A comparison study of the transoral and bilateral axillo-breast approaches in robotic thyroidectomy

Wan Wook Kim, Jeeyeon Lee, Jin Hyang Jung, Ho Yong Park, Ralph P. Tufano, Hoon Yub Kim

    Research output: Contribution to journalArticlepeer-review

    34 Citations (Scopus)

    Abstract

    Objectives: Transoral robotic thyroidectomy (TORT) is a new remote access approach to avoid cervical incision. The purpose of this study is to compare two approaches used to avoid cervical incision: transoral approach and bilateral axillo-breast approach (BABA) in robotic thyroidectomy. Methods: A total of 90 patients were enrolled prospectively between September 2016 and April 2017. The BABA group had 43 and the TORT group had 47 patients, respectively. Parameters including clinicopathologic data, operative time, complications, laboratory data, hospital stay, postoperative pain, and cosmetic satisfaction were analyzed. Results: Complications were not different among the two groups. The operative time of TORT was longer than BABA until 15 cases of TORT were completed, but there was no difference after that. The Visual Analogue Scale score in TORT was lower than BABA in all the periods. TORT showed a higher cosmetic satisfaction after surgery. There was no infection or permanent mental nerve hypoesthesia in TORT. Conclusion: Our study showed that TORT had less postoperative pain and a greater cosmetic satisfaction than the BABA. There were no significant differences in the postoperative surgical results between the two groups. TORT was comparable to the BABA in outcome with higher cosmetic satisfaction and less pain.

    Original languageEnglish
    Pages (from-to)381-387
    Number of pages7
    JournalJournal of Surgical Oncology
    Volume118
    Issue number3
    DOIs
    Publication statusPublished - 2018 Sept 1

    Bibliographical note

    Funding Information:
    This study was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (2014R1A5A2009242).

    Publisher Copyright:
    © 2018 Wiley Periodicals, Inc.

    Keywords

    • bilateral axillo-breast approach
    • comparison
    • thyroidectomy
    • transoral

    ASJC Scopus subject areas

    • Surgery
    • Oncology

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