Y-C Wang1, K Liu2, J-J Xiong3, J-Q Zhu1. 1. Department of Thyroid and Breast Surgery,West China Hospital,Sichuan University,Chengdu,China. 2. Department of Cardiology,West China Hospital,Sichuan University,Chengdu,China. 3. Department of Pancreatic Surgery,West China Hospital,Sichuan University,Chengdu,China.
Abstract
OBJECTIVE: To conduct a meta-analysis to compare the short-term outcomes of robotic thyroidectomy and conventional open thyroidectomy for differentiated thyroid cancer. METHODS: Medline, Embase, Science Citation Index Expanded and the Cochrane Library databases were searched for relevant literature. The evaluated endpoints were intra-operative and post-operative outcomes. RESULTS: Twelve eligible, non-randomised comparative studies involving 2513 patients were included, with 923 patients in the robotic thyroidectomy group and 1590 patients in the conventional open thyroidectomy group. Meta-analysis results revealed that robotic thyroidectomy was associated with significantly longer operative time and a lower number of retrieved central lymph nodes, as compared with conventional open thyroidectomy. No significant differences were found between robotic thyroidectomy and conventional open thyroidectomy in terms of post-operative outcomes. CONCLUSION: Robotic thyroidectomy appears to be a feasible and safe surgical procedure for patients with differentiated thyroid cancer. However, more high-quality randomised clinical trials should be undertaken to confirm these findings.
OBJECTIVE: To conduct a meta-analysis to compare the short-term outcomes of robotic thyroidectomy and conventional open thyroidectomy for differentiated thyroid cancer. METHODS: Medline, Embase, Science Citation Index Expanded and the Cochrane Library databases were searched for relevant literature. The evaluated endpoints were intra-operative and post-operative outcomes. RESULTS: Twelve eligible, non-randomised comparative studies involving 2513 patients were included, with 923 patients in the robotic thyroidectomy group and 1590 patients in the conventional open thyroidectomy group. Meta-analysis results revealed that robotic thyroidectomy was associated with significantly longer operative time and a lower number of retrieved central lymph nodes, as compared with conventional open thyroidectomy. No significant differences were found between robotic thyroidectomy and conventional open thyroidectomy in terms of post-operative outcomes. CONCLUSION: Robotic thyroidectomy appears to be a feasible and safe surgical procedure for patients with differentiated thyroid cancer. However, more high-quality randomised clinical trials should be undertaken to confirm these findings.
Authors: Marie Alix Balay; Patrick Aidan; Marie Helene Schlageter; Odette Georges; Taly Meas; Maroun Bechara; Marie Elisabeth Toubert; Isabelle Faugeron; Herve Monpeyssen; Cécile N Chougnet Journal: Eur Thyroid J Date: 2018-02-21