Surgical Outcomes of Robotic MRND versus Conventional Open MRND for Papillary Thyroid Carcinoma with Lateral Neck Node Metastasis: Comparative Analysis using PropensityScore Matching

Kwang Hyun Yoon; Won Woong Kim; 유지영; Eun Jeong Ban; Hai Young Son; 강상욱; 정종주; 남기현; 정웅윤; 박정수

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저자정보: Kwang Hyun Yoon Won Woong Kim 유지영 Eun Jeong Ban Hai Young Son 강상욱 정종주 남기현 정웅윤 박정수

저널정보: 대한갑상선-내분비외과학회 The Journal of Endocrine Surgery The Journal of Endocrine Surgery 제13권 제4호

발행연도: 2013.1

수록면: 227 - 233 (7page)

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Purpose: During the past decade, various endoscopic thyroid surgeries have been conducted, each with its own benefits. The incorporation of robotic systems to endoscopic thyroid surgery has improved the visualization and precision of endoscopic techniques. We previously reported our initial experience with robotic modified radical neck dissection (MRND) of papillary thyroid carcinoma (PTC) with lateral neck node metastasis (LNM). The aim of this study was to compare surgical outcomes of robotic vs. conventional open MRND of PTC with LNM using propensity score matching.Methods: From January 2008 to February 2011, 515 patients with PTC with LNM were enrolled. One hundred patients underwent robotic MRND, and 415 patients underwent conventional open MRND. These two groups were retrospectively compared with respect to their clinicopathological characteristics, surgical outcomes, and surgical completeness. Furthermore, to avoid selection bias, propensity score matching analysis was used to compare surgical outcomes of each group without any compounding factors.Results: The operative time for the robotic MRND was longer than for the open MRND (297.9±60.2 min vs. 212.1±55.6 min, P=0.089). However, the mean numbers of retrieved lymph nodes and mean hospital stay after surgery were similar in the two groups (36.0±12.9 vs. 40.8±13.3, P=0.235), (6.1±1.6 days vs. 6.1±2.1 days, P=0.577). The complication rates were similar between the two groups, and there was no statistical difference in postoperative thyroglobulin levels between groups (0.51±0.83 ng/ml vs. 0.89±2.46 ng/ml, P=0.593).Conclusion: According to our study, robotic MRND shows similar surgical outcomes to conventional open MRND after case-matched analyses. We suggest that robotic MRND is an acceptable alternative as an operative method for PTC with LNM, resulting in excellent cosmesis and patient satisfaction.

#Papillary thyroid carcinoma #Lateral neck metastasis #Radical neck dissection #Robot surgery

참고문헌 (23)

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Berber E / 2010 / Robotic transaxillary thyroidectomy: report of 2 cases and description of the technique / Surg Laparosc Endosc Percutan Tech 20 : e60 ~ e63

Caron NR / / Papillary thyroid cancer: surgical management of lymph node metastases / Curr Treat Options Oncol 6 : 311 ~ 322

Caron NR / 2006 / Selective modified radical neck dissection for papillary thyroid cancer-is level I, II and V dissection always necessary? / World J Surg 30 : 833 ~ 840

Choi JS / 2009 / Preoperative staging of papillary thyroid carcinoma: comparison of ultrasound imaging and CT / AJR Am J Roentgenol 193 : 871 ~ 878

Huscher CS / 1997 / Endoscopicright thyroid lobectomy / Surg Endosc 11 : 877 ~