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Robotic Completion Thyroidectomy via the Bilateral Axillo-Breast Approach

Background: Bilateral axillo-breast approach (BABA) robotic thyroidectomy has been successfully performed for thyroid cancer patients with excellent cosmetic results. Completion thyroidectomy is sometimes necessary after thyroid lobectomy, and whether it has a higher complication rate than the prima...

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Autores principales: Kwak, JungHak, Kim, Su-jin, Xu, Zhen, Lee, Keunchul, Ahn, Jong-hyuk, Yu, Hyeong Won, Chai, Young Jun, Choi, June Young, Lee, Kyu Eun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8071380/
https://www.ncbi.nlm.nih.gov/pubmed/33921046
http://dx.doi.org/10.3390/jcm10081707
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author Kwak, JungHak
Kim, Su-jin
Xu, Zhen
Lee, Keunchul
Ahn, Jong-hyuk
Yu, Hyeong Won
Chai, Young Jun
Choi, June Young
Lee, Kyu Eun
author_facet Kwak, JungHak
Kim, Su-jin
Xu, Zhen
Lee, Keunchul
Ahn, Jong-hyuk
Yu, Hyeong Won
Chai, Young Jun
Choi, June Young
Lee, Kyu Eun
author_sort Kwak, JungHak
collection PubMed
description Background: Bilateral axillo-breast approach (BABA) robotic thyroidectomy has been successfully performed for thyroid cancer patients with excellent cosmetic results. Completion thyroidectomy is sometimes necessary after thyroid lobectomy, and whether it has a higher complication rate than the primary operation due to the presence of adhesions remains controversial. The aim of this study was to evaluate surgical outcomes, including operation time and postoperative complications, in patients who underwent BABA robotic completion thyroidectomy. Methods: From Jan 2012 to Aug 2020, 33 consecutive patients underwent BABA robotic completion thyroidectomy for a thyroid malignancy after BABA robotic thyroid lobectomy. The procedures were divided into five steps: (1) robot setting and surgical draping, (2) flap dissection, (3) robot docking, (4) thyroidectomy, and (5) closure. Clinicopathological characteristics, operation time, and postoperative complications were reviewed. Results: The total operation time was shorter for completion thyroidectomy than for the initial operation (164.8 ± 31.7 min vs. 179.8 ± 27.1 min, p = 0.043). Among the robotic thyroidectomy steps, the duration of the thyroidectomy step was shorter than that of the initial operation (69.6 ± 20.9 min vs. 83.0 ± 19.5 min, p = 0.009. One patient (1/33, 3.0%) needed hematoma evacuation under the flap area immediately after surgery. Three patients (3/33, 9.1%) showed transient hypoparathyroidism, and one patient (1/33, 3.0%) had permanent hypoparathyroidism. Two patients (2/33, 6.1%) showed transient vocal cord palsy and recovered within 3 months following the completion thyroidectomy. There were no cases of open conversion, tracheal injury, flap injury or wound infection. Conclusions: BABA robotic completion thyroidectomy could be performed safely without completion-related complication.
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spelling pubmed-80713802021-04-26 Robotic Completion Thyroidectomy via the Bilateral Axillo-Breast Approach Kwak, JungHak Kim, Su-jin Xu, Zhen Lee, Keunchul Ahn, Jong-hyuk Yu, Hyeong Won Chai, Young Jun Choi, June Young Lee, Kyu Eun J Clin Med Article Background: Bilateral axillo-breast approach (BABA) robotic thyroidectomy has been successfully performed for thyroid cancer patients with excellent cosmetic results. Completion thyroidectomy is sometimes necessary after thyroid lobectomy, and whether it has a higher complication rate than the primary operation due to the presence of adhesions remains controversial. The aim of this study was to evaluate surgical outcomes, including operation time and postoperative complications, in patients who underwent BABA robotic completion thyroidectomy. Methods: From Jan 2012 to Aug 2020, 33 consecutive patients underwent BABA robotic completion thyroidectomy for a thyroid malignancy after BABA robotic thyroid lobectomy. The procedures were divided into five steps: (1) robot setting and surgical draping, (2) flap dissection, (3) robot docking, (4) thyroidectomy, and (5) closure. Clinicopathological characteristics, operation time, and postoperative complications were reviewed. Results: The total operation time was shorter for completion thyroidectomy than for the initial operation (164.8 ± 31.7 min vs. 179.8 ± 27.1 min, p = 0.043). Among the robotic thyroidectomy steps, the duration of the thyroidectomy step was shorter than that of the initial operation (69.6 ± 20.9 min vs. 83.0 ± 19.5 min, p = 0.009. One patient (1/33, 3.0%) needed hematoma evacuation under the flap area immediately after surgery. Three patients (3/33, 9.1%) showed transient hypoparathyroidism, and one patient (1/33, 3.0%) had permanent hypoparathyroidism. Two patients (2/33, 6.1%) showed transient vocal cord palsy and recovered within 3 months following the completion thyroidectomy. There were no cases of open conversion, tracheal injury, flap injury or wound infection. Conclusions: BABA robotic completion thyroidectomy could be performed safely without completion-related complication. MDPI 2021-04-15 /pmc/articles/PMC8071380/ /pubmed/33921046 http://dx.doi.org/10.3390/jcm10081707 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kwak, JungHak
Kim, Su-jin
Xu, Zhen
Lee, Keunchul
Ahn, Jong-hyuk
Yu, Hyeong Won
Chai, Young Jun
Choi, June Young
Lee, Kyu Eun
Robotic Completion Thyroidectomy via the Bilateral Axillo-Breast Approach
title Robotic Completion Thyroidectomy via the Bilateral Axillo-Breast Approach
title_full Robotic Completion Thyroidectomy via the Bilateral Axillo-Breast Approach
title_fullStr Robotic Completion Thyroidectomy via the Bilateral Axillo-Breast Approach
title_full_unstemmed Robotic Completion Thyroidectomy via the Bilateral Axillo-Breast Approach
title_short Robotic Completion Thyroidectomy via the Bilateral Axillo-Breast Approach
title_sort robotic completion thyroidectomy via the bilateral axillo-breast approach
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8071380/
https://www.ncbi.nlm.nih.gov/pubmed/33921046
http://dx.doi.org/10.3390/jcm10081707
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