Early experience of transoral thyroidectomy: Comparison of robotic and endoscopic procedures.

Head & neck 2019 Vol.41(3) p. 730-738

Tae K, Lee DW, Song CM, Ji YB, Park JH, Kim DS, Tufano RP

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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 CO 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.

추출된 의학 개체 (NER)

유형영어 표현한국어 / 풀이UMLS CUI출처등장
기법 endoscopic 내시경 dict 5
시술 facelift 안면거상술 dict 1
약물 [BACKGROUND] scispacy 1
질환 embolism C0013922
Embolism
scispacy 1
질환 tumor C0027651
Neoplasms
scispacy 1
질환 Transient recurrent laryngeal nerve palsy scispacy 1
질환 hypoparathyroidism C0020626
Hypoparathyroidism
scispacy 1
기타 patients scispacy 1
기타 laryngeal nerve scispacy 1

MeSH Terms

Adult; Aged; Carcinoma, Papillary; Feasibility Studies; Female; Humans; Male; Middle Aged; Natural Orifice Endoscopic Surgery; Operative Time; Patient Satisfaction; Postoperative Complications; Robotic Surgical Procedures; Thyroid Neoplasms; Thyroid Nodule; Thyroidectomy; Treatment Outcome; Young Adult

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