ABSTRACT
Objective:
To evaluate the feasibility and
safety of robotic
thyroidectomy for
treatment of
thyroid benign
tumor with diameter larger than 5cm.
Methods:
The clinical data of 36
patients (in the robot group)
who received Da Vinci robot
thyroid benign
tumor surgery in the
thyroid breast Surgery Department of the 960th
Hospital of the PLA (Former Jinan
Military General Hospital of PLA) from Jan. 2014 to Jun. 2019 were retrospectively analyzed, and compared with 48
patients (in the open group)
who received open
surgery in the same period.The
operative time, intraoperative
blood loss, length of
hospital stay, postoperative
drainage volume, postoperative
parathyroid hormone, cosmetic effect,
incidence of surgical
complications and postoperative
recurrence rate of the two groups were observed. Statistical
software SPSS16.0 was used for
statistical analysis of the data.
Results:
Both groups successfully completed the operation. Compared with the open group, the operation
time ( t=11.232, P<0.001) and postoperative
drainage volume ( t=2.892, P=0.003) of the robot group were more than those of the open group, and the aesthetic effect was better ( t=3.291, P=0.024). Intraoperative
blood loss ( t=1.575 , P=0.118),
hospital stay ( t=-1.784, P=0.091), postoperative PTH ( t=1.892, P=0.086),
incidence of surgical
complications ( χ2=3.291, P=0.610), visual analogue score of
postoperative pain ( t=-2.431, P=0.081) and postoperative
recurrence rate were not significantly different ( P>0.05). No
recurrence occurred during follow-up.
Conclusion:
For
patients with a selective benign
thyroid tumor with a diameter of 5-8 cm, the bilateral axillo-
breast and transaxillary approach for
thyroid surgery by Da Vinci robot are safe, effective and have better cosmetic results.