Comparison of Perioperative Outcomes Using the da Vinci S, Si, X, and Xi Robotic Platforms for BABA Robotic Thyroidectomy

被引:9
|
作者
Shin, Hye Rim [1 ]
Lee, Keunchul [1 ]
Yu, Hyeong Won [1 ]
Kim, Su-jin [2 ,3 ]
Chai, Young Jun [4 ]
Choi, June Young [1 ]
Lee, Kyu Eun [2 ,3 ]
机构
[1] Seoul Natl Univ, Dept Surg, Bundang Hosp, Seongnam Si 13620, South Korea
[2] Seoul Natl Coll Med, Dept Surg, Seoul 03080, South Korea
[3] Univ Hosp, Seoul 03080, South Korea
[4] Seoul Natl Univ, Boramae Med Ctr, Dept Surg, Seoul 07061, South Korea
来源
MEDICINA-LITHUANIA | 2021年 / 57卷 / 10期
关键词
bilateral axillo-breast approach; BABA; robot; robotic surgery; comparison study; SURGERY;
D O I
10.3390/medicina57101130
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background and Objectives: Robotic thyroidectomy via the bilateral axillo-breast approach (BABA), first introduced in Korea in 2008, has become a standard method of thyroid removal worldwide. The introduction of robotic surgical systems has enabled more patients to benefit from BABA robotic thyroidectomy, with good postoperative and excellent cosmetic results. To date, no studies have compared the benefits of the four currently available da Vinci robotic systems (S, Si, X, and Xi) for BABA robotic thyroidectomy. To determine the da Vinci model most suitable for BABA robotic thyroidectomy, the present study compared the perioperative outcomes in patients who underwent BABA robotic thyroidectomy using the four da Vinci models. Materials and Methods: This retrospective study evaluated outcomes in patients (n = 750) who underwent BABA robotic thyroidectomy using the four da Vinci systems from 2013 to 2019. The clinicopathologic data, including operation time, were compared. Substudy A compared the da Vinci models S and Si from 2013 to 2017, and substudy B compared models Si, X, and Xi from 2018 to 2019. Results: Substudy A, comparing the da Vinci S and Si systems, found no statistically significant differences between the two groups, whereas substudy B found that operation time was shorter in patients who underwent BABA robotic thyroidectomy with the da Vinci Xi system than with the Si and X systems. Conclusions: The da Vinci model Xi system can benefit patients undergoing BABA robotic thyroidectomy by shortening the operation time.
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页数:8
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