학술논문
Robotic transaxillary thyroidectomy: time to expand indications?
Document Type
Academic Journal
Author
Rossi L; Department of Surgical, Medical and Molecular Pathology and Critical Area, University of Pisa, Pisa, Italy. rossi.leonardo.phd@gmail.com.; De Palma A; Department of Surgical, Medical and Molecular Pathology and Critical Area, University of Pisa, Pisa, Italy.; Fregoli L; Department of Surgical, Medical and Molecular Pathology and Critical Area, University of Pisa, Pisa, Italy.; Papini P; Department of Surgical, Medical and Molecular Pathology and Critical Area, University of Pisa, Pisa, Italy.; Ambrosini CE; Department of Surgical, Medical and Molecular Pathology and Critical Area, University of Pisa, Pisa, Italy.; Becucci C; Department of Surgical, Medical and Molecular Pathology and Critical Area, University of Pisa, Pisa, Italy.; Gjeloshi B; Department of Surgical, Medical and Molecular Pathology and Critical Area, University of Pisa, Pisa, Italy.; Morganti R; Section of Statistics, University of Pisa, Pisa, Italy.; Marco P; Department of Surgical, Medical and Molecular Pathology and Critical Area, University of Pisa, Pisa, Italy.; Materazzi G; Department of Surgical, Medical and Molecular Pathology and Critical Area, University of Pisa, Pisa, Italy.
Source
Publisher: Springer Country of Publication: England NLM ID: 101300401 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1863-2491 (Electronic) Linking ISSN: 18632483 NLM ISO Abbreviation: J Robot Surg Subsets: MEDLINE
Subject
Language
English
Abstract
In 2016, the American Thyroid Association published a statement on remote-access thyroid surgery claiming that it should be reserved to patients with thyroid nodule ≤ 3 cm, thyroid lobe < 6 cm and without thyroiditis. We retrospectively enrolled all patients who underwent robotic transaxillary thyroidectomy between February 2012 and March 2022. We compared surgical outcomes between patients who presented a thyroid gland with a nodule ≤ 3 cm, thyroid lobe < 6 cm and without thyroiditis (Group A) and patients without these features (Group B). The rate of overall complications resulted comparable (p = 0.399), as well as the operative time (p = 0.477) and the hospital stay (p = 0.305). Moreover, bleeding resulted associated to thyroid nodule > 3 cm (p = 0.015), although all bleedings but one occurred in the remote-access site from the axilla to the neck. In experienced hands, robotic transaxillary thyroidectomy is feasible and safe even in patients with large thyroid nodules or thyroiditis.
(© 2023. The Author(s).)
(© 2023. The Author(s).)