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Expanding indications of robotic thyroidectomy

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Abstract

Background

Robotic thyroidectomy has many advantages with comparable oncologic safety over conventional open surgery in low-risk differentiated thyroid cancer cases. However, there have been few reports on the outcomes of patients who have been treated with robotic thyroidectomy for more advanced thyroid cancer. The aim of this study was to investigate the validity of expanding indications of robotic thyroidectomy for more advanced thyroid cancer.

Methods

The data of 80 patients with thyroid cancer who underwent robotic total thyroidectomy between January 2013 and December 2014 performed by a single surgeon at Chung-Ang University Hospital were retrospectively reviewed. Among them, 40 patients who had cancer larger than 2 cm or suspicious capsular invasion, or central lymph node (LN) metastasis in preoperative pathologic and radiologic examinations were categorized into the more advanced thyroid cancer group and the remaining patients into the early thyroid cancer group. We compared surgical safety and surgical completeness parameters between the two groups.

Results

The patients in more advanced thyroid cancer group had larger tumors, more extrathyroidal extension, and higher T stages. Surgical safety parameters, such as hypoparathyroidism, vocal cord palsy, and other complications did not differ significantly between the two groups. Surgical completeness parameters, such as the mean number of retrieved LNs, median values of the stimulated thyroglobulin levels, and the proportion of patients with stimulated thyroglobulin levels less than 1 ng/mL, also did not differ significantly.

Conclusions

The outcomes of the patients with more advanced thyroid cancer who were treated with robotic thyroidectomy were comparable to those of the early cancer group patients. Well-designed investigations that are conducted at multiple centers are needed to affirm the validity of expanding indications of robotic thyroidectomy.

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References

  1. Pellegriti G, Frasca F, Regalbuto C, Squatrito S, Vigneri R (2013) Worldwide increasing incidence of thyroid cancer: update on epidemiology and risk factors. J Cancer Epidemiol. https://doi.org/10.1155/2013/965212

    Article  PubMed  PubMed Central  Google Scholar 

  2. Olaleye O, Ekrikpo U, Moorthy R, Lyne O, Wiseberg J, Black M, Mitchell D (2011) Increasing incidence of differentiated thyroid cancer in South East England: 1987–2006. Eur Arch Otorhinolaryngol 268(6):899–906. https://doi.org/10.1007/s00405-010-1416-7

    Article  PubMed  Google Scholar 

  3. Kilfoy BA, Zheng T, Holford TR, Han X, Ward MH, Sjodin A, Zhang Y, Bai Y, Zhu C, Guo GL, Rothman N, Zhang Y (2009) International patterns and trends in thyroid cancer incidence, 1973–2002. Cancer Causes Control 20(5):525–531. https://doi.org/10.1007/s10552-008-9260-4

    Article  PubMed  Google Scholar 

  4. Enewold L, Zhu K, Ron E, Marrogi AJ, Stojadinovic A, Peoples GE, Devesa SS (2009) Rising thyroid cancer incidence in the United States by demographic and tumor characteristics, 1980–2005. Cancer Epidemiol Biomarkers Prev 18(3):784–791. https://doi.org/10.1158/1055-9965.epi-08-0960

    Article  PubMed  PubMed Central  Google Scholar 

  5. Choe JH, Kim SW, Chung KW, Park KS, Han W, Noh DY, Oh SK, Youn YK (2007) Endoscopic thyroidectomy using a new bilateral axillo-breast approach. World J Surg 31(3):601–606. https://doi.org/10.1007/s00268-006-0481-y

    Article  PubMed  Google Scholar 

  6. Kang SW, Jeong JJ, Yun JS, Sung TY, Lee SC, Lee YS, Nam KH, Chang HS, Chung WY, Park CS (2009) Robot-assisted endoscopic surgery for thyroid cancer: experience with the first 100 patients. Surgical endoscopy 23(11):2399–2406. https://doi.org/10.1007/s00464-009-0366-x

    Article  PubMed  Google Scholar 

  7. Lee KE, Rao J, Youn YK (2009) Endoscopic thyroidectomy with the da Vinci robot system using the bilateral axillary breast approach (BABA) technique: our initial experience. Surg Laparosc Endosc Percutan Tech 19(3):e71–e75. https://doi.org/10.1097/SLE.0b013e3181a4ccae

    Article  PubMed  Google Scholar 

  8. Patel D, Kebebew E (2012) Pros and cons of robotic transaxillary thyroidectomy. Thyroid 22(10):984–985. https://doi.org/10.1089/thy.2012.2210.ed

