ArticleClinical and experimental otorhinolaryngology2021
Initial Experience With Robotic Modified Radical Neck Dissection Using the da Vinci Xi System Through the Bilateral Axillo-Breast Approach.
Article in Clinical and experimental otorhinolaryngology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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14 citing papers in PubMed, 19 citations in OpenAlex.
- Single-port robotic areolar surgery for thyroid and neck procedures: a 3-year, 500-case single-surgeon experience using the da-Vinci SP system.Updates in surgery · 2026Article
- [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
- Retrospective propensity score-matched comparison of robotic versus open bilateral lateral neck dissection in papillary thyroid carcinoma with bilateral lateral neck metastasis.Surgical endoscopy · 2025Article
- First Experience of Single Port Robotic Areolar (SPRA) Thyroidectomy and Modified Radical Neck Dissection (MRND).Medicina (Kaunas, Lithuania) · 2025Article
- Feasibility and outcomes of remote-access endoscopic and robotic lateral neck dissection for thyroid cancer: a scoping review.Gland surgery · 2025Review
- One-Year Clinical Experience of Single-Port and Multi-Port Robotic Thyroid Surgery in a Single Institution.Journal of clinical medicine · 2024Article
- A scoping review of endoscopic and robotic techniques for lateral neck dissection in thyroid cancer.Frontiers in oncology · 2024Article
- Technical and anatomic considerations of skin flap elevation in bilateral axillo-breast insufflation robotic-assisted neck dissection.Journal of robotic surgery · 2023Article
- Cumulative sum analysis of the learning curve for robotic retroauricular thyroidectomy.Gland surgery · 2023Article
- Robot-Assisted Minimally Invasive Breast Surgery: Recent Evidence with Comparative Clinical Outcomes.Journal of clinical medicine · 2022Review
- Review
- 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
- Single Surgeon Experience with 500 Cases of the Robotic Bilateral Axillary Breast Approach (BABA) for Thyroid Surgery Using the Da-Vinci Xi System.Journal of clinical medicine · 2021Article
- Robotic Modified Radical Neck Dissection Through the Bilateral Axillary Breast Approach.Clinical and experimental otorhinolaryngology · 2021Article
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
objectivesThe bilateral axillo-breast approach (BABA) to robotic thyroidectomy has been extended to modified radical neck dissection (MRND). This study assessed outcomes in patients who underwent robotic MRND through BABA using the da Vinci Xi system.
methodsThe medical records of 40 patients who underwent total thyroidectomy, bilateral central neck dissection, and MRND from September 2018 to March 2020 were reviewed retrospectively, including 12 who underwent robotic surgery and 28 who underwent open surgery. All operations were performed by a single endocrine surgeon.
resultsThe operation time was significantly longer in the robotic group than in the open group (277.08±32.64 vs. 191.43± 60.43 minutes, respectively, P<0.01), but the number of retrieved lymph nodes did not differ significantly (32.58± 9.31 vs. 34.54±10.90, respectively, P=0.569). The incidence of transient hypoparathyroidism was significantly lower in the robotic group (16.7% [2/12] vs. 53.6% [15/28], P=0.041). The mean hospital stay was shorter (3.92±0.90 vs. 4.71±1.63 days) and the pain score on the first postoperative day was lower (2.92±0.29 vs. 3.18±0.67) in the robotic group. Six of the 12 patients (50%) in the robotic group had stimulated thyroglobulin levels <1.0 ng/mL.
conclusionRobotic MRND through BABA has several advantages, including excellent cosmetic outcomes and a lower incidence of transient hypoparathyroidism than is the case for open MRND. Robotic MRND through BABA may be a promising surgical approach compared with conventional open MRND.
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