Long-term Outcomes of 109 Patients with Papillary Thyroid Carcinoma Who Underwent Robotic Total Thyroidectomy with Central Node Dissection Via the Bilateral Axillo-breast Approach

• 발행기관: 대한내분비외과학회
• 저자명: Do Hoon Koo Kyu Eun Lee Su-jin Kim Jeonghun Lee Kyoung Sik Park Seung Keun Oh Yeo-Kyu Youn
• 간행물 정보: 『대한갑상선-내분비외과학회 학술대회 논문집』2010년 학술대회, 68~68쪽, 전체 1쪽
• 주제분류: 의약학 > 면역학
• 파일형태: PDF
• 발행일자: 2010.06.30

영문 초록

Background: We developed the bilateral axillo-breast approach (BABA) endoscopic thyroidectomy technique and applied it to the da Vinci robotic surgical system in 2008. Here, the short- and long-term postoperative outcomes of robotic BABA total thyroidectomy with central node dissection (CND) were analyzed. Methods: In 2008-2009, 109 patients with PTC underwent robotic BABA total thyroidectomy with CND. Clinicopathologic characteristics, short- and long-term complications and postoperative thyroglobulin (Tg) level were prospectively obtained and analyzed. Results: The mean age was 39.1 ± 9.5 years and the male to female ratio was 1：5.8. The mean operation time was 206.2 ± 35.8 minutes. Transient recurrent laryngeal nerve (RLN) palsy occurred in 17 cases (15.6%) and transient hypocalcemia in 23 cases (21.1%). The median follow-up was 12 months. There were one (0.9%) and two (1.8%) cases of permanent RLN palsy and permanent hypocalcemia, respectively. Postoperative radioactive iodine (RAI) ablation was performed on 54 patients (49.5%). Their mean stimulated Tg level was 1.84 ± 6.35 ng/mL and 75.9% had stimulated Tg levels below 1.0 ng/mL. Conclusions: Robotic BABA total thyroidectomy with CND yields good postoperative outcomes. Given the excellent cosmetic outcomes, this technique may be a suitable surgical alternative for low-risk patients with PTC.

키워드

robotic thyroid surgery bilateral axillo-breast approach (BABA) da Vinci surgical system