Qualitative and quantitative differences between 2 robotic thyroidectomy techniques

David J Terris, Michael C. Singer

Research output: Contribution to journalArticle

37 Citations (Scopus)

Abstract

Objectives. Two distinct remote access robotic thyroidectomy techniques were implemented in a high-volume endocrine surgery practice. Important technical and clinical differences were observed and are described. Study Design. Cross-sectional study with planned data collection. Setting. Thyroid center. Subjects and Methods. A panel of demographic and clinical parameters was captured in a series of patients undergoing 1 of 2 robotic thyroidectomy techniques (robotic axillary thyroidectomy [RAT] or robotic facelift thyroidectomy [RFT]). Particular attention was paid to time of surgery, ease of dissection, complications, use of drains, and length of stay. Results. Fifteen robotic hemithyroidectomies were accomplished by either RAT (n = 5) or RFT (n = 10). The duration of surgery for RAT averaged 196 ± 38.1 minutes, with no clear downward trend observed. The mean time of surgery for RFT was 156.9 ± 16.3 minutes, with a steady trend toward shorter surgical times. All 5 RAT patients were managed with drains and as inpatients (length of stay = 1.0 days); 9 of 10 RFT patients were managed without drains and on an outpatient basis (the first patient had a drain and was observed for 1 night in the hospital; P <.001). Ease of surgery, familiarity with anatomic dissection planes, and surgeon comfort level all favored RFT. Conclusions. In an early experience of a small series of patients, a more rapid learning curve reflected by shorter operative times was observed with robotic facelift thyroidectomy compared with robotic axillary thyroidectomy. Furthermore, the vast majority of patients could be managed as outpatients, which represents one of several apparent advantages.

Original languageEnglish (US)
Pages (from-to)20-25
Number of pages6
JournalOtolaryngology - Head and Neck Surgery (United States)
Volume147
Issue number1
DOIs
StatePublished - Jul 1 2012

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Thyroidectomy
Robotics
Rhytidoplasty
Operative Time
Dissection
Length of Stay
Outpatients
Learning Curve
Inpatients
Thyroid Gland

Keywords

  • cosmetic
  • facelift
  • remote access
  • robotic
  • thyroid
  • thyroidectomy

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

Cite this

Qualitative and quantitative differences between 2 robotic thyroidectomy techniques. / Terris, David J; Singer, Michael C.

In: Otolaryngology - Head and Neck Surgery (United States), Vol. 147, No. 1, 01.07.2012, p. 20-25.

Research output: Contribution to journalArticle

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