Analysis of feasibiliaty of robotic assisted male thyroidectomy

Abstract

Abstract:

ObjectiveTo explore the feasibility of robotic assisted male thyroidectomy.MethodsThe data of 228 patients with robotic assisted thyroidectomy in our hospital from May 2015 to September 2017 were analyzed retrospectively. The data of tumor size, operative time, blood loss, amount of lymph node dissection, postoperative complications, hospital stay and tumor recurrence were compared between male group and female group.ResultsThere was no significant diffe-rence in operative time, size of tumor resected, blood loss, hospital stay, postoperative complication and tumor recurrence between male group and female group. It was shown that no significant difficulty was present during robotic assisted thyroid surgery in men when compared with that in women.ConclusionsRobotic assisted male thyroidectomy could be safe and effective, which is feasible with profit greatly from the robotic assisted surgical system.

Key words:Da Vinci robot,Robotic assisted surgery,Thyroid surgery,Male

CLC Number:

R736.1

GAO Haoji, SUN Hanxing, HUANG Haiyan, YING Xiayang, LIU Zhuoran, LI Rui, KUANG Jie, YAN Jiqi. Analysis of feasibiliaty of robotic assisted male thyroidectomy[J]. Journal of Surgery Concepts & Practice, 2020, 25(06): 503-506.

Figures/Tables4

项目	M组	F组	P值
病例数	38(16.7)	190 (83.3)	/
年龄（岁）	35.6±8.1	34.1±7.7	0.31
BMI	24.6±3.6	21.8±3.0	<0.05
婚姻
已婚	30(78.9)	139(73.2)	0.46
未婚	8(21.1)	51(26.8)
受教育程度
本科以下	10(26.3)	73(38.4)	0.16
本科及以上	28(73.7)	117(61.6)

项目	M组	F组	P值
手术方式
单侧腺叶切除	31(81.6)	151(79.5)	0.07
甲状腺全切除	6(15.8)	39(20.5)
甲状腺峡部切除	1(2.6)	0
手术时间 (min)	115.3±37.4	111.3±38.8	0.54
术中出血量 (mL)	18.5±19.8	17.4±19.0	0.81
术后住院时间 (d)	2.3±0.7	2.1±0.4	0.10
病理诊断
甲状腺乳头状癌	29(76.3)	146(76.9)	0.13
甲状腺滤泡状癌	2(5.3)	1(0.5)
甲状腺腺瘤	1(2.6)	5(2.6)
结节性甲状腺肿	6(15.8)	38(20.0)
肿瘤最大径 (mm)	10.0±0.7	10.9±0.9	0.80
清扫CLN（枚）	2.0±2.3	3.5±3.9	0.02
甲状腺乳头状癌清扫CLN（枚）	2.4±2.4	4.2±4.0	<0.05

项目	M组	F组	P值
术后并发症
水肿	0	2(1.1)	1.00
暂时性甲状旁腺功能减退	2(5.3)	18(9.5)	0.60
暂时性声音嘶哑	4（5.3）	29（4.7）	0.45
随访结果
随访时间 (月)	23.9±8.6	21.8±6.4	0.45
局部复发	0	3(1.6)	1.00

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