Academic Journal

Optimizing robotic thyroid surgery: lessons learned from an retrospective analysis of 104 cases

التفاصيل البيبلوغرافية
العنوان: Optimizing robotic thyroid surgery: lessons learned from an retrospective analysis of 104 cases
المؤلفون: Bo Wang, Jia-Fan Yu, Wei Ao, Jun Wang, Xin-Yi Guo, Meng-Yao Li, Wen-Yu Huang, Chi-Peng Zhou, Shou-Yi Yan, Li-Yong Zhang, Si-Si Wang, Shao-Jun Cai, Si-Ying Lin, Wen-Xin Zhao
المصدر: Frontiers in Endocrinology, Vol 15 (2024)
بيانات النشر: Frontiers Media S.A., 2024.
سنة النشر: 2024
المجموعة: LCC:Diseases of the endocrine glands. Clinical endocrinology
مصطلحات موضوعية: robotic thyroidectomy, da Vinci surgical system, learning curve, operative efficiency, postoperative outcomes, thyroid surgery, Diseases of the endocrine glands. Clinical endocrinology, RC648-665
الوصف: BackgroundRobotic assistance in thyroidectomy is a developing field that promises enhanced surgical precision and improved patient outcomes. This study investigates the impact of the da Vinci Surgical System on operative efficiency, learning curve, and postoperative outcomes in thyroid surgery.MethodsWe conducted a retrospective cohort study of 104 patients who underwent robotic thyroidectomy between March 2018 and January 2022. We evaluated the learning curve using the Cumulative Sum (CUSUM) analysis and analyzed operative times, complication rates, and postoperative recovery metrics.ResultsThe cohort had a mean age of 36 years, predominantly female (68.3%). The average body mass index (BMI) was within the normal range. A significant reduction in operative times was observed as the series progressed, with no permanent hypoparathyroidism or recurrent laryngeal nerve injuries reported. The learning curve plateaued after the 37th case. Postoperative recovery was consistent, with no significant difference in hospital stay duration. Complications were minimal, with a noted decrease in transient vocal cord palsy as experience with the robotic system increased.ConclusionRobotic thyroidectomy using the da Vinci system has demonstrated a significant improvement in operative efficiency without compromising safety. The learning curve is steep but manageable, and once overcome, it leads to improved surgical outcomes and high patient satisfaction. Further research with larger datasets and longer follow-up is necessary to establish the long-term benefits of robotic thyroidectomy.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1664-2392
Relation: https://www.frontiersin.org/articles/10.3389/fendo.2024.1337322/full; https://doaj.org/toc/1664-2392
DOI: 10.3389/fendo.2024.1337322
URL الوصول: https://doaj.org/article/0fd83da22b384da5b247369abcfbe162
رقم الانضمام: edsdoj.0fd83da22b384da5b247369abcfbe162
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:16642392
DOI:10.3389/fendo.2024.1337322