Initial learning curve of single-incision transaxillary robotic hemi- and total thyroidectomy--A single team experience from Europe
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Initial learning curve of single-incision transaxillary robotic hemi- and total thyroidectomy--A single team experience from Europe. / Lörincz, Balazs B; Busch, Chia-Jung; Möckelmann, Nikolaus; Knecht, Rainald.
In: INT SURG, Vol. 18, 06.2015, p. 118-22.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Initial learning curve of single-incision transaxillary robotic hemi- and total thyroidectomy--A single team experience from Europe
AU - Lörincz, Balazs B
AU - Busch, Chia-Jung
AU - Möckelmann, Nikolaus
AU - Knecht, Rainald
N1 - Copyright © 2015 IJS Publishing Group Limited. Published by Elsevier Ltd. All rights reserved.
PY - 2015/6
Y1 - 2015/6
N2 - INTRODUCTION: The primary advantage of robotic thyroidectomy is to avoid a neck scar. On the other hand, this sophisticated technique implies some potential risks otherwise not associated with conventional thyroidectomy, increased costs, and prolonged operating times. With all these factors being an important issue, we analysed the data of our initial European series in order to understand the nature of the learning curve for this technique.METHODS: Ten patients underwent transaxillary robotic thyroidectomy for benign disease, performed consistently by the same surgeon with the same team, within a timeframe of 12 months. There were four total thyroidectomies and six hemithyroidectomies. Operating times broken down into creating the working space, docking the robot, and console work (including wound closure), were prospectively recorded and evaluated.RESULTS: By the end of the initial learning curve comprising ten patients, the total operating time for a robotic hemithyroidectomy and for a total thyroidectomy has decreased by 49% to 190 min, and by 31% to 229 min, respectively. Intraoperative complications were successfully managed without conversion to open access surgery.CONCLUSION: The learning curve for transaxillary robotic thyroidectomy is rather steep; reasonable progress in terms of operating times can be achieved within the first ten cases. Consistency in the team and careful patient selection are paramount factors for success.
AB - INTRODUCTION: The primary advantage of robotic thyroidectomy is to avoid a neck scar. On the other hand, this sophisticated technique implies some potential risks otherwise not associated with conventional thyroidectomy, increased costs, and prolonged operating times. With all these factors being an important issue, we analysed the data of our initial European series in order to understand the nature of the learning curve for this technique.METHODS: Ten patients underwent transaxillary robotic thyroidectomy for benign disease, performed consistently by the same surgeon with the same team, within a timeframe of 12 months. There were four total thyroidectomies and six hemithyroidectomies. Operating times broken down into creating the working space, docking the robot, and console work (including wound closure), were prospectively recorded and evaluated.RESULTS: By the end of the initial learning curve comprising ten patients, the total operating time for a robotic hemithyroidectomy and for a total thyroidectomy has decreased by 49% to 190 min, and by 31% to 229 min, respectively. Intraoperative complications were successfully managed without conversion to open access surgery.CONCLUSION: The learning curve for transaxillary robotic thyroidectomy is rather steep; reasonable progress in terms of operating times can be achieved within the first ten cases. Consistency in the team and careful patient selection are paramount factors for success.
U2 - 10.1016/j.ijsu.2015.04.053
DO - 10.1016/j.ijsu.2015.04.053
M3 - SCORING: Journal article
C2 - 25917203
VL - 18
SP - 118
EP - 122
JO - INT SURG
JF - INT SURG
SN - 0020-8868
ER -
