, 2025
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Detailed comparison of robotic and endoscopic transaxillary thyroidectomy
Young Woo Chang1, Hye Yoon Lee1, Woong Bae Ji1
1Department of Surgery, Korea University College of Medicine, Seoul, Republic of Korea.
Asian Journal of Surgery
|March 24, 2019
Summary
Robotic transaxillary thyroidectomy offers advantages over endoscopic approaches for papillary thyroid carcinoma. This method resulted in shorter dissection times and better preservation of parathyroid glands (PTGs).
Area of Science:
- Surgical Oncology
- Minimally Invasive Surgery
- Endocrine Surgery
Background:
- Robotic thyroidectomy is gaining traction for treating papillary thyroid carcinoma (PTC).
- Transaxillary approaches are utilized in both robotic and endoscopic thyroidectomy procedures.
- Direct comparison of surgical procedural differences is essential for optimizing patient outcomes.
Purpose of the Study:
- To compare the surgical procedural differences between robotic and endoscopic transaxillary thyroidectomy.
- To evaluate operative times and the identification and preservation of critical structures.
- To assess the efficacy of robotic thyroidectomy in PTC management.
Main Methods:
- A retrospective analysis of 40 patients undergoing robotic hemithyroidectomy and 37 patients undergoing endoscopic hemithyroidectomy for PTC.
- Detailed video analysis of surgical procedures including flap creation, docking, pole dissections, and identification of parathyroid glands (PTGs) and recurrent laryngeal nerve (RLN).
- Comparison of operative durations, PTG sacrifice rates, and clinicopathological characteristics between the two groups.
Main Results:
- Robotic thyroidectomy demonstrated shorter procedure times for inferior pole dissection and PTG/RLN identification (37.5 min vs. 50.5 min).
- Excluding docking time, the overall operative time was significantly shorter in the robotic group (133.3 min vs. 150.2 min).
- A significantly lower number of PTGs were sacrificed in the robotic group (0.35 vs. 0.65).
Conclusions:
- Robotic transaxillary thyroidectomy is associated with improved efficiency in specific surgical steps compared to endoscopic methods.
- This robotic approach facilitates better preservation of parathyroid glands, potentially reducing postoperative complications.
- Robotic thyroidectomy represents a valuable advancement in the surgical treatment of papillary thyroid carcinoma.
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