医学
甲状腺切除术
荟萃分析
患者满意度
外科
甲状软骨
子群分析
系统回顾
普通外科
甲状腺
梅德林
内科学
喉
政治学
法学
作者
Yun Jin Kang,Jin-Hee Cho,Gulnaz Stybayeva,Se Hwan Hwang
出处
期刊:Cancers
[MDPI AG]
日期:2022-08-31
卷期号:14 (17): 4230-4230
被引量:10
标识
DOI:10.3390/cancers14174230
摘要
To assess the safety and effectiveness of transoral robotic thyroidectomy (TORT) in thyroid tumor.PubMed, Embase, Web of Science, SCOPUS, Cochrane database, and Google Scholar up to June 2022. Studies comparing outcomes and complications between TORT and control groups (robotic bilateral axillo-breast, trans-axillary, postauricular approach, conventional open thyroidectomy (OT), and transoral endoscopic approach) were analyzed.Ten studies of 1420 individuals. The operative time (SMD 1.15, 95%CI [0.48; 1.89]) was significantly longer and the number of retrieved lymph nodes (LNs) (SMD -0.27, 95%CI [-0.39; -0.16]) was fewer in TORT than in the control group. The postoperative cosmetic satisfaction score (SMD 0.60, 95%CI [0.28; 0.92]) was statistically higher in TORT than in the control group. In subgroup analysis, there was no significant difference between robotic surgeries. However, TORT had significantly longer operative times (SMD 2.08, 95%CI [0.95; 3.20]) and fewer retrieved LNs (SMD -0.32, 95%CI [-0.46; -0.17]) than OT. TORT satisfied significantly more patients in cosmetic view. However, it increased hospitalization days and postoperative pain on the operation day and first day compared to OT.TORT is not inferior to other robotic-assisted approaches. Its operation time and hospitalization days are longer and postoperative pain is greater than OT, although its cosmetic satisfaction is high.
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