KMID : 1104520210210040111
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Journal of Endocrine Surgery 2021 Volume.21 No. 4 p.111 ~ p.117
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Reduced Port Robotic Bilateral Axillo-Breast Approach (BABA) Isthmusectomy
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Kim Woo-Chul
Lee Ja-Kyung Choi Jee-Hye Yu Hyeong-Won Kim Su-Jin Chai Young-Jun Choi June-Young Lee Kyu-Eun
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Abstract
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Purpose: To investigate whether reduced port robotic bilateral axillo-breast approach (BABA) surgery can be a safe alternative approach for patients undergoing isthmusectomy for well differentiated papillary thyroid cancer confined to the isthmus.
Methods: A total of 45 patients with well differentiated papillary thyroid cancer confined to the isthmus underwent reduced port robotic BABA isthmusectomy by a single surgeon from March 1st 2020 to November 30th 2021. The left areolar port was omitted in all cases of surgery. Patients¡¯ records were reviewed to determine surgical adequacy and whether if the surgery was feasible.
Results: The average operation time was 71.02 minutes (range, 37?108 minutes; standard deviation [SD], 16.22 minutes). Patients were discharged at an average of 2.15 days after surgery. There were no cases of vocal cord palsy or hypocalcemia. An average of 3.95 (range, 0?11; SD, 2.80) central lymph nodes were obtained per surgery.
Conclusion: Reduced port robotic BABA surgery is a feasible and safe alternative option for thyroid isthmusectomy. However, a thorough pre-operative evaluation is needed for selecting adequate patients.
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KEYWORD
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Robot surgery, Thyroidectomy, Thyroid neoplasms, Feasibility studies, Treatment outcome
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