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Comparative study of robotic versus endoscopic thyroidectomy by a gasless unilateral axillo-breast or axillary approach

Title
Comparative study of robotic versus endoscopic thyroidectomy by a gasless unilateral axillo-breast or axillary approach
Author
최웅환
Keywords
robotic thyroidectomy; endoscopic thyroidectomy; da Vinci Surgical System; axillo-breast approach; axillary approach
Issue Date
2013-04
Publisher
WILEY-BLACKWELL, 111 RIVER ST, HOBOKEN 07030-5774, NJ USA
Citation
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK, 35(4), p.477-484
Abstract
Background Robotic thyroidectomy and conventional endoscopic thyroidectomy have not been thoroughly compared. In this study, we compared the potential advantages of robotic versus endoscopic thyroidectomy. Methods We analyzed 218 consecutive patients who underwent endoscopic (105 cases) or robotic (113 cases) thyroidectomy using a gasless unilateral axillo-breast or gasless unilateral axillary approach. Results Because of the dexterity of robotic instruments and the improved surgical view, it was subjectively easier and took less time to perform a complete total thyroidectomy and central compartment neck dissection in robotic thyroidectomy. In the case of unilateral lobectomy, endoscopic and robotic thyroidectomy had quite similar surgical outcomes. Cosmetic satisfaction was excellent in both groups. Conclusion In this series by a single surgeon, robotic thyroidectomy was superior to endoscopic thyroidectomy for performing total thyroidectomy and bilateral central compartment neck dissection. However, in terms of cost-effectiveness, endoscopic thyroidectomy was comparable to robotic thyroidectomy in patients who undergo unilateral lobectomy. (c) 2012 Wiley Periodicals, Inc. Head Neck, 2013
URI
https://onlinelibrary.wiley.com/doi/abs/10.1002/hed.22989http://hdl.handle.net/20.500.11754/49965
ISSN
1043-3074
DOI
10.1002/hed.22989
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > ETC
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