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Single-Port Robotic-assisted Transaxillary Breast-conserving Surgery: A Prospective, Single-arm, Non-randomized Phase IIa Clinical Trial
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[Robot-assisted transaxillary thyroid surgery; 5 years later].

Menno R Vriens1,2, Emily L Postma1, Inne H M Borel Rinkes1

  • 1UMC Utrecht, afd. Heelkunde.

Nederlands Tijdschrift Voor Geneeskunde
|April 5, 2019
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Summary
This summary is machine-generated.

Robot-assisted transaxillary thyroidectomy (RATT) offers a scarless alternative to conventional thyroid surgery. Studies show RATT has comparable outcomes to open procedures, but further randomized trials are needed.

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Area of Science:

  • Surgical Oncology
  • Minimally Invasive Surgery

Background:

  • Robot-assisted transaxillary thyroidectomy (RATT) introduced in the Netherlands 5 years ago.
  • RATT avoids a disfiguring neck scar, a key advantage over conventional thyroidectomy.
  • Currently, only Utrecht UMC performs RATT due to its requirement for high-volume thyroid centers with robotic surgery experience.

Purpose of the Study:

  • To evaluate the efficacy and safety of RATT compared to conventional open thyroidectomy.
  • To assess oncological and functional outcomes of RATT.
  • To highlight the need for randomized controlled trials to confirm existing cohort study findings.

Main Methods:

  • Analysis of large cohort studies comparing RATT and conventional open thyroidectomy.
  • Review of postoperative complications, resection quality, and functional outcomes.
  • Identification of centers performing RATT and reasons for limited adoption.

Main Results:

  • Cohort studies indicate similar resection quality, complication rates, and functional/oncological outcomes between RATT and open thyroidectomy.
  • No randomized controlled trials have been published to date.
  • RATT is exclusively performed in high-turnover thyroid centers with prior robotic surgery experience.

Conclusions:

  • RATT is a viable alternative to conventional thyroidectomy with comparable outcomes.
  • The adoption of RATT is limited by the need for specialized high-volume centers.
  • Further randomized controlled trials are necessary to definitively establish RATT's superiority and safety profile.