The Learning Curve for Robotic Thyroidectomy Using a Bilateral Axillo-Breast Approach From the 100 Cases
The Learning Curve for Robotic Thyroidectomy Using a Bilateral Axillo-Breast Approach From the 100 Cases
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DOI：
10.1097/sle.0000000000000121
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发表时间：
2015-10-01
影响因子：
1
通讯作者：
Park, Ho Yong
中科院分区：
文献类型：
--
作者：
Kim, Wan Wook;Jung, Jin Hyang;Park, Ho Yong
目的：本研究的目的是检查机器人甲状腺切除术的学习曲线，使用双侧腋窝乳房approach.Methods：我们检查了第一个100机器人甲状腺切除术与中央淋巴结清扫由于乳头状甲状腺癌2010年4月至2011年8月。结果：40例患者的手术时间明显缩短，因此将患者分为2组：A组（1 ~ 40例）和B组（41 ~ 100例）。A组平均手术时间（232.6 ± 10.0 min）长于B组（188.9 ± 6.0 min），差异有统计学意义（P=0.001）。其他数据，包括特征、引流量、住院时间、取出的淋巴结、甲状腺球蛋白和并发症，在两组之间没有差异。结论：对于初级外科医生，采用双侧腋乳入路行机器人甲状腺切除术联合中央淋巴结清扫术的学习曲线为40例。经过40例经验，机器人甲状腺全切除术与肺叶切除术一样安全有效。
Purpose:The purpose of this study was to examine the learning curve for robotic thyroidectomy using a bilateral axillo-breast approach.Methods:We examined the first 100 robotic thyroidectomies with central lymph node dissection due to papillary thyroid cancer between April 2010 and August 2011. We evaluated the clinical characteristics, operative time, pathologic data, and complications.Results:Operative time was reduced significantly after 40 cases; therefore, the patients were divided into 2 groups: group A (1 to 40 cases) and group B (41 to 100 cases). The mean operative time in group A (232.610.0 min) was longer than that in group B (188.9 +/- 6.0 min) with statistical significance (P=0.001). Other data, including characteristics, drainage amount, hospital stay, retrieved lymph nodes, thyroglobulin, and complications, were not different between the 2 groups. The learning curves with lobectomy and total thyroidectomy were reached at the same time.Conclusions:The learning curve for robotic thyroidectomy with central lymph node dissection using bilateral axillo-breast approach was 40 cases for beginner surgeons. Robotic total thyroidectomy was performed effectively and safely after experience with 40 cases, as with lobectomy.