    Article  PubMed  PubMed Central  Google Scholar 

  9. Kuppersmith RB, Salem A, Holsinger FC (2009) Advanced approaches for thyroid surgery. Otolaryngol Head Neck Surg 141(3):340–342. https://doi.org/10.1016/j.otohns.2009.05.029

    Article  PubMed  Google Scholar 

  10. Lee J, Kang SW, Jung JJ, Choi UJ, Yun JH, Nam KH, Soh EY, Chung WY (2011) Multicenter study of robotic thyroidectomy: short-term postoperative outcomes and surgeon ergonomic considerations. Ann Surg Oncol 18(9):2538–2547. https://doi.org/10.1245/s10434-011-1628-0

    Article  PubMed  Google Scholar 

  11. Bae DS, Koo do H, Choi JY, Kim E, Lee KE, Youn YK (2014) Current status of robotic thyroid surgery in South Korea: a web-based survey. World J Surg 38(10):2632–2639. https://doi.org/10.1007/s00268-014-2606-z

    Article  PubMed  Google Scholar 

  12. Sun GH, Peress L, Pynnonen MA (2014) Systematic review and meta-analysis of robotic vs conventional thyroidectomy approaches for thyroid disease. Otolaryngol Head Neck Surg 150(4):520–532. https://doi.org/10.1177/0194599814521779

    Article  PubMed  Google Scholar 

  13. Lee KE, Kim E, Koo do H, Choi JY, Kim KH, Youn YK (2013) Robotic thyroidectomy by bilateral axillo-breast approach: review of 1,026 cases and surgical completeness. Surg Endosc 27(8):2955–2962. https://doi.org/10.1007/s00464-013-2863-1

    Article  PubMed  Google Scholar 

  14. Seup Kim B, Kang KH, Park SJ (2015) Robotic modified radical neck dissection by bilateral axillary breast approach for papillary thyroid carcinoma with lateral neck metastasis. Head Neck 37(1):37–45. https://doi.org/10.1002/hed.23545

    Article  PubMed  Google Scholar 

  15. Lee J, Kwon IS, Bae EH, Chung WY (2013) Comparative analysis of oncological outcomes and quality of life after robotic versus conventional open thyroidectomy with modified radical neck dissection in patients with papillary thyroid carcinoma and lateral neck node metastases. J Clin Endocrinol Metab 98(7):2701–2708. https://doi.org/10.1210/jc.2013-1583

    Article  PubMed  CAS  Google Scholar 

  16. Chai YJ, Suh H, Woo JW, Yu HW, Song RY, Kwon H, Lee KE (2017) Surgical safety and oncological completeness of robotic thyroidectomy for thyroid carcinoma larger than 2 cm. Surg Endosc 31(3):1235–1240. https://doi.org/10.1007/s00464-016-5097-1

    Article  PubMed  Google Scholar 

  17. Kim BS, Kang KH, Kang H, Park SJ (2014) Central neck dissection using a bilateral axillo-breast approach for robotic thyroidectomy: comparison with conventional open procedure after propensity score matching. Surg Laparosc Endosc Percutan Tech 24(1):67–72. https://doi.org/10.1097/SLE.0b013e3182a4bfec

    Article  PubMed  Google Scholar 

  18. Lee KE, Koo do H, Im HJ, Park SK, Choi JY, Paeng JC, Chung JK, Oh SK, Youn YK (2011) Surgical completeness of bilateral axillo-breast approach robotic thyroidectomy: comparison with conventional open thyroidectomy after propensity score matching. Surgery 150(6):1266–1274. https://doi.org/10.1016/j.surg.2011.09.015

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Surgery, College of Medicine, Ewha Womans University, Seoul, Republic of Korea

    Se Hyun Paek

  2. Department of Surgery, Chung-Ang University Hospital and Chung-Ang University College of Medicine, 224-1, Heuk Seok-Dong, Dongjak-Ku, Seoul, 156-755, Republic of Korea

    Kyung Ho Kang & Sung Jun Park

Authors
  1. Se Hyun Paek
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  2. Kyung Ho Kang
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  3. Sung Jun Park
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Correspondence to Kyung Ho Kang.

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Disclosure

Drs. Se Hyun Paek, Kyung Ho Kang, and Sung Jun Park have no conflicts of interest or financial ties to disclose.

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Paek, S.H., Kang, K.H. & Park, S.J. Expanding indications of robotic thyroidectomy. Surg Endosc 32, 3480–3485 (2018). https://doi.org/10.1007/s00464-018-6067-6

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  • DOI: https://doi.org/10.1007/s00464-018-6067-6

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