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Comparison of bilateral axillo-breast approach robotic thyroidectomy and open thyroidectomy for papillary thyroid carcinoma

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Abstract

For papillary thyroid carcinoma (PTC) surgery requiring total thyroidectomy and central lymph node dissection, it is controversial whether the bilateral axillo-breast approach robotic thyroidectomy (BABA RT) can replace the open thyroidectomy (OT). To evaluate the efficacy of two surgical approaches. Relevant literatures were searched from PubMed, EMBASE and Cochrane Library. Studies comparing two surgical approaches and meeting the inclusion criteria were selected. Compared with OT, BABA RT showed a similar incidence of postoperative complications, including recurrent laryngeal nerve palsy, hypocalcemia, hypoparathyroidism, bleeding, chyle leakage and incision infection, as well as number of retrieved central lymph nodes and postoperative total dose of radioactive iodine. However, BABA RT involved longer operative time (weighted mean difference [WMD] 72.62, 95% confidence interval [CI] 48.15–97.10, P < .00001) and higher postoperative stimulated thyroglobulin level ([WMD] 0.12, 95% [CI] 0.05–0.19, P = .0006). The efficacy of BABA RT is basically similar to OT in this meta-analysis, but the higher postoperative stimulated thyroglobulin level attracts our attention. Longer operative time requires us to shorten. Randomized clinical trials with large samples and longer follow-up data are still essential to further demonstrate the value of the BABA RT.

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The author(s) received no financial support for the research, authorship, and/or publication of this article.

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Authors and Affiliations

  1. Department of Thyroid Surgery, The Affiliated Hospital of Southwest Medical University, Luzhou, 646000, Sichuan, China

    Rongjia Zhang, Xian Deng, Dehui Qiao, Xu Li & Hui Yang

  2. Department of Cardiovascular Medicine, Shifang People’s Hospital, Deyang, Sichuan, China

    Yulu Chen

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  1. Rongjia Zhang
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  2. Yulu Chen
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  3. Xian Deng
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  4. Dehui Qiao
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  5. Xu Li
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  6. Hui Yang
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Contributions

All authors contributed to the study conception and design. Data collection were performed by DQ and XL: under the guidance of YC. Data analysis were performed by RZ and XD. The first draft of the manuscript was written by ZR: under the guidance of YH. All authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

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Correspondence to Hui Yang.

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Zhang, R., Chen, Y., Deng, X. et al. Comparison of bilateral axillo-breast approach robotic thyroidectomy and open thyroidectomy for papillary thyroid carcinoma. J Robotic Surg 17, 1933–1942 (2023). https://doi.org/10.1007/s11701-023-01655-2

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  • DOI: https://doi.org/10.1007/s11701-023-01655-2

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