Surgery is the gold standard treatment for patients with thyroid cancer or nodules suspicious for cancer. Open conventional approach is the standard surgical approach. However, a visible neck incision could be a concern for most young female patients, especially for patients with a history of healing with keloid or hypertrophic scars. Robotic remote access approaches have evolved into a safe and feasible approach in selected patients, providing a hidden scar with good patient satisfaction. This review will focus on the performance and safety of robotic retroauricular thyroid surgery.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5233827 | PMC |
| http://dx.doi.org/10.21037/gs.2016.12.06 | DOI Listing |
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Article Synopsis
- This study compares the learning curves (LC) of endoscopic thyroidectomy (ET) and robotic thyroidectomy (RT), revealing that both procedures yield similar perioperative outcomes but RT has a shorter learning curve.
- The meta-analysis included 33 studies and found that ET had higher drainage volume, while both ET and RT showed improved operation times after reaching the stable stage of the LC.
- RT demonstrated superior outcomes in terms of central lymph node resection, less intraoperative bleeding, and slightly lower rates of transient recurrent laryngeal nerve injury, with certain approaches in RT leading to even smaller learning curves.
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