ArticleAnnals of surgical oncology2012
Robot-assisted transaxillary thyroid surgery in the United States: is it comparable to open thyroid lobectomy?
Article in Annals of surgical oncology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 64 citations in OpenAlex.
- A meta-analysis of unilateral axillary approach for robotic surgery compared with open surgery for differentiated thyroid carcinoma.PloS one · 2024Pooled it
- Outcomes of Minimally Invasive Thyroid Surgery - A Systematic Review and Meta-Analysis.Frontiers in endocrinology · 2021Pooled it
- Robotic surgery versus open surgery for thyroid neoplasms: a systematic review and meta-analysis.Journal of cancer research and clinical oncology · 2020Pooled it
- Remote Access Robotic Facelift Thyroidectomy: A Multi-institutional Experience.World journal of surgery · 2017Trial
- Review
- Review
- Postsurgical complications after robot-assisted transaxillary thyroidectomy: critical analysis of a large cohort of European patients.Updates in surgery · 2022Article
- Preliminary study on application of augmented reality visualization in robotic thyroid surgery.Annals of surgical treatment and research · 2018Article
- Overview of robotic thyroidectomy.Gland surgery · 2017Review
- Comparison of Bilateral Axillo-Breast Approach Robotic Thyroidectomy with Open Thyroidectomy for Graves' Disease.World journal of surgery · 2016Article
- Robotic facelift thyroid surgery.Gland surgery · 2015Review
- Modifications of transaxillary approach in endoscopic da Vinci-assisted thyroid and parathyroid gland surgery.Journal of robotic surgery · 2015Article
- Robotic thyroidectomy for cancer in the US: patterns of use and short-term outcomes.Annals of surgical oncology · 2014Article
- Factors contributing to surgical outcomes of transaxillary robotic thyroidectomy for papillary thyroid carcinoma.Surgical endoscopy · 2014Article
- Current status of robotic thyroid surgery in South Korea: a web-based survey.World journal of surgery · 2014Article
- Axillary web syndrome after transaxillary robotic thyroidectomy.Journal of robotic surgery · 2014Article
- Can robotic thyroidectomy be performed safely in thyroid carcinoma patients?Endocrinology and metabolism (Seoul, Korea) · 2014Review
- The end of robot-assisted laparoscopy? A critical appraisal of scientific evidence on the use of robot-assisted laparoscopic surgery.Surgical endoscopy · 2014Article
- A survey of preferences regarding surgical approach to thyroid surgery.World journal of surgery · 2014Article
- Defining anatomical landmarks for robotic facelift thyroidectomy.World journal of surgery · 2014Article
Corrections and comments
- Commented on by
Authors and funding
7 authors at 1 institution in 1 country.
Funding
Abstract
backgroundThe purpose of this study was to compare the outcome of robot-assisted transaxillary thyroid surgery (RATS) to the standard open technique for thyroid lobectomy in the U.S. population.
methodsComparison was made between 25 consecutive patients who underwent thyroid lobectomy via RATS and 25 patients who underwent open thyroid lobectomy. All patients met predetermined criteria for RATS. Clinical characteristics of patients and operative data were compared between groups using the Fisher exact or the Kruskal-Wallis test.
resultsThe RATS and open groups were similar in gender (92% vs 84% female), median body mass index (BMI) (25 vs 26), preoperative cytology (P=.71), and postoperative diagnosis (P=.91). Operative time for the RATS group was longer than the open group [median 121 minutes (range 74-199 minutes) vs 68 minutes (41-112 minutes), P<.0001]. Estimated blood loss was greater in the RATS group [median 10 cc (0-150 cc) vs 0 cc (0-25 cc), P=.0042]. Unlike the open group, postoperative complications in the RATS group included 2 patients with neurological deficits in the brachial plexus distribution. The postoperative incidence of temporary hoarseness, bleeding, infection, seroma, numbness, and length of hospital stay did not differ significantly between groups.
conclusionsIn a select group of patients, RATS is comparable to open thyroid lobectomy in terms of postoperative complications and hospital stay. Patients should be counseled that RATS is associated with a longer operative time, a potential for brachial plexus neurological deficits, and larger (although still low) blood loss. A prospective trial further evaluating cost, quality of life, and patient-reported satisfaction is warranted.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.