A comparison study of the transoral and bilateral axillo-breast approaches in robotic thyroidectomy

Wan Wook Kim, Jeeyeon Lee, Jin Hyang Jung, Ho Yong Park, Ralph P Tufano, Hoon Yub Kim

Research output: Contribution to journalArticle

Abstract

Objectives: Transoral robotic thyroidectomy (TORT) is a new remote access approach to avoid cervical incision. The purpose of this study is to compare two approaches used to avoid cervical incision: transoral approach and bilateral axillo-breast approach (BABA) in robotic thyroidectomy. Methods: A total of 90 patients were enrolled prospectively between September 2016 and April 2017. The BABA group had 43 and the TORT group had 47 patients, respectively. Parameters including clinicopathologic data, operative time, complications, laboratory data, hospital stay, postoperative pain, and cosmetic satisfaction were analyzed. Results: Complications were not different among the two groups. The operative time of TORT was longer than BABA until 15 cases of TORT were completed, but there was no difference after that. The Visual Analogue Scale score in TORT was lower than BABA in all the periods. TORT showed a higher cosmetic satisfaction after surgery. There was no infection or permanent mental nerve hypoesthesia in TORT. Conclusion: Our study showed that TORT had less postoperative pain and a greater cosmetic satisfaction than the BABA. There were no significant differences in the postoperative surgical results between the two groups. TORT was comparable to the BABA in outcome with higher cosmetic satisfaction and less pain.

Original languageEnglish (US)
JournalJournal of Surgical Oncology
DOIs
StateAccepted/In press - Jan 1 2018

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Thyroidectomy
Robotics
Breast
Cosmetics
Operative Time
Postoperative Pain
Hypesthesia
Visual Analog Scale
Length of Stay
Pain

Keywords

  • bilateral axillo-breast approach
  • comparison
  • thyroidectomy
  • transoral

ASJC Scopus subject areas

  • Surgery
  • Oncology

Cite this

A comparison study of the transoral and bilateral axillo-breast approaches in robotic thyroidectomy. / Kim, Wan Wook; Lee, Jeeyeon; Jung, Jin Hyang; Park, Ho Yong; Tufano, Ralph P; Kim, Hoon Yub.

In: Journal of Surgical Oncology, 01.01.2018.

Research output: Contribution to journalArticle

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