World Journal of Surgery

, Volume 40, Issue 3, pp 498–504 | Cite as

Comparison of Bilateral Axillo-Breast Approach Robotic Thyroidectomy with Open Thyroidectomy for Graves’ Disease

  • Hyungju KwonEmail author
  • Jin Wook Yi
  • Ra-Yeong Song
  • Young Jun Chai
  • Su-jin Kim
  • June Young Choi
  • Kyu Eun Lee
Surgical Symposium Contribution



There is an ongoing debate about whether robotic thyroidectomy (RT) is appropriate for Graves’ disease. The aim of this study was to compare the safety of bilateral axillo-breast approach (BABA) RT with that of open thyroidectomy (OT) in patients with Graves’ disease.


From January 2008 to June 2014, 189 (44 BABA RT and 145 OT) patients underwent total thyroidectomy for Graves’ disease. Recurrence of Graves’ disease, intraoperative blood loss, hospital stay, and complication rates including recurrent laryngeal nerve (RLN) palsy and hypoparathyroidism were analyzed between BABA RT and OT groups, after propensity score matching according to age, gender, body mass index, surgical indication, the extent of operation, excised thyroid weight, and follow-up period.


No patient experienced recurrence of Graves’ disease after median follow-up of 35.0 months. Intraoperative blood loss (151.8 ± 165.4 mL vs. 134.5 ± 75.4 mL; p = 0.534) and hospital stay (3.4 ± 0.7 day vs. 3.3 ± 0.7 day; p = 0.564) were not different between BABA RT and OT groups. Complication rates including transient RLN palsy (11.4 vs. 11.4 %; p = 1.000), transient hypoparathyroidism (18.2 vs. 20.5 %; p = 0.787), permanent RLN palsy (0 vs. 2.3 %; p = 0.315), and permanent hypoparathyroidism (2.3 vs. 2.3 %; p = 1.000) were also comparable between groups.


BABA RT for Graves’ disease showed comparable surgical completeness and complications to conventional OT. BABA RT can be recommended as an alternative surgical option for patients with Graves’ disease who are concerned about cosmesis.


Recurrent Laryngeal Nerve Total Thyroidectomy Propensity Score Match Hypoparathyroidism Recurrent Laryngeal Nerve Palsy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Compliance with ethical standards


Drs. Kwon, Yi, Song, Chai, Kim, Choi, and Lee have no conflicts of interest or financial ties to disclose.


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Copyright information

© Société Internationale de Chirurgie 2016

Authors and Affiliations

  • Hyungju Kwon
    • 1
    • 2
    Email author
  • Jin Wook Yi
    • 1
  • Ra-Yeong Song
    • 1
  • Young Jun Chai
    • 3
  • Su-jin Kim
    • 1
  • June Young Choi
    • 4
  • Kyu Eun Lee
    • 1
  1. 1.Department of SurgerySeoul National University Hospital and College of MedicineSeoulKorea
  2. 2.Cancer Research InstituteSeoul National University College of MedicineSeoulKorea
  3. 3.Department of SurgerySeoul National University Boramae HospitalSeoulKorea
  4. 4.Department of SurgerySeoul National University Bundang Hospital and College of MedicineSeongnamKorea

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