Utilization of robotic lateral cervical lymph node dissection for obese patients with thyroid carcinoma
10.3760/cma.j.cn115396-20231227-00184
- VernacularTitle:机器人在肥胖甲状腺癌患者颈侧区淋巴结清扫术中的应用
- Author:
Yuan LIU
1
;
Meng WANG
;
Gang WANG
;
Peng ZHOU
;
Jian ZHU
;
Xiaolei LI
;
Yiqi HOU
;
Yinghao GUO
;
Qingqing HE
;
Luming ZHENG
Author Information
1. 锦州医科大学中国人民解放军联勤保障部队第九六〇医院研究生培养基地，济南 250031
- Keywords:
Robotics;
Thyroid neoplasms;
Neck dissection;
Obesity
- From:
International Journal of Surgery
2024;51(5):324-330
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical benefit and application value of the Da Vinci robotic surgical system through bilateral axillary areolar approach in cervical lymph node dissection in obese thyroid carcinoma patients.Methods:The clinical data of 117 patients with thyroid cancer admitted to the thyroid and breast surgery Department of the 960th Hospital of the Chinese PLA Joint Logistic Support Force from January 2018 to June 2023 were retrospectively analyzed. There were 55 males and 62 females, aged from 17 to 64 years, with an average age of (36.05±8.77) years. According to body mass index (BMI), patients were divided into normal group (18.5 kg/m 2≤BMI< 24 kg/m 2, n=60) and obese group (BMI≥28 kg/m 2, n=57). Gender, age, BMI, operation time, postoperative drainage fluid volume, tumor diameter, central lymph node dissection and number of metastasis, cervical lymph node dissection and number of metastasis, postoperative hospital stay, postoperative aesthetic satisfaction score and surgical complications of the two groups were analyzed. SPSS 26.0 statistical software was used to analyze the data. Results:All of patients completed the operation successfully, and neither group was transferred to open surgery. The BMI of obese group was higher than that of normal group [(31.35±3.08) kg/m 2vs (22.53±0.82) kg/m 2, t=20.97, P<0.05]. The maximum tumor diameter in the obese group was greater than that in the normal group [(13.81±10.70) mm vs (10.42±5.53) mm, t=2.17, P<0.05]. There were no significant differences in operation time, number of central lymph node dissection and metastasis, number of cervical lymph node dissection and metastasis and postoperative complications between the two groups ( P>0.05). Conclusions:Utilization of the Da Vinci robotic surgical system via the BABA approach demonstrates both safety and feasibility in obese patients with thyroid carcinoma undergoing lateral cervical lymph node dissection. Importantly, this technique does not increase the risk of surgical complications, thus providing a novel alternative for lateral cervical lymph node dissection in obese thyroid carcinoma patients.
