The Learning Curve for Robotic Thyroidectomy Using a Bilateral Axillo-Breast Approach From the 100 Cases

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Wan Wook KimHo Yong Park

Abstract

The purpose of this study was to examine the learning curve for robotic thyroidectomy using a bilateral axillo-breast approach. We examined the first 100 robotic thyroidectomies with central lymph node dissection due to papillary thyroid cancer between April 2010 and August 2011. We evaluated the clinical characteristics, operative time, pathologic data, and complications. Operative time was reduced significantly after 40 cases; therefore, the patients were divided into 2 groups: group A (1 to 40 cases) and group B (41 to 100 cases). The mean operative time in group A (232.6±10.0 min) was longer than that in group B (188.9±6.0 min) with statistical significance (P=0.001). Other data, including characteristics, drainage amount, hospital stay, retrieved lymph nodes, thyroglobulin, and complications, were not different between the 2 groups. The learning curves with lobectomy and total thyroidectomy were reached at the same time. The learning curve for robotic thyroidectomy with central lymph node dissection using bilateral axillo-breast approach was 40 cases for beginner surgeons. Robotic total thyroidectomy was performed effectively and safely after experience with 40 cases, as with lobectomy.

References

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Citations

Apr 14, 2016·International Journal of Endocrinology·Shirley Yuk Wah Liu, Enders Kwok Wai Ng
Aug 22, 2018·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Christopher R RazaviJonathon O Russell
Sep 6, 2018·Journal of Surgical Oncology·Wan Wook KimHoon Yub Kim
May 15, 2018·Head & Neck·Christopher R RazaviJonathon O Russell
Mar 13, 2019·The Journal of Clinical Endocrinology and Metabolism·Jonathon O RussellRalph P Tufano
Feb 8, 2020·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Quang V LeQuy X Ngo
Jan 24, 2019·Journal of Clinical Medicine·Hyun Soo KimHee Chan Kim
Jul 1, 2020·Current Oncology Reports·Irit DuekDan M Fliss
Jan 30, 2021·World Journal of Surgery·Tsung-Jung LiangI-Shu Chen

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