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  • Title: Thyroidectomy for Graves' disease: a feasibility study of the robotic transaxillary approach.
    Author: Noureldine SI, Yao L, Wavekar RR, Mohamed S, Kandil E.
    Journal: ORL J Otorhinolaryngol Relat Spec; 2013; 75(6):350-6. PubMed ID: 24457627.
    Abstract:
    INTRODUCTION: Graves' disease (GD) is considered a relative contraindication for endoscopic approaches to the thyroid gland, due to a larger gland size and increased vascularity. METHODS: A retrospective analysis of a single surgeon's experience was performed. We included all patients who underwent thyroidectomy for the treatment of GD over a 3-year period. RESULTS: Twenty-five patients with GD were identified. Twelve of them underwent robotic thyroidectomy and 13 patients underwent conventional thyroidectomy. Age, gender, and BMI were similar in both groups (p > 0.05). The conventional approach allowed for resection of larger thyroid volumes (147.3 ± 153.6 ml), as compared to the robotic approach (62.3 ± 47.8 ml, p = 0.08). The average total operative times were similar in both groups (p = 0.98). There was no difference with respect to intraoperative blood loss (p = 0.49), duration of hospital stay (p = 0.38), and complication rates (p = 0.99). CONCLUSION: Robotic thyroidectomy is feasible and can be safely performed in appropriately selected patients with GD.
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