AI Article Synopsis

  • - A study evaluated the safety and effectiveness of single-port trans-axillary robot-assisted thyroidectomy (SP-TART) across 300 patients at St. Mary's Hospital in Seoul from October 2021 to May 2023.
  • - The majority of patients underwent less than total thyroidectomy (LTT), with mean operative times for LTT, total thyroidectomy (TT), and TT with modified radical neck dissection (TT c mRND) recorded as 69.8, 104.2, and 223.7 minutes, respectively.
  • - Complications such as postoperative bleeding and transient hypoparathyroidism were reported, but overall, SP-TART proved to be a safe and effective surgical option with minimal sc

Article Abstract

Since the introduction of the single-port (SP) robotic system, SP trans-axillary robot-assisted thyroidectomy (SP-TART) has been performed. We aimed to evaluate the safety and surgical outcomes of SP-TART in a consecutive series of 300 cases. We analyzed 300 patients with thyroid disease who underwent SP-TART from October 2021 to May 2023 in St. Mary's Hospital in Seoul, Korea. We analyzed the patients' clinicopathological characteristics and perioperative outcomes according to surgical extent. Of the 300 cases analyzed, 250 patients underwent less than total thyroidectomy (LTT), 31 patients underwent total thyroidectomy (TT), and 19 patients underwent TT with modified radical neck dissection (TT c mRND). The mean operative times for LTT, TT, and for TT c mRND were 69.8 ± 23.6, 104.2 ± 30.7, and 223.7 ± 72.4 min, respectively. Complications, including postoperative bleeding, transient hypoparathyroidism, and vocal cord palsy, were observed in nine, six, and six LTT, TT, and TT c mRND cases. The SP-TART method is a safe and feasible surgical option with a short operative time, good surgical outcome, and excellent cosmetic results.

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http://dx.doi.org/10.1007/s11701-023-01810-9DOI Listing

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