caa a22 4500 445333642 CHVBK 20180317142745.0 cr unu---uuuuu 170323e20110901xx s 000 0 eng 10.1245/s10434-011-1628-0 doi (NATIONALLICENCE)springer-10.1245/s10434-011-1628-0 Multicenter Study of Robotic Thyroidectomy: Short-Term Postoperative Outcomes and Surgeon Ergonomic Considerations [Elektronische Daten] [Jandee Lee, Sang Kang, Jeong Jung, Un Choi, Jong Yun, Kee Nam, Euy-Young Soh, Woong Chung] Background: Robotic thyroidectomy (RT) has recently emerged as a viable approach to thyroid surgery, resulting in better functional and cosmetic outcomes than afforded by open thyroidectomy (OT). The present multicenter study assessed the perioperative outcomes of RT and compared physician perspectives on the musculoskeletal ergonomic parameters associated with OT, endoscopic thyroidectomy (ET), and RT. Materials and Methods: We reviewed the medical records of 2014 consecutive patients who underwent RT, conducted by 7 surgeons, at 4 centers between October 2007 and June 2010. Patient characteristics, perioperative clinical results, complications, and pathologic outcomes were analyzed. Moreover, surgeons were surveyed to gather data on musculoskeletal discomfort experienced during OT, ET, and RT. Results: Of the 2014 patients, 740 underwent total and 1274 subtotal thyroidectomy. Mean tumor diameter was 0.8cm, and the mean number of retrieved central lymph nodes was 4.5±3.9 (range 0-28). The rates of permanent recurrent laryngeal nerve injury and permanent hypocalcemia were 0.4 and 0.05%, respectively. Neck and/or back pain after OT, ET, and RT was experienced by 100, 85.7, and 28.6% of surgeons, respectively. When surgeons ranked the operative approaches in decreasing order of associated pain, 57.1% indicated ET>OT>RT, 28.6% selected OT>ET>RT, and 14.3% responded ET>RT>OT. Conclusion: RT is a feasible and safe procedure that may facilitate radical cervical lymph node dissection. Moreover, for surgeons, the RT resulted in less musculoskeletal discomfort than did OT or ET. A larger prospective study, with a longer follow-up, is needed to determine whether RT offers real benefits for both patients and surgeons. Society of Surgical Oncology, 2011 Lee Jandee Department of Surgery, Ajou University School of Medicine, Suwon, Korea aut Kang Sang Department of Surgery, Yonsei University College of Medicine, Seoul, Korea aut Jung Jeong Department of Surgery, Yonsei University College of Medicine, Seoul, Korea aut Choi Un Department of Surgery, Won-Kwang University School of Medicine, Iksan, Korea aut Yun Jong Department of Surgery, Ulsan University School of Medicine, Seoul, Korea aut Nam Kee Department of Surgery, Yonsei University College of Medicine, Seoul, Korea aut Soh Euy-Young Department of Surgery, Ajou University School of Medicine, Suwon, Korea aut Chung Woong Department of Surgery, Yonsei University College of Medicine, Seoul, Korea aut Annals of Surgical Oncology Springer-Verlag 18/9(2011-09-01), 2538-2547 1068-9265 18:9<2538 2011 18 10434 https://doi.org/10.1245/s10434-011-1628-0 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1245/s10434-011-1628-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Lee Jandee Department of Surgery, Ajou University School of Medicine, Suwon, Korea aut NATIONALLICENCE 700 1- Kang Sang Department of Surgery, Yonsei University College of Medicine, Seoul, Korea aut NATIONALLICENCE 700 1- Jung Jeong Department of Surgery, Yonsei University College of Medicine, Seoul, Korea aut NATIONALLICENCE 700 1- Choi Un Department of Surgery, Won-Kwang University School of Medicine, Iksan, Korea aut NATIONALLICENCE 700 1- Yun Jong Department of Surgery, Ulsan University School of Medicine, Seoul, Korea aut NATIONALLICENCE 700 1- Nam Kee Department of Surgery, Yonsei University College of Medicine, Seoul, Korea aut NATIONALLICENCE 700 1- Soh Euy-Young Department of Surgery, Ajou University School of Medicine, Suwon, Korea aut NATIONALLICENCE 700 1- Chung Woong Department of Surgery, Yonsei University College of Medicine, Seoul, Korea aut NATIONALLICENCE 773 0- Annals of Surgical Oncology Springer-Verlag 18/9(2011-09-01), 2538-2547 1068-9265 18:9<2538 2011 18 10434 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer