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Robotic thyroidectomy versus conventional open thyroidectomy for differentiated thyroid cancer: meta-analysis

Published online by Cambridge University Press:  25 May 2015

Y-C Wang ,
K Liu ,
J-J Xiong  and
J-Q Zhu
Y-C Wang
Affiliation:
Department of Thyroid and Breast Surgery, West China Hospital, Sichuan University, Chengdu, China
K Liu
Affiliation:
Department of Cardiology, West China Hospital, Sichuan University, Chengdu, China
J-J Xiong
Affiliation:
Department of Pancreatic Surgery, West China Hospital, Sichuan University, Chengdu, China
J-Q Zhu*
Affiliation:
Department of Thyroid and Breast Surgery, West China Hospital, Sichuan University, Chengdu, China
*
Address for correspondence: Dr Jingqiang Zhu, Department of Thyroid and Breast Surgery, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China Fax: +86-28-85423822 E-mail: [email protected]
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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.

Keywords

RoboticsThyroidectomyThyroid NeoplasmsMeta-Analysis
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 6 , June 2015 , pp. 558 - 567
Copyright
Copyright © JLO (1984) Limited 2015 

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