Neoplasms

All Conditions

Gland and Hormone Related Diseases

Rare Diseases

Carcinoma

Thyroid Neoplasms

Thyroid Cancer, Papillary

Thyroid Diseases

Neoplasms, Glandular and Epithelial

Neoplasms by Histologic Type

Endocrine System Diseases

Endocrine Gland Neoplasms

Head and Neck Neoplasms

Adenocarcinoma

Adenocarcinoma, Papillary

Papillary Thyroid Carcinoma

Patients who met the inclusion criteria were selected for a conventional open surgery procedure for a conventional neck incision for thyroid surgery.

Patients who met the inclusion criteria were selected to undergo thyroid surgery via endoscopic thyroidectomy

Patients who met the inclusion criteria chose the Da Vinci robot for thyroid surgery.

conventional open surgery

endoscopic thyroidectomy

robotic thyroidectomy

bo wang, md

wenxin zhao, md

Wen-xin ZHAO, MD

Bo WANG, MD

Comparison of endoscopic thyroidectomy, robotic thyroidectomy and conventional open surgery, the safety of the operation, the timing of the operation and the complications.

With the further development of endoscopic technique, thyroid surgery of the robot has emerged, which may become a trend of endoscopic technology due to its convenience and accuracy.In this study, the advantages and disadvantages of endoscopic thyroidectomy and robotic thyroid surgery were compared, and the experience in the transition stage of thyroid surgery in robotic and endoscopic thyroidectomy was summarized.

Comparison Between Robotic, Endoscopic and Traditional Open Surgery in Thyroidectomy

From the Endoscope to the Robot, the Initial Experience of Robotic Thyroidectomy is Summarized

the number of recurrent laryngeal nerve palsy

The satisfaction with cosmetic outcomes was analyzed quantitatively using a scoring system that ranged from 1 to 4(1, extremely; 2, fairly; 3, normal; 4: not at all) that was rated by patients at the outpatient clinic 2 months after the operation.

Fujian Medical University

clinical professor

Carcinoma, Papillary

Neoplasms, Squamous Cell

All patients were told about the operative techniques involved in robotic thyroidectomy via the Axillary Bilateral-breast Approach (ABBA) and Bilateral Axillo-breast Approach (BABA), and patients subsequently chose their preferred surgical procedure, voluntarily agreed to participate in our study, and provided written informed consent.

The Axillary Bilateral-breast Approach

The bilateral Axillo-breast Approach

The purpose of this study is to compare the therapeutic effects between the axillary bilateral-breast approach (ABBA) and bilateral axillo-breast approach (BABA) for robotic thyroidectomy.To explore the efficacy, safety, cosmetic results and clinical value by the two approaches.

Although several reports on operative outcomes of the robotic technique have appeared, no prospective trials comparing the clinical results of between the axillary bilateral-breast approach (ABBA) and bilateral axillo-breast approach (BABA) for robotic thyroidectomy have been described. The investigators therefore designed a prospective trial comparing outcomes, including surgical outcomes and patient satisfaction, between patients undergoing robotic and conventional open thyroidectomy.

Comparison Between the Axillary Bilateral-breast Approach (ABBA) and Bilateral Axillo-breast Approach (BABA) for Robotic Thyroidectomy

The visual analogue scale is utilized to assess the postoperative pain change for the first 24 hours.Using a 10cm straight line, one end is marked 0 for "pain free" and the other end is marked 10 for "unbearable pain". The pain intensity of the patient's own feelings was marked on a straight line, and the length from 0 to the marked point represented the pain level of the patient. The evaluation criteria of VAS were as follows: 0 for pain, 3 for mild pain, 4 to 6 for moderate pain and 7 to 10 for severe pain.Lower values represent better outcomes, higher values represent worse outcomes.

The satisfaction with cosmetic outcomes was analyzed quantitatively using a scoring system that ranged from 1 to 4(1, extremely; 2, fairly; 3, normal; 4: not at all) that was rated by patients at the outpatient clinic 3 months after the operation.

We have developed a questionnaire with a total of 30 questions, each with a score of 4, and the patients scored according to their own situation. The highest score of the questionnaire is 120, the lowest score is 0, the best, the score is 0-30, 30-60 is good, 60-90 is normal, 90-120 is poor.

The patient sat upright and drank 30 ml warm boiled water to observe the time required and the cough.

1. score (excellent) can swallow water smoothly once
2. score (good) more than 2 times, can swallow without coughing
3. score (middle) can swallow once, but have a choking cough
4. score (may) more than 2 times swallowing, but with choking cough
5. score (difference) frequent cough, not all swallowing Calculate the average value for statistical analysis

Jinan Military General Hospital

Resident Doctor

First of all, our operation team has a very rich experience in thyroid surgery(More than 120 cases of thyroid surgery by Da VinciSi have been successfully implemented). Secondly, we are using the Da VinciSi strictly.

All patients were told about the operative techniques involved in robotic thyroidectomy via the Axillary Bilateral-breast Approach (ABBA) and Bilateral Axillo-breast Approach (BABA), and patients subsequently chose their preferred surgical procedure, voluntarily agreed to participate in our study, and provided written informed consent.

The Axillary Bilateral-breast Approach

The Axillary Bilateral-breast Approach (ABBA) Group

All patients were told about the operative techniques involved in robotic thyroidectomy via the Axillary Bilateral-breast Approach (ABBA) and Bilateral Axillo-breast Approach (BABA), and patients subsequently chose their preferred surgical procedure, voluntarily agreed to participate in our study, and provided written informed consent.

The bilateral Axillo-breast Approach

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization	Link
Comparison Between Robotic, Endoscopic and Traditional Open Surgery in Thyroidectomy	NCT03454477	Endoscopy Robotics Thyroidectomy Papillary Thyro...	conventional op... endoscopic thyr... robotic thyroid...	18 Years - 70 Years	Fujian Medical University
Comparison Between the Axillary Bilateral-breast Approach (ABBA) and Bilateral Axillo-breast Approach (BABA) for Robotic Thyroidectomy	NCT02768753	Thyroid Papilla... Thyroidectomy	The Axillary Bi... The bilateral A...	18 Years - 70 Years	Jinan Military General Hospital

Spots Global Cancer Trial Database for robotic thyroidectomy