detalle del documento
IDENTIFICACIÓN
doi:10.1007/s11701-023-01594-y...
Autor
Rossi, Leonardo Palma, Andrea Fregoli, Lorenzo Papini, Piermarco Ambrosini, Carlo Enrico Becucci, Chiara Gjeloshi, Benard Morganti, Riccardo Marco, Puccini Materazzi, GabrieleLangue
enEditor
Springer
Categoría
Medicine & Public Health
Año
2023
fecha de cotización
19/4/2023
Palabras clave
robotic transaxillary thyroidectom... robot-assisted surgery remote-access thyroidectomy thyroidectomy thyroid thyroidectomy thyroiditis robotic transaxillary patients = 0Resumen
In 2016, the American Thyroid Association published a statement on remote-access thyroid surgery claiming that it should be reserved to patients with thyroid nodule ≤ 3 cm, thyroid lobe < 6 cm and without thyroiditis.
We retrospectively enrolled all patients who underwent robotic transaxillary thyroidectomy between February 2012 and March 2022.
We compared surgical outcomes between patients who presented a thyroid gland with a nodule ≤ 3 cm, thyroid lobe < 6 cm and without thyroiditis (Group A) and patients without these features (Group B).
The rate of overall complications resulted comparable ( p = 0.399), as well as the operative time ( p = 0.477) and the hospital stay ( p = 0.305).
Moreover, bleeding resulted associated to thyroid nodule > 3 cm ( p = 0.015), although all bleedings but one occurred in the remote-access site from the axilla to the neck.
In experienced hands, robotic transaxillary thyroidectomy is feasible and safe even in patients with large thyroid nodules or thyroiditis.
Rossi, Leonardo,Palma, Andrea,Fregoli, Lorenzo,Papini, Piermarco,Ambrosini, Carlo Enrico,Becucci, Chiara,Gjeloshi, Benard,Morganti, Riccardo,Marco, Puccini,Materazzi, Gabriele, 2023, Robotic transaxillary thyroidectomy: time to expand indications?, Springer
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