Surgical complications after robotic thyroidectomy for thyroid carcinoma: a single center experience with 3,000 patients
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- 作者：Eun Jeong Ban (1)
Ji Young Yoo (1)
Won Woong Kim (1)
Hae Young Son (1)
Seulkee Park (2)
So Hee Lee (3)
Cho Rok Lee (1)
Sang-Wook Kang (1)
Jong Ju Jeong (1)
Kee-Hyun Nam (1)
Woong Youn Chung (1)
Cheong Soo Park (1) - 关键词：Transaxillary robotic thyroidectomy ; Surgical complications ; Thyroid carcinoma
- 刊名：Surgical Endoscopy
- 出版年：2014
- 出版时间：September 2014
- 年：2014
- 卷：28
- 期：9
- 页码：2555-2563
- 全文大小：244 KB
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Ji Young Yoo (1)
Won Woong Kim (1)
Hae Young Son (1)
Seulkee Park (2)
So Hee Lee (3)
Cho Rok Lee (1)
Sang-Wook Kang (1)
Jong Ju Jeong (1)
Kee-Hyun Nam (1)
Woong Youn Chung (1)
Cheong Soo Park (1)
1. Department of Surgery, Institute of Endocrine Research, Yonsei University College of Medicine, 50, Yonsei-ro, Seodaemun-gu, Seoul, 120-752, Korea
2. Department of Surgery, Dong-A University College of Medicine, Busan, Korea
3. Department of Surgery, Catholic University College of Medicine, Seoul, Korea - ISSN：1432-2218
文摘
Background Robotic thyroidectomy (RT), a new gasless, transaxillary approach developed by the Yonsei University group in Seoul, Korea, eliminates the need for a cervical incision. Since RT is technically complex and has a steep learning curve, the surgical complication rate may initially be higher than with conventional surgery. This study evaluated the complication rates of transaxillary RT and assessed ways to prevent surgical complications. Methods Between October 2007 and March 2013, 3,000 patients underwent RT for thyroid cancer in the Department of Surgery, Yonsei University College of Medicine at Severance Hospital, Seoul. The medical records of these patients were reviewed retrospectively, and surgical complications were assessed on the basis of clinical findings. Results The most common surgical complication was symptomatic hypocalcemia, of which 37.43?% cases were transient and 1.10?% permanent. Other surgical complications included recurrent laryngeal nerve injury (1.23?% transient, 0.27?% permanent), seroma (1.73?%), hematoma (0.37?%), chyle leakage (0.37?%), trachea injury (0.2?%), Horner’s syndrome (0.03?%), carotid artery injury (0.03?%), and brachiocephalic vein injury (0.03?%). The technique-related complications, which were never seen in conventional open thyroidectomy, were axillary skin flap perforation (0.1?%), and traction injury of the arm on the side the lesion was located (0.13?%). Conclusions Surgeons who have mastered standardized robotic surgical procedures and who understand potential complications and how to prevent them can perform RT safely.