Factors affecting operative time in robotic thyroidectomy
- Authors
- Song, Chang Myeon; Jang, Youn Il; Ji, Yong Bae; Park, Jeong Seon; Kim, Dong Sun; Tae, Kyung
- Issue Date
- May-2018
- Publisher
- John Wiley & Sons Inc.
- Keywords
- operative time; robotic thyroidectomy; thyroid carcinoma; thyroid surgery; thyroid tumor
- Citation
- Head and Neck, v.40, no.5, pp.893 - 903
- Indexed
- SCIE
SCOPUS
- Journal Title
- Head and Neck
- Volume
- 40
- Number
- 5
- Start Page
- 893
- End Page
- 903
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/3129
- DOI
- 10.1002/hed.25033
- ISSN
- 1043-3074
- Abstract
- Background: The purpose of this study was to evaluate factors related to operative time in robotic thyroidectomy.
Methods: We retrospectively analyzed 240 patients who underwent robotic thyroidectomy. The total thyroidectomy cases and lobectomy cases were both categorized into those with long operative times (LOTs; upper 25% of cases) and those with short operative times (SOTs; lower 25%).
Results: Among the total thyroidectomy cases, body mass index (BMI) 23 kg/m² (hazard ratio [HR] 5.34; P = .008) and bilateral central neck dissection (CND; HR 14.92; P = .028) were more frequent in the LOT group in multivariate analysis. Among the lobectomy cases, BMI 23 kg/m² (HR 12.92; P = .003) and unilateral CND (HR 21.38; P = .017) were the only independent risk factors for prolonged operative time.
Conclusion: Body habitus and clinical nodal status in the central compartment should be considered in deciding the indications for robotic thyroidectomy.
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