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Robot-assisted transaxillary thyroid surgery—retrospective analysis of anthropometric features

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Abstract

Purpose

The vast majority of studies published on robot-assisted thyroid surgery are South Korean. This study aims to assess the impact of certain anthropometric parameters on performing robot-assisted thyroid surgery on Caucasian patients.

Materials and methods

A total of 91 patients underwent robot-assisted surgery by the axillary approach in the Fifth Surgical Clinic, City Hospital Cluj-Napoca, between 2010 and 2015. Besides the specific clinical and pathological parameters, a series of anthropometric parameters and the postoperative occurrence of skin disorders in the cervical or subclavicular region were determined for each patient.

Results

There was an increase in dissection time and console time, which was directly proportional to the patients’ body mass index. There were no statistically significant differences in the incidence of postoperative complications in patients with different body mass indices. The postoperative drainage volume was significantly higher in overweight or obese patients. The time needed to visualize the thyroid lodge was longer in patients with wider shoulders, and there was a negative correlation between neck length and console time. A statistically significant direct correlation was found between the clavicle length–neck length ratio and the duration of the entire intervention. There was no significant influence of any of these parameters on the duration of hospitalization or the occurrence of other postoperative complications.

Conclusions

The nutritional status of the patients and the other anthropometric parameters influenced the duration and difficulty of the intervention, without affecting its safety in terms of intra- and postoperative- complications.

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Acknowledgments

Author contribution

Study concept and design, data acquisition, data analysis and interpretation, manuscript drafting: D.D. Axente.

Critical revision of the manuscript: N.A. Constantea.

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Authors and Affiliations

  1. Fifth Surgical Clinic, “Iuliu Hatieganu” University of Medicine and Pharmacy, 8 Victor Babes Street, 400012, Cluj-Napoca, Romania

    Dan Damian Axente & Nicolae Augustin Constantea

Authors
  1. Dan Damian Axente
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  2. Nicolae Augustin Constantea
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Corresponding author

Correspondence to Dan Damian Axente.

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Conflicts of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its additional amendments or comparable ethical standards.

Ethical standards/informed consent

Informed consent was obtained from all patients prior to their inclusion in the study.

Additional information

Presented (partially) at the Third South Eastern European Robotic Surgery Society (SEERSS) International Congress in Robotic Surgery on 3–4 October 2014 Sofia, Bulgaria

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Axente, D.D., Constantea, N.A. Robot-assisted transaxillary thyroid surgery—retrospective analysis of anthropometric features. Langenbecks Arch Surg 401, 975–981 (2016). https://doi.org/10.1007/s00423-016-1505-1

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  • DOI: https://doi.org/10.1007/s00423-016-1505-1

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