ArticleSurgical endoscopy2017
Transaxillary robotic modified radical neck dissection: a 5-year assessment of operative and oncologic outcomes.
Article in Surgical endoscopy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.
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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.
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Who cites it
29 citing papers in PubMed, 3 syntheses or guidelines pooled it, 51 citations in OpenAlex.
- Implications of five endoscopic and conventional open surgery on lateral neck dissection outcomes in patients with papillary thyroid carcinoma: a network meta-analysis and systematic review.Surgical endoscopy · 2025Pooled it
- A meta-analysis of unilateral axillary approach for robotic surgery compared with open surgery for differentiated thyroid carcinoma.PloS one · 2024Pooled it
- Robotic surgery versus open surgery for thyroid neoplasms: a systematic review and meta-analysis.Journal of cancer research and clinical oncology · 2020Pooled it
- Patient expectations and concerns regarding robotic thyroidectomy in china: a cross-sectional study.Journal of robotic surgery · 2025Article
- [Efficacy analysis of gasless robotic surgery via transaxillary approach for unilateral N1b PTC].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2025Article
- Patient-reported outcomes by individuals with differentiated thyroid cancer who underwent minimal-access versus conventional open thyroidectomy: a real-world propensity score-matching study.International journal of surgery (London, England) · 2025Article
- Safety and outcomes of gasless transoral endoscopic thyroidectomy and lateral neck dissection for papillary thyroid cancer.Langenbeck's archives of surgery · 2025Article
- Review
- Progress in gasless endoscopic thyroidectomy.Frontiers in endocrinology · 2024Review
- Robotic thyroidectomy using gas-insufflation one-step single-port transaxillary (GOSTA) approach.Surgical endoscopy · 2023Article
- Modern Surgical Techniques of Thyroidectomy and Advances in the Prevention and Treatment of Perioperative Complications.Cancers · 2023Review
- Gasless endoscopic transaxillary thyroid surgery: CUSUM analysis of a single surgeon's experience from 105 preliminary procedures.Surgical endoscopy · 2022Article
- Safety and Feasibility of Single-Port Trans-Axillary Robotic Thyroidectomy: Experience through Consecutive 100 Cases.Medicina (Kaunas, Lithuania) · 2022Article
- Role of Robotics in Non-oropharyngeal Head and Neck Tumours.Indian journal of surgical oncology · 2022Review
- Robotic transaxillary lateral neck dissection for thyroid cancer: learning experience from 500 cases.Surgical endoscopy · 2022Article
- Learning curve for robotic thyroidectomy using BABA: CUSUM analysis of a single surgeon's experience.Frontiers in endocrinology · 2022Article
- A novel hybrid approach for "Scarless" (at the neck) lateral neck dissection for papillary thyroid carcinoma: A case series and literature review.Frontiers in oncology · 2022Article
- Initial Experience With Robotic Modified Radical Neck Dissection Using the da Vinci Xi System Through the Bilateral Axillo-Breast Approach.Clinical and experimental otorhinolaryngology · 2021Article
- Endoscopic Lateral Neck Dissection: A New Frontier in Endoscopic Thyroid Surgery.Frontiers in endocrinology · 2021Review
- Robotic surgery of head and neck cancers, a narrative review.European journal of translational myology · 2020Article
Corrections and comments
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Authors and funding
12 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRobotic modified radical neck dissection (MRND) using a gasless transaxillary approach has been reported to be a safe and meticulous technique in patients with papillary thyroid carcinoma (PTC) and lateral neck node metastasis (N1b). Few studies, however, have attempted to assess the long-term oncologic outcomes of robotic MRND in these patients. This study aimed to compare perioperative and 5-year oncologic outcomes of robotic MRND with conventional open procedures in patients with N1b PTC.
methodsBetween September 2007 and February 2010, 193 patients with N1b PTC underwent total thyroidectomy and MRND by a single surgeon. Of these, 42 (21.8 %) underwent robotic procedures and 151 (78.2 %) underwent conventional open procedures. All patients received 3.7- to 5.5-GBq radioactive iodine (RAI) ablation, post-therapy whole-body scans (TxWBSs), and diagnostic WBS (DxWBSs) during follow-up. An exact 1:3 matching for age and stage was performed to minimize selection bias, and perioperative and 5-year oncologic outcomes were compared in the matched groups.
resultsThe mean follow-up period was 66.0 months (range 60-90 months). Number of retrieved cervical lymph nodes (LNs) (p = .102) and postoperative ablation success rates (p = .864) were similar between the two groups. TSH-suppressed serum Tg concentrations after 5 years (0.7 ± 1.5 vs. 2.4 ± 14.1 ng/ml; p = .471) and recurrence rates in the robotic and open groups (1/41 [2.4 %] vs. 3/102 [2.9 %]; p = .864) were similar for the 5-year follow-up period. Four patients experienced recurrence: Three exhibited regional lymph node metastasis, and one showed bilateral lung metastases.
conclusionThe perioperative and 5-year oncologic outcomes were similar after robotic and conventional open MRND. Large, prospective randomized controlled trials with long-term follow-up data are needed to validate these results.
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