Initial Experience of BABA Robotic Thyroidectomy Using the Da Vinci Xi System in Incheon, Korea
2
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
Purpose: The incidence of thyroid cancer in Korea is high, with the disease usually observed in young women. Thyroid cancer surgery should focus on both oncologic safety and good cosmetic outcomes. The bilateral axillo-breast approach (BABA) to thyroid surgery, which has been performed for over 10 years, has shown good oncologic and cosmetic outcomes. This study reports the initial results of robotic BABA thyroidectomy with the Da Vinci Xi system at Inha University Hospital in Incheon, Korea. Methods: This study included 53 patients who underwent BABA robotic thyroidectomy, performed by a single endocrine surgeon using the Da Vinci Xi system, between December 2018 and March 2019. Patients' medical records and surgery videos were retrospectively reviewed, and their clinical and surgical characteristics, pathological findings, and shortterm postoperative outcomes were evaluated. Results: The 53 patients included 9 men and 44 women of mean age 44.51±10.36 years (range, 24–64 years). Mean robotic console times were 75.08±15.96 minutes for lobectomy and 93.53±17.86 minutes for total thyroidectomy. Forty-five patients were diagnosed with papillary thyroid carcinoma. Vocal cord palsy occurred in one patient and transient hypocalcemia in 8, with all resolving after 2 months. Cosmetic outcomes were excellent and there were no serious or unexpected complications. Conclusion: BABA robotic thyroid surgery using the Da Vinci Xi system was successfully started at a hospital in Inchon, Korea. Long-term prospective cohort studies including larger numbers of patients are required to assess outcomes.
Abstract
Purpose: The incidence of thyroid cancer in Korea is high, with the disease usually observed in young women. Thyroid cancer surgery should focus on both oncologic safety and good cosmetic outcomes. The bilateral axillo-breast approach (BABA) to thyroid surgery, which has been performed for over 10 years, has shown good oncologic and cosmetic outcomes. This study reports the initial results of robotic BABA thyroidectomy with the Da Vinci Xi system at Inha University Hospital in Incheon, Korea. Methods: This study included 53 patients who underwent BABA robotic thyroidectomy, performed by a single endocrine surgeon using the Da Vinci Xi system, between December 2018 and March 2019. Patients' medical records and surgery videos were retrospectively reviewed, and their clinical and surgical characteristics, pathological findings, and shortterm postoperative outcomes were evaluated. Results: The 53 patients included 9 men and 44 women of mean age 44.51±10.36 years (range, 24–64 years). Mean robotic console times were 75.08±15.96 minutes for lobectomy and 93.53±17.86 minutes for total thyroidectomy. Forty-five patients were diagnosed with papillary thyroid carcinoma. Vocal cord palsy occurred in one patient and transient hypocalcemia in 8, with all resolving after 2 months. Cosmetic outcomes were excellent and there were no serious or unexpected complications. Conclusion: BABA robotic thyroid surgery using the Da Vinci Xi system was successfully started at a hospital in Inchon, Korea. Long-term prospective cohort studies including larger numbers of patients are required to assess outcomes.
