Initial Experience of BABA Robotic Thyroidectomy Using the Da Vinci Xi System in Incheon, Korea

윤혜정; Jong Hyuk Ahn; 김재환; 이진욱; Min Hee Hur

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자료유형: 학술저널

저자정보: 윤혜정 Jong Hyuk Ahn 김재환 이진욱 Min Hee Hur

저널정보: 대한갑상선-내분비외과학회 The Journal of Endocrine Surgery The Journal of Endocrine Surgery 제19권 제3호

발행연도: 2019.1

수록면: 59 - 67 (9page)

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Purpose: The incidence of thyroid cancer in Korea is high, with the disease usually observed in young women. Thyroid cancer surgery should focus on both oncologic safety and good cosmetic outcomes. The bilateral axillo-breast approach (BABA) to thyroid surgery, which has been performed for over 10 years, has shown good oncologic and cosmetic outcomes. This study reports the initial results of robotic BABA thyroidectomy with the Da Vinci Xi system at Inha University Hospital in Incheon, Korea. Methods: This study included 53 patients who underwent BABA robotic thyroidectomy, performed by a single endocrine surgeon using the Da Vinci Xi system, between December 2018 and March 2019. Patients' medical records and surgery videos were retrospectively reviewed, and their clinical and surgical characteristics, pathological findings, and shortterm postoperative outcomes were evaluated. Results: The 53 patients included 9 men and 44 women of mean age 44.51±10.36 years (range, 24–64 years). Mean robotic console times were 75.08±15.96 minutes for lobectomy and 93.53±17.86 minutes for total thyroidectomy. Forty-five patients were diagnosed with papillary thyroid carcinoma. Vocal cord palsy occurred in one patient and transient hypocalcemia in 8, with all resolving after 2 months. Cosmetic outcomes were excellent and there were no serious or unexpected complications. Conclusion: BABA robotic thyroid surgery using the Da Vinci Xi system was successfully started at a hospital in Inchon, Korea. Long-term prospective cohort studies including larger numbers of patients are required to assess outcomes.

참고문헌 (26)

참고문헌 신청

Pellegriti G / 2013 / Worldwide increasing incidence of thyroid cancer : update on epidemiology and risk factors / J Cancer Epidemiol 2013:965212

정규원 / 2019 / Cancer Statistics in Korea: Incidence, Mortality, Survival, and Prevalence in 2016 / Cancer Research and Treatment 51(2):417~430

Giddings AE / 1998 / The history of thyroidectomy / J R Soc Med 91(Suppl 33):3~6

Welbourn RB / 1996 / Highlights from endocrine surgical history / World J Surg 20:603~612

Koo DH / 2015 / In-depth survey of scarring and distress in patients undergoing bilateral axillo-breast approach robotic thyroidectomy or conventional open thyroidectomy / Surg Laparosc Endosc Percutan Tech 25:436~439

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