Transoral robotic thyroidectomy via vestibular approach: a retrospective study of 107 cases in a single center
10.3760/cma.j.cn112139-20230915-00123
- VernacularTitle:经口腔前庭入路机器人辅助甲状腺手术107例临床分析
- Author:
Xiaolei LI
1
;
Sijuan CHEN
;
Chenyu LI
;
Xianjiao CAO
;
Dayong ZHUANG
;
Peng ZHOU
;
Tao YUE
;
Meng WANG
;
Jian ZHU
;
Qingqing HE
Author Information
1. 联勤保障部队第九六〇医院甲状腺乳腺外科，济南 250031
- Keywords:
Thyroid neoplasms;
Thyroidectomy;
Robotic surgery;
Transoral vestibular approach
- From:
Chinese Journal of Surgery
2024;62(5):419-423
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the short-term outcome of transoral robotic thyroidectomy.Methods:This is a retrospective case series study. The clinicopathologic characteristics and postoperative results of 107 patients who underwent transoral robotic thyroidectomies in the Department of Thyroid and Breast Surgery of the 960 th Hospital of People′s Liberation Army from May 2020 to August 2023 were retrospectively analyzed. There were 12 males and 95 females, with an age of (31.8±9.4) years (range: 11 to 55 years), including 20 benign tumors and 87 thyroid papillary carcinoma. Postoperative follow-up was carried out through returning visit and telephone, mainly to observe the recovery of postoperative complications, cosmetic effects and recurrence results. Results:All transoral robotic thyroidectomy was successfully completed without conversion to open surgery. The tumor size of thyroid papillary carcinoma patients was (5.6±2.7) mm (range: 2 to 15 mm). Furthermore, central cervical lymph node metastasis was found in 45 cases. The number of central cervical lymph nodes retrieved and metastasized ( M(IQR)) were 11 (8) (range: 3 to 26) and 1 (3) (range: 0 to 13), respectively. There was no recurrent laryngeal nerve injury and permanent hypoparathyroidism. The transient hypoparathyroidism after surgery was 8 cases. Other complications occurred as follows: postoperative infection ( n=1), left submandibular perforation ( n=1), skin scald ( n=1), and perioral numbness ( n=1), oral tear ( n=2). The postoperative stay was 6 (2) days (range: 3 to 11 days). No local lymph node recurrence or metastasis occurred after a follow-up of (22.6±10.0) months (range: 1.0 to 37.4 months). All patients were satisfied with the postoperative cosmetic results, the aesthetic effect score was 9.3 (0.2) (range: 8.4 to 9.6) one month after surgery. Conclusion:For highly screened patients with early thyroid cancer, experienced surgeons can perform a transoral robotic thyroidectomy that has excellent cosmetic results.
