TY - JOUR
T1 - Robotic Thyroidectomy Versus Nonrobotic Approaches
T2 - A Meta-Analysis Examining Surgical Outcomes
AU - Kandil, Emad
AU - Hammad, Abdulrahman Y.
AU - Walvekar, Rohan R.
AU - Hu, Tian
AU - Masoodi, Hammad
AU - Mohamed, Salah Eldin
AU - Deniwar, Ahmed
AU - Stack, Brendan C.
N1 - Publisher Copyright:
© SAGE Publications.
Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2015/6
Y1 - 2015/6
N2 - Background. Robotic surgery has been recently used as a novel tool for remote access thyroid surgery. We performed a meta-analysis of the current literature to examine the safety and oncological efficacy of robotic surgery compared to endoscopic and conventional approaches for different thyroid procedures. Methods. A systematic search of the online data bases was done using the following (MeSH) terms "robotic surgery," "robotic thyroidectomy," "robot-assisted thyroidectomy," and "robot-assisted thyroid surgery." Outcomes measured included total operative time, length of hospital stay, postoperative thyroglobulin levels, and postoperative complications. Statistical differences were analyzed between groups through the standard means and/or relative risk by using STATA analytical software. Results. In this study, 144 articles were identified; of which 18 of them met our inclusion criteria, totaling 4878 patients. Robotic approach was associated with longer total operative time (mean difference of 43.5 minutes) when compared to the conventional cervical approach (95% CI = 20.9-66.2; P <.001). Robotic approach was also found to have a similar risk of total postoperative complications when compared to the conventional and endoscopic approaches. Conclusion. Robotic thyroid surgery is as safe, feasible and provides similar periperative complications and oncological outcomes when compared to both, conventional cervical and endoscopic approaches. However, robotic thyroid surgery is associated with longer operative time when compared to the conventional open approach.
AB - Background. Robotic surgery has been recently used as a novel tool for remote access thyroid surgery. We performed a meta-analysis of the current literature to examine the safety and oncological efficacy of robotic surgery compared to endoscopic and conventional approaches for different thyroid procedures. Methods. A systematic search of the online data bases was done using the following (MeSH) terms "robotic surgery," "robotic thyroidectomy," "robot-assisted thyroidectomy," and "robot-assisted thyroid surgery." Outcomes measured included total operative time, length of hospital stay, postoperative thyroglobulin levels, and postoperative complications. Statistical differences were analyzed between groups through the standard means and/or relative risk by using STATA analytical software. Results. In this study, 144 articles were identified; of which 18 of them met our inclusion criteria, totaling 4878 patients. Robotic approach was associated with longer total operative time (mean difference of 43.5 minutes) when compared to the conventional cervical approach (95% CI = 20.9-66.2; P <.001). Robotic approach was also found to have a similar risk of total postoperative complications when compared to the conventional and endoscopic approaches. Conclusion. Robotic thyroid surgery is as safe, feasible and provides similar periperative complications and oncological outcomes when compared to both, conventional cervical and endoscopic approaches. However, robotic thyroid surgery is associated with longer operative time when compared to the conventional open approach.
KW - endoscopic surgery
KW - robotic surgery
KW - robotic thyroidectomy
KW - surgical outcomes
KW - thyroid surgery
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U2 - 10.1177/1553350615613451
DO - 10.1177/1553350615613451
M3 - Article
C2 - 26525401
AN - SCOPUS:84966473499
VL - 23
SP - 317
EP - 325
JO - Seminars in Laparoscopic Surgery
JF - Seminars in Laparoscopic Surgery
SN - 1553-3506
IS - 3
ER -