Robotic versus Open Thyroidectomy for Differentiated Thyroid Cancer: An Evidence-Based Review
While open thyroidectomy (OT) is advocated as the gold standard treatment for differentiated thyroid cancer, the contemporary use of robotic thyroidectomy (RT) is often controversial. Although RT combines the unique benefits of the surgical robot and remote access thyroidectomy, its applicability on...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | International Journal of Endocrinology |
| Online Access: | http://dx.doi.org/10.1155/2016/4309087 |
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| _version_ | 1832552165308104704 |
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| author | Shirley Yuk Wah Liu Enders Kwok Wai Ng |
| author_facet | Shirley Yuk Wah Liu Enders Kwok Wai Ng |
| author_sort | Shirley Yuk Wah Liu |
| collection | DOAJ |
| description | While open thyroidectomy (OT) is advocated as the gold standard treatment for differentiated thyroid cancer, the contemporary use of robotic thyroidectomy (RT) is often controversial. Although RT combines the unique benefits of the surgical robot and remote access thyroidectomy, its applicability on cancer patients is challenged by the questionable oncological benefits and safety. This review aims to analyze the current literature evidence in comparing RT to OT on thyroid cancers for their perioperative and oncological outcomes. To date, no randomized controlled trial is available in comparing RT to OT. All published studies are nonrandomized or retrospective comparisons. Current data suggests that RT compares less favorably than OT for longer operative time, higher cost, and possibly inferior oncological control with lower number of central lymph nodes retrieved. In terms of morbidity, quality of life outcomes, and short-term recurrence rates, RT and OT are comparable. While conventional OT continues to be appropriate for most thyroid cancers, RT should better be continued by expert surgeons on selected patients who have low-risk thyroid cancers and have high expectations on cosmetic outcomes. Future research should embark on prospective randomized studies for unbiased comparisons. Long-term follow-up studies are also needed to evaluate outcomes on recurrence and survival. |
| format | Article |
| id | doaj-art-73e8679d2ca44a8a8e1b55b0a2d30d17 |
| institution | Kabale University |
| issn | 1687-8337 1687-8345 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Endocrinology |
| spelling | doaj-art-73e8679d2ca44a8a8e1b55b0a2d30d172025-02-03T05:59:26ZengWileyInternational Journal of Endocrinology1687-83371687-83452016-01-01201610.1155/2016/43090874309087Robotic versus Open Thyroidectomy for Differentiated Thyroid Cancer: An Evidence-Based ReviewShirley Yuk Wah Liu0Enders Kwok Wai Ng1Department of Surgery, Prince of Wales Hospital, Faculty of Medicine, Chinese University of Hong Kong, New Territories, Hong KongDepartment of Surgery, Prince of Wales Hospital, Faculty of Medicine, Chinese University of Hong Kong, New Territories, Hong KongWhile open thyroidectomy (OT) is advocated as the gold standard treatment for differentiated thyroid cancer, the contemporary use of robotic thyroidectomy (RT) is often controversial. Although RT combines the unique benefits of the surgical robot and remote access thyroidectomy, its applicability on cancer patients is challenged by the questionable oncological benefits and safety. This review aims to analyze the current literature evidence in comparing RT to OT on thyroid cancers for their perioperative and oncological outcomes. To date, no randomized controlled trial is available in comparing RT to OT. All published studies are nonrandomized or retrospective comparisons. Current data suggests that RT compares less favorably than OT for longer operative time, higher cost, and possibly inferior oncological control with lower number of central lymph nodes retrieved. In terms of morbidity, quality of life outcomes, and short-term recurrence rates, RT and OT are comparable. While conventional OT continues to be appropriate for most thyroid cancers, RT should better be continued by expert surgeons on selected patients who have low-risk thyroid cancers and have high expectations on cosmetic outcomes. Future research should embark on prospective randomized studies for unbiased comparisons. Long-term follow-up studies are also needed to evaluate outcomes on recurrence and survival.http://dx.doi.org/10.1155/2016/4309087 |
| spellingShingle | Shirley Yuk Wah Liu Enders Kwok Wai Ng Robotic versus Open Thyroidectomy for Differentiated Thyroid Cancer: An Evidence-Based Review International Journal of Endocrinology |
| title | Robotic versus Open Thyroidectomy for Differentiated Thyroid Cancer: An Evidence-Based Review |
| title_full | Robotic versus Open Thyroidectomy for Differentiated Thyroid Cancer: An Evidence-Based Review |
| title_fullStr | Robotic versus Open Thyroidectomy for Differentiated Thyroid Cancer: An Evidence-Based Review |
| title_full_unstemmed | Robotic versus Open Thyroidectomy for Differentiated Thyroid Cancer: An Evidence-Based Review |
| title_short | Robotic versus Open Thyroidectomy for Differentiated Thyroid Cancer: An Evidence-Based Review |
| title_sort | robotic versus open thyroidectomy for differentiated thyroid cancer an evidence based review |
| url | http://dx.doi.org/10.1155/2016/4309087 |
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