A comparative study of two robotic thyroidectomy procedures: transoral vestibular versus bilateral axillary-breast approach

作者：Qingqing He, Jian Zhu, Xiaolei Li, Meng Wang, Gang Wang, Peng Zhou, Dan Wang, Changrui Liu, Luming Zheng, Dayong Zhuang, Ziyi Fan, Fang Yu, Yunhan Ma, Xianjiao Cao, Suai Wang, Tao Yue, Jinzhi Hu · 发表于：BMC Surgery · 年份：2022 · DOI：10.1186/s12893-022-01609-9 · 被引用次数：27 · 研究领域：Thyroid and Parathyroid Surgery、Thyroid Cancer Diagnosis and Treatment、Head and Neck Anomalies

OBJECTIVE: To compare the surgical outcomes between the transoral-vestibular robotic thyroidectomy (TOVRT) and bilateral axillo-breast approach robotic thyroidectomy (BABART). METHODS: A total of 99 patients with papillary thyroid carcinoma but no distant metastasis were enrolled in this study from May 2020 to April 2021. Lobectomy or total thyroidectomy with central lymph node dissection were performed in all cases. All 99 patients were received an ultrasound guided fine needle aspiration biopsy prior to surgical intervention, out of which 49 patients underwent TOVRT, while rest 50 patients underwent BABART. During the procedure, intraoperative neuromonitoring system was used and all recurrent laryngeal nerves (RLNs) were preserved, additionally for TOVRT procedure, three intraoral ports or right axillary fold incision was used to allow for fine countertraction of tissue for radical oncological dissection. The clinical data including age, gender, height, weight, BMI, primary tumor size, number of central lymph node removed, central lymph node metastasis, operating time, total hospital stays, postoperative hospital stays, total postoperative drainage volume, postoperative pain score, cosmetic effect and complications were recorded and analyzed. RESULTS: There were no significant differences in gender, height, weight, BMI and removed central lymph nodes between the two groups (P > 0.05). Patients accepted TOVRT were younger and had smaller primary tumor size than those who acc...