Comparison of surgical completeness between robotic total thyroidectomy versus open thyroidectomy

The Laryngoscope
Kyung TaeYun Y Choi

Abstract

The aim of this study was to investigate the surgical completeness of robotic total thyroidectomy compared with conventional open thyroidectomy. Retrospective, case-control study. We studied 245 patients with papillary thyroid carcinoma who underwent total thyroidectomy and postoperative radioactive iodine (RAI) ablation. Of these, 62 patients underwent robotic thyroidectomy by a gasless unilateral axillo-breast (GUAB) or axillary (GUA) approach, and 183 underwent conventional open thyroidectomy. We analyzed serum TSH-stimulated thyroglobulin (Tg) and RAI uptake at the time of RAI remnant ablation to compare surgical completeness in the two groups. Tumor characteristics and complications did not differ between the two groups except TNM stage. The mean TSH-stimulated Tg at the first RAI ablation was significantly higher in the robotic group (10.20 ± 9.98 ng/ml) than in the open group (3.85 ± 6.79 ng/ml) (P <0.001). In subgroup analysis of the robotic group by the period in which operations took place, TSH-stimulated Tg was significantly higher than in the open group in the first (13.28 ± 11.91 ng/ml) and second (10.45 ± 9.30 ng/ml) periods, but there was no significant difference in the third period (6.00 ± 6.26 ng/ml, P = 0.141...Continue Reading

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Citations

Jul 9, 2014·Annals of Surgical Oncology·Chang Myeon SongKyung Tae
Oct 16, 2015·World Journal of Surgery·Chang Myeon SongKyung Tae
Dec 4, 2015·Current Opinion in Oncology·Shirley Yuk-Wah Liu, Brian Hung-Hin Lang
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Dec 6, 2017·Head & Neck·Chang Myeon SongKyung Tae
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