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Open Access 01-12-2022 | Incision | Research article

A comparative study of two robotic thyroidectomy procedures: transoral vestibular versus bilateral axillary-breast approach

Authors: Qingqing He, Jian Zhu, Xiaolei Li, Meng Wang, Gang Wang, Peng Zhou, Dan Wang, Changrui Liu, Luming Zheng, Dayong Zhuang, Ziyi Fan, Fang Yu, Yunhan Ma, Xianjiao Cao, Suai Wang, Tao Yue, Jinzhi Hu

Published in: BMC Surgery | Issue 1/2022

Abstract

Objective

To compare the surgical outcomes between the transoral-vestibular robotic thyroidectomy (TOVRT) and bilateral axillo-breast approach robotic thyroidectomy (BABART).

Methods

A total of 99 patients with papillary thyroid carcinoma but no distant metastasis were enrolled in this study from May 2020 to April 2021. Lobectomy or total thyroidectomy with central lymph node dissection were performed in all cases. All 99 patients were received an ultrasound guided fine needle aspiration biopsy prior to surgical intervention, out of which 49 patients underwent TOVRT, while rest 50 patients underwent BABART. During the procedure, intraoperative neuromonitoring system was used and all recurrent laryngeal nerves (RLNs) were preserved, additionally for TOVRT procedure, three intraoral ports or right axillary fold incision was used to allow for fine countertraction of tissue for radical oncological dissection. The clinical data including age, gender, height, weight, BMI, primary tumor size, number of central lymph node removed, central lymph node metastasis, operating time, total hospital stays, postoperative hospital stays, total postoperative drainage volume, postoperative pain score, cosmetic effect and complications were recorded and analyzed.

Results

There were no significant differences in gender, height, weight, BMI and removed central lymph nodes between the two groups (P > 0.05). Patients accepted TOVRT were younger and had smaller primary tumor size than those who accepted BABART. The TOVRT group had a longer surgical time than the BABART group, but with smaller postoperative drainage volume and superior cosmetic effect (under visual analogue scale, VAS) (P < 0.05). There was no significant difference in lymph node metastasis, hospital stay and postoperative pain score (under numerical rating scale, NRS) between the two groups (P > 0.05). Last but not least, certain peculiar complications were observed in TOVRT group: paresthesia of the lower lip and the chin (one case), surgical site infection (one case) and skin burn (one case).

Conclusion

Transoral-vestibular robotic thyroidectomy is safe and feasible for certain patients, which could be considered an alternative approach for patients who require no scarring on their neck.

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Title: A comparative study of two robotic thyroidectomy procedures: transoral vestibular versus bilateral axillary-breast approach
Authors: Qingqing He
Jian Zhu
Xiaolei Li
Meng Wang
Gang Wang
Peng Zhou
Dan Wang
Changrui Liu
Luming Zheng
Dayong Zhuang
Ziyi Fan
Fang Yu
Yunhan Ma
Xianjiao Cao
Suai Wang
Tao Yue
Jinzhi Hu
Publication date: 01-12-2022
Publisher: BioMed Central
Keywords: Incision
Thyroidectomy
Thyroidectomy
Published in: BMC Surgery / Issue 1/2022
Electronic ISSN: 1471-2482
DOI: https://doi.org/10.1186/s12893-022-01609-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

A comparative study of two robotic thyroidectomy procedures: transoral vestibular versus bilateral axillary-breast approach

Abstract

Objective

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Methods

Results

Conclusion

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