Robot-Assisted Neck Dissection via a Transaxillary and Retroauricular Approach Versus a Conventional Transcervical Approach in Papillary Thyroid Cancer with Cervical Lymph Node Metastases

Won Shik Kim, Yoonwoo Koh, Hyung Kwon Byeon, Young Min Park, Hyo Jin Chung, Eun Sung Kim, Eun Jung Lee, Sang Chul Park, Eun Chang Choi

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Background: Recently, robot-assisted neck dissection (ND) using a transaxillary approach in thyroid cancer patients with lateral neck metastases (LNM) was demonstrated to be feasible. The aim of this study was to compare the surgical outcomes of a modified transaxillary and retroauricular (TARA) versus a conventional transcervical approach in papillary thyroid carcinoma (PTC) patients with LNM. Patients and Methods: In total, 47 patients with PTC underwent total thyroidectomy with central compartment ND and modified radical ND except Level I. Twenty-two NDs were performed via the TARA approach, and 25 unilateral NDs were performed via the conventional transcervical approach. Results: The TARA and the open ND groups consisted of 22 and 25 patients, respectively. The operation time for ND in the TARA group was longer than that in the open ND group (209.4±38.2 minutes versus 143.1±30.5 minutes; P=.000). The mean scar satisfaction score in the TARA group was higher than in the conventional ND group (3.9±1.0 versus 2.8±1.0; P=.000). There were no differences in the mean number of retrieved lymph nodes. Conclusions: The robot-assisted ND via the TARA approach can be an alternative option that produces excellent esthetic results for the management of LNM in PTC patients.

Original languageEnglish
Pages (from-to)367-372
Number of pages6
JournalJournal of Laparoendoscopic and Advanced Surgical Techniques
Volume24
Issue number6
DOIs
Publication statusPublished - 2014 Jun 1

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Neck Dissection
Lymph Nodes
Neoplasm Metastasis
Neck
Papillary Thyroid cancer
Thyroidectomy
Esthetics
Thyroid Neoplasms
Cicatrix

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Kim, Won Shik ; Koh, Yoonwoo ; Byeon, Hyung Kwon ; Park, Young Min ; Chung, Hyo Jin ; Kim, Eun Sung ; Lee, Eun Jung ; Park, Sang Chul ; Choi, Eun Chang. / Robot-Assisted Neck Dissection via a Transaxillary and Retroauricular Approach Versus a Conventional Transcervical Approach in Papillary Thyroid Cancer with Cervical Lymph Node Metastases. In: Journal of Laparoendoscopic and Advanced Surgical Techniques. 2014 ; Vol. 24, No. 6. pp. 367-372.
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abstract = "Background: Recently, robot-assisted neck dissection (ND) using a transaxillary approach in thyroid cancer patients with lateral neck metastases (LNM) was demonstrated to be feasible. The aim of this study was to compare the surgical outcomes of a modified transaxillary and retroauricular (TARA) versus a conventional transcervical approach in papillary thyroid carcinoma (PTC) patients with LNM. Patients and Methods: In total, 47 patients with PTC underwent total thyroidectomy with central compartment ND and modified radical ND except Level I. Twenty-two NDs were performed via the TARA approach, and 25 unilateral NDs were performed via the conventional transcervical approach. Results: The TARA and the open ND groups consisted of 22 and 25 patients, respectively. The operation time for ND in the TARA group was longer than that in the open ND group (209.4±38.2 minutes versus 143.1±30.5 minutes; P=.000). The mean scar satisfaction score in the TARA group was higher than in the conventional ND group (3.9±1.0 versus 2.8±1.0; P=.000). There were no differences in the mean number of retrieved lymph nodes. Conclusions: The robot-assisted ND via the TARA approach can be an alternative option that produces excellent esthetic results for the management of LNM in PTC patients.",
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Robot-Assisted Neck Dissection via a Transaxillary and Retroauricular Approach Versus a Conventional Transcervical Approach in Papillary Thyroid Cancer with Cervical Lymph Node Metastases. / Kim, Won Shik; Koh, Yoonwoo; Byeon, Hyung Kwon; Park, Young Min; Chung, Hyo Jin; Kim, Eun Sung; Lee, Eun Jung; Park, Sang Chul; Choi, Eun Chang.

In: Journal of Laparoendoscopic and Advanced Surgical Techniques, Vol. 24, No. 6, 01.06.2014, p. 367-372.

Research output: Contribution to journalArticle

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AU - Kim, Won Shik

AU - Koh, Yoonwoo

AU - Byeon, Hyung Kwon

AU - Park, Young Min

AU - Chung, Hyo Jin

AU - Kim, Eun Sung

AU - Lee, Eun Jung

AU - Park, Sang Chul

AU - Choi, Eun Chang

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N2 - Background: Recently, robot-assisted neck dissection (ND) using a transaxillary approach in thyroid cancer patients with lateral neck metastases (LNM) was demonstrated to be feasible. The aim of this study was to compare the surgical outcomes of a modified transaxillary and retroauricular (TARA) versus a conventional transcervical approach in papillary thyroid carcinoma (PTC) patients with LNM. Patients and Methods: In total, 47 patients with PTC underwent total thyroidectomy with central compartment ND and modified radical ND except Level I. Twenty-two NDs were performed via the TARA approach, and 25 unilateral NDs were performed via the conventional transcervical approach. Results: The TARA and the open ND groups consisted of 22 and 25 patients, respectively. The operation time for ND in the TARA group was longer than that in the open ND group (209.4±38.2 minutes versus 143.1±30.5 minutes; P=.000). The mean scar satisfaction score in the TARA group was higher than in the conventional ND group (3.9±1.0 versus 2.8±1.0; P=.000). There were no differences in the mean number of retrieved lymph nodes. Conclusions: The robot-assisted ND via the TARA approach can be an alternative option that produces excellent esthetic results for the management of LNM in PTC patients.

AB - Background: Recently, robot-assisted neck dissection (ND) using a transaxillary approach in thyroid cancer patients with lateral neck metastases (LNM) was demonstrated to be feasible. The aim of this study was to compare the surgical outcomes of a modified transaxillary and retroauricular (TARA) versus a conventional transcervical approach in papillary thyroid carcinoma (PTC) patients with LNM. Patients and Methods: In total, 47 patients with PTC underwent total thyroidectomy with central compartment ND and modified radical ND except Level I. Twenty-two NDs were performed via the TARA approach, and 25 unilateral NDs were performed via the conventional transcervical approach. Results: The TARA and the open ND groups consisted of 22 and 25 patients, respectively. The operation time for ND in the TARA group was longer than that in the open ND group (209.4±38.2 minutes versus 143.1±30.5 minutes; P=.000). The mean scar satisfaction score in the TARA group was higher than in the conventional ND group (3.9±1.0 versus 2.8±1.0; P=.000). There were no differences in the mean number of retrieved lymph nodes. Conclusions: The robot-assisted ND via the TARA approach can be an alternative option that produces excellent esthetic results for the management of LNM in PTC patients.

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