ArticleSurgical endoscopy2025
Retrospective propensity score-matched comparison of robotic versus open bilateral lateral neck dissection in papillary thyroid carcinoma with bilateral lateral neck metastasis.
Article in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Longitudinal health-related quality of life after remote-access versus open thyroidectomy for thyroid cancer: a systematic review and meta-analysis.Journal of robotic surgery · 2026Pooled it
- Not all patients need a robot: comparative perioperative outcomes of robotic BABA versus endoscopic CABBA thyroid lobectomy with ipsilateral central lymph node dissection, stratified by body mass index.Journal of robotic surgery · 2026Article
- Superior spinal accessory nerve function after robotic versus open selective neck dissection in papillary thyroid carcinoma: a retrospective and prospective cohort study.Journal of robotic surgery · 2026Article
- A commentary on "Long-term outcomes of robotic vs. open thyroidectomy for differentiated thyroid cancer: efficacy, safety and quality of life".International journal of surgery (London, England) · 2026Article
- Learning curve and functional safety in robotic thyroidectomy via bilateral axillo-breast approach: a prospective study of 537 cases.Surgical endoscopy · 2026Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundOur study aimed to evaluate and compare the surgical and oncological outcomes of robotic bilateral lateral neck dissection (LND) via the bilateral axillo-breast approach (BABA) with the conventional open procedures (COP) in patients with papillary thyroid carcinoma (PTC) and bilateral lateral neck metastasis (LNM).
methodsThe clinical data of 181 patients with PTC and bilateral LNM who underwent robotic bilateral LND or COP (61:120) between April 2018 and February 2024 at our institution were retrospectively analyzed. 36 matched pairs were generated using a 1:1 propensity score matching (PSM) method.
resultsAll robotic BABA bilateral LND procedures were successfully completed without conversion to open surgery. PSM analysis revealed that the postoperative stay, drainage volume, and the numbers of retrieved or metastatic lymph nodes were comparable between the matched groups. However, the operating time was significantly longer in the robotic group compared to the open group (p < 0.001). Furthermore, there were no significant differences between the two groups in terms of hypoparathyroidism (p = 0.637), vocal cord palsy (p = 1), and chyle leakage (p = 1). Additionally, there was no recurrence in either group. Notably, the aesthetic score was significantly higher in the robotic group compared to the open group (median, [IQR] 9 [IQR: 8-10] versus. 5 [IQR: 3-5], p < 0.001).
conclusionsRobotic BABA bilateral LND resulted in comparable surgical outcomes and superior cosmetic in a cohort of patients with papillary thyroid carcinoma and bilateral lateral neck metastasis.
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Registered trials
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