Early experience of transoral thyroidectomy: Comparison of robotic and endoscopic procedures
- Authors
- Tae, Kyung; Lee, Dong Won; Song, Chang Myeon; Ji, Yong Bae; Park, Jung Hwan; Kim, Dong Sun; Tufano, Ralph P.
- Issue Date
- Mar-2019
- Publisher
- WILEY
- Keywords
- endoscopic thyroidectomy; remote access thyroidectomy; robotic thyroidectomy; thyroid carcinoma; transoral thyroidectomy
- Citation
- HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK, v.41, no.3, pp.730 - 738
- Indexed
- SCIE
SCOPUS
- Journal Title
- HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK
- Volume
- 41
- Number
- 3
- Start Page
- 730
- End Page
- 738
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/15000
- DOI
- 10.1002/hed.25426
- ISSN
- 1043-3074
- Abstract
- Background
The aim of this study was to evaluate the feasibility, safety, and early surgical outcomes of transoral thyroidectomy and to compare robotic and endoscopic procedures.
Methods
A total of 37 patients underwent robotic (23 cases) or endoscopic (14 cases) transoral thyroidectomy. We compared the outcomes of the two procedures.
Results
Of the 37 patients, 2 were converted to the robotic facelift approach as a result of an intraoperative CO₂ embolism and inability to remove the tumor. The mean operative time was 172.8 ± 37.5 minutes. Transient recurrent laryngeal nerve palsy occurred in one case, and transient hypoparathyroidism in two cases. Most of patients were satisfied with the postoperative cosmesis. There were no significant differences between the robotic and endoscopic procedures, except for operative time, which was significantly longer in the robotic group.
Conclusion
Robotic and endoscopic transoral thyroidectomies are both feasible and safe in appropriate patients.
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