Early outcomes in transoral vestibular thyroidectomy: Robotic versus endoscopic techniques.
Early outcomes in transoral vestibular thyroidectomy: Robotic versus endoscopic techniques.
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DOI：
10.1002/hed.25323
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发表时间：
2018-10
期刊：
影响因子：
--
通讯作者：
Russell JO
中科院分区：
文献类型：
--
作者：
Razavi CR;Khadem MGA;Fondong A;Clark JH;Richmon JD;Tufano RP;Russell JO
经口甲状腺切除术前庭入路通过机器人(TORTVA)和内窥镜(TOETVA)技术被用于甲状腺切除术。然而，还没有研究评估这些方法之间的结果。在这里，我们描述了使用TORTVA和TOETVA进行甲状腺叶切除术的结果。本文回顾了约翰·霍普金斯医院所有经口前庭入路甲状腺叶切除术的病例。然后比较TORTVA和TOETVA的主要结果和人口学数据。确定了27例病例，7例使用机器人方法，20例使用内窥镜方法。机器人组和内窥镜组的手术成功率分别为71%(5/7)和95%(19/20)(P=0.15)。在两个队列中都没有持续性神经损伤，包括精神损伤或复发。TOETVA的中位手术时间为188分钟，TORTVA为322分钟(P=.001)。甲状腺叶切除术可以通过这两种技术安全地进行，尽管在内窥镜下进行更快，这可能部分是由于学习曲线的不同。
The transoral thyroidectomy vestibular approach has been utilized via both robotic (TORTVA) and endoscopic (TOETVA) techniques to perform thyroidectomy. However, there have been no studies evaluating outcomes between these approaches. Here we describe our outcomes for thyroid lobectomy with TORTVA and TOETVA. All cases of transoral vestibular approach thyroid lobectomy at Johns Hopkins Hospital were reviewed. Primary outcomes and demographic data were then compared between TORTVA and TOETVA. Twenty-seven cases were identified, 7 using the robotic approach and 20 using the endoscopic approach. The procedural success rate for the robotic and endoscopic cohorts was 5 of 7 (71%) and 19 of 20 (95%), respectively (P = .15). There were no persistent nerve injuries, mental, or recurrent in either cohort. Median operative time for TOETVA was 188 minutes versus 322 minutes for TORTVA (P = .001). Thyroid lobectomy can be safely performed via both techniques, although performed more quickly endoscopically, which is likely due in part to differences in the learning curves.
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DOI：
10.1097/sle.0000000000000121
发表时间：
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影响因子：
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