Early surgical outcomes of robotic thyroidectomy by a gasless unilateral axillo‐breast or axillary approach for papillary thyroid carcinoma: 2 years' experience

Abstract

Robotic thyroidectomy is a safe, feasible, and cosmetically excellent procedure in properly selected patients with PTC.

Reply to: Evolution of endoscopic thyroidectomy (10.1007/s00464-011-1763-5)

“…The complication rate is similar with conventional open thyroidectomy in experienced surgeons [3][4][5]. However for the learning curve, the rate of recurrent laryngeal nerve palsy might be higher than open thyroid surgery due to the difficulty of the technique and the need for a period of learning.…”

“…I agree with their commentary. Endoscopic or robotic thyroidectomy by gasless unilateral axillo-breast or axillary approach is not minimally invasive thyroid surgery [2,3]. It is more invasive than conventional open thyroidectomy.…”

“…It is more invasive than conventional open thyroidectomy. The area dissected to expose the thyroid gland, the amount of drainage, and postoperative pain were more than with open thyroidectomy [1,3].…”

Surgical Treatment Guidelines for Patients with Differentiated Thyroid Cancer: The Korean Association of Thyroid and Endocrine Surgeons (KATES) Guidelines Taskforce

“…에서 동일하며, (183)(184)(185)189,191,(193)(194)(195)197) 수술의 합병증은 일시적 부갑상선 기능저하, (183)(184)(185)(186)(188)(189)(190)192,193,195,199) 영구적 부갑상선 지능저하, (183)(184)(185)(186)(187)(188)(189)(190)(191)(192)(193)(194)(195)199) 되돌이 후두 신경 손 상, (183)(184)(185)(186)(187)(189)(190)(191)(192)(193)(194)(195)199) 장액종, (183)(184)(185)…”

“…(194,196,198,201) 저위 험 분화갑상선암환자의 수술적 완성도에 있어 로봇 갑상선 절제술 시 획득된 중앙 경부 림프절의 범위가 전통적 개경 수술과 비교하 여 동등하다고 보고되었으며, (183,184,(191)(192)(193)197,198,202) 일부에서는 로봇수술에 획득된 림프절의 수가 전통적 개경 수술 과 비교하여 적다고 보고하였다. (189,190,194,195) 갑상선 암 수술 후 혈청 Tg 농도는 로봇 수술과 전통적 수술이 동등하게 나 타났으며, (187,(190)(191)(192)(193)(194)(195)202,203) …”