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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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Remote-Access Thyroidectomy in the Pediatric Population: a Systematic Review
Oded Cohen1, Antti A Mäkitie2, Avi Khafif3
1Department of Otorhinolaryngology - Head and Neck Surgery, Soroka Medical Center, Affiliated with Ben-Gurion University of the Negev, Be'er Sheva, Israel. odedco@clalit.org.il.
Advances in Therapy
|February 6, 2023
Summary
Remote-access thyroidectomy in children is uncommon but can be an alternative to open surgery, particularly for avoiding neck scars. Further research is needed to confirm its safety and efficacy.
Area of Science:
- Endocrine Surgery
- Pediatric Surgery
- Minimally Invasive Surgery
Background:
- Remote-access thyroidectomy (RAT) is infrequently documented in pediatric patients.
- This systematic review examines the current landscape of RAT in children.
Approach:
- A systematic review of PubMed and Scopus databases was conducted.
- 13 articles encompassing 231 pediatric patients met the inclusion criteria.
Key Points:
- The transaxillary robotic approach was the most frequent method (48.9%).
- Sixty-seven percent of surgeries were for malignancy, with tumors ranging from 0.4 to 1.8 cm.
- Complication rates included recurrent laryngeal nerve injury (1.9%) and hypocalcemia (23.9% transient, 2.2% permanent).
Conclusions:
- Pediatric RAT is not widely adopted, necessitating higher-quality comparative studies.
- RAT offers a potential alternative to open thyroidectomy for select pediatric cases, especially when cosmesis is a priority.
