Robot-Assisted Transaxillary Thyroidectomy (RATT): A Series Appraisal of More than 250 Cases from Europe.

摘要: Robot-assisted transaxillary thyroidectomy (RATT) is widely accepted in Asian countries. However, concerns regarding the balance between its real advantages and safety cost have been raised by North American authorities. In Europe, assessments limited small numbers since now. The purpose here to report a large European experience with RATT. A retrospective analysis was conducted of 257 patients who underwent RATT for nodular disease February 2012 September 2016. Data collected included patient demographics, diagnosis, ultrasound-estimated mean thyroid volume nodule size, type resection, operative time, postoperative pain morbidity, hospital length stay. Pain assessed visual analog scale score 12 h postoperatively (on first day, before discharge). Feasibility, effectiveness, were outcomes interest. Follow-up carcinoma carried out measuring thyroglobulin levels ultrasound examination (median follow-up 24 months (6–48 months)). First control after 12 months successively once year. There 253 women 4 men, age 37.3 years. Indications benign 116, papillary 56, indeterminate 85. Mean 16.8 mL, size 25.3 mm. hemithyroidectomy performed 138 total 118. time 77.5 min former 99.7 min latter. One conversion required. Complications transient hypoparathyroidism 7/118 (total thyroidectomy) (5.9%), vocal fold palsy 3/257 (1.1%), 1 delayed tracheal injury (0.4%), 3 hematoma (1.1%). 1.79, stay 1.6 days 1.9 days thyroidectomy. safe effective could serve as viable treatment modality selected cases.