|Table of Contents|

Comparison of the efficacy of robotic thyroidectomy with the right axillary-bilateral areola approach and traditional surgery

Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:
2023 06
Page:
1034-1039
Research Field:
Publishing date:

Info

Title:
Comparison of the efficacy of robotic thyroidectomy with the right axillary-bilateral areola approach and traditional surgery
Author(s):
CHEN Chao1; 2; YU Jianping3; LI Hongtao2; MA Youwei3; LI Andong2; HE Qingyuan2; LU Shunli2; HAN Xiaopeng3
1.The First Clinical Medical College of Gansu University of Chinese Medicine,Gansu Lanzhou 730000,China;2.Department of General Surgery,the 940th Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army,Gansu Lanzhou 730050,China;3.Department of General Surgery,Gansu Provincial Central Hospital,Gansu Lanzhou 730070,China.
Keywords:
right axillary-bilateral areola approach; Da Vinci robotic; thyroid cancer; thyroidectomy
PACS:
R736.1
DOI:
10.3969/j.issn.1672-4992.2023.06.009
Abstract:
Objective：To explore the safety and short-term efficacy of Da Vinci robotic thyroidectomy via the right axillary-bilateral areola approach.Methods:A retrospective analysis was performed on 185 patients diagnosed with thyroid cancer who underwent thyroidectomy at the general surgery department of the 940th Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army from January 2018 to June 2021.Among them,87 patients underwent Da Vinci robot assisted surgery (robot group) and 98 patients underwent traditional open surgery (traditional operation group).The follow-up data were intercepted until 3 months after operation.The operation time,intraoperative blood loss,intraoperative nerve injury rate,intraoperative parathyroid injury rate,central lymph node dissection,drainage days,total drainage fluid,incision complication rate,postoperative pain score,postoperative feeling of the operation area in 3 months,postoperative beauty score in 3 months and other indicators were compared between the two groups.Results:There was no significant difference between the two groups in tumor location,tumor diameter,gender,body mass index,central lymph node dissection,drainage days,total drainage fluid,nerve injury rate,incidence of incision complications,and 72 h postoperative pain score (P＞0.05).The differences of age［(38.60±10.00) vs (45.95±10.79)years］,the operation time［(178.80±43.58) vs (136.19±43.22)minutes］,intraoperative bleeding［(27.01±21.81) vs (36.84±30.31)mL］,parathyroid injury rate (26.44% vs 42.86%),24 h postoperative pain score ［(3.33±0.58) vs (4.47±0.68)］,48 h postoperative pain score ［(1.62±0.58) vs (2.19±0.73)］,neck sensory abnormality rate in 3 months after operation (3.45% vs 11.22%),and cosmetic score in 3 months after operation ［(8.60±1.08) vs (5.39±1.12) points］between the two groups were statistically significant (P＜0.05).Conclusion:Da Vinci robotic thyroidectomy with the right axillary-bilateral areola approach is safe and effective under certain conditions.It may be more advantages in reducing intraoperative blood loss and the rate of parathyroid injury,and the postoperative patients have low pain and good cosmetic effect.

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Memo

Memo:
甘肃省自然科学基金（编号：20JR5RA599）；甘肃省青年科技基金（编号：21JR7RA013）
Last Update: 1900-01-01