참고문헌 (26)
- Pellegriti G, "Worldwide increasing incidence of thyroid cancer : update on epidemiology and risk factors", J Cancer Epidemiol, 2013, pp.965212~ (2013)
- 정규원, "Cancer Statistics in Korea: Incidence, Mortality, Survival, and Prevalence in 2016", Cancer Research and Treatment, 51(2), pp.417~430 (2019), 대한암학회
- Giddings AE, "The history of thyroidectomy", J R Soc Med, 91(Suppl 33), pp.3~6 (1998)
- Welbourn RB, "Highlights from endocrine surgical history", World J Surg, 20, pp.603~612 (1996)
- Koo DH, "In-depth survey of scarring and distress in patients undergoing bilateral axillo-breast approach robotic thyroidectomy or conventional open thyroidectomy", Surg Laparosc Endosc Percutan Tech, 25, pp.436~439 (2015)
- 태경, "Robotic and Endoscopic Thyroid Surgery: Evolution and Advances", Clinical and Experimental Otorhinolaryngology, 12(1), pp.1~11 (2019), 대한이비인후과학회[DOI]
- Choe JH, "Endoscopic thyroidectomy using a new bilateral axillo-breast approach", World J Surg, 31, pp.601~606 (2007)
- Bellantone R, "Video-assisted vs conventional thyroid lobectomy : a randomized trial", Arch Surg, 137, pp.301~304 (2002)
- Lee KE, "Surgical completeness of bilateral axillo-breast approach robotic thyroidectomy : comparison with conventional open thyroidectomy after propensity score matching", Surgery, 150, pp.1266~1274 (2011)
- Kim BS, "Robotic modified radical neck dissection by bilateral axillary breast approach for papillary thyroid carcinoma with lateral neck metastasis", Head Neck, 37, pp.37~45 (2015)
- Chai YJ, "Surgical safety and oncological completeness of robotic thyroidectomy for thyroid carcinoma larger than 2 cm", Surg Endosc, 31, pp.1235~1240 (2017)
- He QQ, "Comparative study between robotic total thyroidectomy with central lymph node dissection via bilateral axillo-breast approach and conventional open procedure for papillary thyroid microcarcinoma", Chin Med J(Engl), 129, pp.2160~2166 (2016)
- Lee KE, "Bilateral axillo-breast approach robotic thyroidectomy", Surg Laparosc Endosc Percutan Tech, 21, pp.230~236 (2011)
- Ruhle BC, "Robot-assisted endocrine surgery : indications and drawbacks", J Laparoendosc Adv Surg Tech A, 29, pp.129~135 (2019)
- Lee KE, "Endoscopic thyroidectomy with the Da Vinci robot system using the bilateral axillary breast approach (BABA) technique: our initial experience", Surg Laparosc Endosc Percutan Tech, 19, pp.e71~e75 (2009)
- Gagner M, "Endoscopic subtotal parathyroidectomy in patients with primary hyperparathyroidism", Br J Surg, 83, pp.875~ (1996)
- Hüscher CS, "Endoscopic right thyroid lobectomy", Surg Endosc, 11, pp.877~ (1997)
- Ohgami M, "Scarless endoscopic thyroidectomy : breast approach for better cosmesis", Surg Laparosc Endosc Percutan Tech, 10, pp.1~4 (2000)
- Ikeda Y, "Endoscopic thyroidectomy by the axillary approach", Surg Endosc, 15, pp.1362~1364 (2001)
- Ikeda Y, "Total endoscopic thyroidectomy : axillary or anterior chest approach", Biomed Pharmacother, 56(Suppl 1), pp.72s~78s (2002)[DOI]
- Shimazu K, "Endoscopic thyroid surgery through the axillo-bilateral-breast approach", Surg Laparosc Endosc Percutan Tech, 13, pp.196~201 (2003)
- Kim BS, "Central neck dissection using a bilateral axillo-breast approach for robotic thyroidectomy : comparison with conventional open procedure after propensity score matching", Surg Laparosc Endosc Percutan Tech, 24, pp.67~72 (2014)
- Lee KE, "Robotic thyroidectomy by bilateral axillo-breast approach: review of 1,026 cases and surgical completeness", Surg Endosc, 27, pp.2955~2962 (2013)
- Kwon H, "Bilateral axillo-breast approach robotic thyroidectomy for Graves' disease : an initial experience in a single institute", World J Surg, 37, pp.1576~1581 (2013)
- Song RY, "The first report of robotic bilateral modified radical neck dissection through the bilateral axillo-breast approach for papillary thyroid carcinoma with bilateral lateral neck metastasis", Surg Laparosc Endosc Percutan Tech (2018)
- Pan JH, "Robotic thyroidectomy versus conventional open thyroidectomy for thyroid cancer : a systematic review and meta-analysis", Surg Endosc, 31, pp.3985~4001 (2017)