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World Journal of Surgery

, Volume 41, Issue 8, pp 2020–2025 | Cite as

Bilateral Axillo-Breast Approach Robotic Thyroidectomy (BABA RT) Does Not Interfere with Breast Image Follow-Up

  • Hyeong Won Yu
  • Young Jun Chai
  • Hyungju Kwon
  • Su-jin Kim
  • June Young Choi
  • Kyu Eun LeeEmail author
Original Scientific Report

Abstract

Background

Bilateral axillo-breast approach robotic thyroidectomy (BABA RT) is frequently performed and has excellent cosmetic results. However, there has been concern that subcutaneous tunneling in construction of the operation field might interfere with subsequent breast imaging. In this study, we evaluated whether BABA RT interferes with breast imaging by evaluating serial perioperative results of mammography and ultrasonography.

Methods

We selected female patients who underwent BABA RT between 2008 and 2012, and who also had mammography or ultrasonography pre- and postoperatively, and compared the results of pre- and postoperative imaging. The results of mammography and ultrasonography were reported according to the Breast Imaging Reporting and Data System (BIRADS).

Results

A total of 175 nodules from 108 female patients were analyzed. The mean age of the patients was 42.9 ± 9.7 years, and the median follow-up period was 34.1 months. Ninety-four patients (87.0%) underwent total thyroidectomy, and 101 patients (93.5%) had malignant thyroid disease. After BABA RT, mammography and ultrasonography were performed an average of 2.9 ± 2.0 times and 3.3 ± 2.0 times per person, respectively. Six patients required breast intervention according to mammography or ultrasonography after BABA RT, and all procedures were successfully conducted.

Conclusions

BABA RT did not cause diagnostic difficulties such as poor sonic window in subsequent breast imaging studies. Routine breast imaging studies for breast nodule follow-up could be performed without difficulties resulting from BABA RT.

Keywords

Breast Imaging Endoscopic Thyroidectomy Subcutaneous Tunneling Breast Nodule Malignant Thyroid Disease 
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.

Notes

Acknowledgements

This research was supported by the Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Science, ICT and Future Planning, Republic of Korea (Grant Number: 2015R1C1A1A01055464).

Compliance with ethical standards

Conflicts of interest

The authors have no conflicts of interest or financial ties to disclose.

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Copyright information

© Société Internationale de Chirurgie 2017

Authors and Affiliations

  • Hyeong Won Yu
    • 1
    • 4
  • Young Jun Chai
    • 2
    • 3
  • Hyungju Kwon
    • 1
    • 3
  • Su-jin Kim
    • 1
    • 3
  • June Young Choi
    • 3
    • 4
  • Kyu Eun Lee
    • 1
    • 3
    Email author
  1. 1.Department of SurgerySeoul National University Hospital and College of MedicineSeoulKorea
  2. 2.Department of SurgerySeoul National University Boramae Medical CenterSeoulKorea
  3. 3.Cancer Research InstituteSeoul National University College of MedicineSeoulKorea
  4. 4.Department of SurgerySeoul National University Bundang HospitalSeongnam-siKorea

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