Evidence map›Paper›PMID 27738835›Full record

Trial reportWorld journal of surgery2017

Remote Access Robotic Facelift Thyroidectomy: A Multi-institutional Experience.

William S Duke, F Christopher Holsinger, Emad Kandil, Jeremy D Richmon, Michael C Singer, David J Terris

Abstract readClinical TrialMulticenter Study
PubMed Publisher
In one paragraph

Trial report in World journal of surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
3.8field-weighted citation impact, top 7% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Facelift thyroid surgery: a systematic review of indications, surgical and functional outcomes.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale · 2023
    Pooled it
  2. Conversion rates in robotic thyroid surgery: A systematic review and meta-analysis.The international journal of medical robotics + computer assisted surgery : MRCAS · 2022
    Pooled it
  3. Review
  4. Robotic Head and Neck Surgery: Beyond TORS.Current oncology reports · 2020
    Review
  5. Review
  6. Article
  7. Article
  8. Starting a Transoral Thyroid and Parathyroid Surgery Program.Current otorhinolaryngology reports · 2019
    Article
  9. Article
  10. Review
  11. Article
  12. [Robotic Surgery - Who is The Boss?]Laryngo- rhino- otologie · 2018
    Review
  13. [Alternative approaches in thyroid surgery].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2017
    Review
  14. Robotic Neck Surgery in the Pediatric Population.JSLS : Journal of the Society of Laparoendoscopic Surgeons
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 1 country.

William S DukeDepartment of Otolaryngology and Endocrinology, Augusta University Thyroid and Parathyroid Center, Augusta University, 1120 Fifteenth Street, BP-4109, Augusta, GA, 30912-4060, USA.
F Christopher HolsingerDivision of Head and Neck Surgery, Department of Otolaryngology, Stanford University, Palo Alto, CA, USA.
Emad KandilDepartment of Surgery, Tulane University, New Orleans, LA, USA.
Jeremy D RichmonDepartment of Otolaryngology - Head and Neck Surgery, Johns Hopkins University, Baltimore, MD, USA.
Michael C SingerDepartment of Otolaryngology - Head and Neck Surgery, Henry Ford Health System, West Bloomfield, MI, USA.
David J TerrisDepartment of Otolaryngology and Endocrinology, Augusta University Thyroid and Parathyroid Center, Augusta University, 1120 Fifteenth Street, BP-4109, Augusta, GA, 30912-4060, USA. dterris@augusta.edu.
Augusta University Health · USHenry Ford Health System · USJohns Hopkins University · USPalo Alto University · USTulane University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRobotic facelift thyroidectomy (RFT) was developed as a new surgical approach to the thyroid gland using a remote incision site. Early favorable results led to this confirmatory multi-institutional experience.

methodsProspectively collected data on consecutive patients undergoing RFT in five North American academic endocrine surgical practices were compiled. Surgical indications, operative times, final pathology, nodule size, complications, and postoperative management (drain use and length of hospital stay) were evaluated.

resultsA total of 102 RFT procedures were undertaken in 90 patients. All but one of the patients (98.9 %) were female, and the mean age was 41.9 ± 13.1 years (range 12-69 years). The indication for surgery was nodular disease in 91.2 % of cases; 8.8 % were completion procedures performed for a diagnosis of cancer. The mean size of the largest nodule was 1.9 cm (range 0-5.6 cm). The mean total operative time for a thyroid lobectomy was 162 min (range 82-265 min). No permanent complications occurred. There were 4 cases (3.9 %) of transient recurrent laryngeal nerve weakness, no cases of hypocalcemia, and 3 (2.9 %) hematomas. There were no conversions to an anterior cervical approach. The majority of patients were managed on an outpatient basis (61.8 %) and without a drain (65.7 %).

conclusionsRFT is technically feasible and safe in selected patients. RFT can continue to be offered to carefully selected patients as a way to avoid a visible cervical scar. Future prospective studies to compare this novel approach to other remote access approaches are warranted.

Indexed as

AdolescentAdultAgedChildFemaleHumansMaleMiddle AgedProspective StudiesRobotic Surgical ProceduresThyroid DiseasesThyroidectomyTreatment OutcomeYoung Adult

Identifiers

PMID27738835
OpenAlexW2530000849

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.