Abstract:
Purpose:The aim of this study was to compare the large multi-institutional data of surgical outcomes of bilateral axillo-breast approach (BABA) robotic (RT) and endoscopic thyroidectomy (ET) and to evaluate the merits of robotic thyroidectomy. Methods:From 2004 to 2015, 1,029 patients underwent BABA ET, and from 2008 to 2015, 2003 patients underwent BABA RT in 3 large volume centers in Korea. Two groups were retrospectively compared in terms of clinicopathologic characteristics, complications, surgical completeness, and long-term outcomes using propensity score matching analysis. Results:Both groups had similar demographic characteristics including age, sex, tumor size, pathologic stage, and hospital stay after matching. Each group had similar rate of transient hypoparathyroidism, however, ET showed significantly higher rate of permanent hypoparathyroidism (ET 5.2% vs. RT 2.3%, P = 0.05), and transient vocal cord palsy (ET 14.4% vs. RT 9.1%, P = 0.006). Total operation time was longer in the ET group irrespective of surgical extents, including lobectomy (P = 0.016), total thyroidectomy (P = 0.031), and total thyroidectomy with central lymph node dissection (P = 0.019). The rate of patients with off-Tg under 1.0 ng/mL after 1st ablation was significantly higher in RT than ET group (ET 64.6% vs. RT 92.7%, P < 0.001). In long-term follow-up of cancer patients, 1.4% experienced recurrence after ET (10 cases), while 0.3% cases experienced recurrence after RT (5 cases) (P < 0.001). Conclusion:Both ET and RT can be safe and effective methods to treat thyroid diseases. However, the application of robotic system may help to overcome the limitations of the instruments and surgeon's skills.
journal_name
Ann Surg Treat Resjournal_title
Annals of surgical treatment and researchauthors
Choi JY,Bae IE,Kim HS,Yoon SG,Yi JW,Yu HW,Kim SJ,Chai YJ,Lee KE,Youn YKdoi
10.4174/astr.2020.98.6.307subject
Has Abstractpub_date
2020-06-01 00:00:00pages
307-314issue
6eissn
2288-6575issn
2288-6796journal_volume
98pub_type
杂志文章abstract:Purpose:Spontaneous gastrointestinal perforations (SGIPs; not associated with injury or disease) occur rarely in pediatric patients. This study aimed to define age-specific features associated with SGIPs in pediatric patients. Methods:Retrospectively reviewed the clinical data of children (before adolescence) who rece...
journal_title:Annals of surgical treatment and research
pub_type: 杂志文章
doi:10.4174/astr.2018.95.3.141
更新日期:2018-09-01 00:00:00
abstract:PURPOSE:Bariatric surgery has become more prevalent owing to the worldwide obesity epidemic. With the growing number of bariatric procedures performed annually, the requirement for revisional and secondary operations is increasing accordingly. This study aimed to evaluate the initial experience of revisional bariatric ...
journal_title:Annals of surgical treatment and research
pub_type: 杂志文章
doi:10.4174/astr.2014.86.6.295
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abstract:PURPOSE:This study aimed to determine the mortality rate in patients with severe trauma and the risk factors for trauma mortality based on 3 years' data in a regional trauma center in Korea. METHODS:We reviewed the medical records of severe trauma patients admitted to Ajou University Hospital with an Injury Severity S...
journal_title:Annals of surgical treatment and research
pub_type: 杂志文章
doi:10.4174/astr.2015.89.4.215
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journal_title:Annals of surgical treatment and research
pub_type: 杂志文章
doi:10.4174/astr.2014.87.5.245
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abstract:Purpose:Evaluating the risk of lymph node metastasis (LNM) is critical for determining subsequent treatments following endoscopic resection of T1 colorectal cancer (CRC). This study analyzed histopathologic risk factors for LNM in patients with T1 CRC. Methods:This study involved 745 patients with T1 CRC who underwent...
journal_title:Annals of surgical treatment and research
pub_type: 杂志文章
doi:10.4174/astr.2017.93.5.266
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abstract:Purpose:The anatomical variations of the thyroid gland including separate thyroidal remnant at the thyrothymic area are of significance during thyroid surgery for "total" thyroidectomy, and for recurrent goitre. In the present study, we aimed to detect the separate rests of thyroidal tissue in the thyrothymic region. ...
journal_title:Annals of surgical treatment and research
pub_type: 杂志文章
doi:10.4174/astr.2020.98.3.111
更新日期:2020-03-01 00:00:00
abstract:PURPOSE:Management of appendicitis in children has always been an issue in pediatric surgery. Both diagnostic methods and treatment vary significantly among medical centers, and little consensus exists in many aspects of the care for patients with appendicitis. Here, we assessed the value of drain insertion after appen...
journal_title:Annals of surgical treatment and research
pub_type: 杂志文章
doi:10.4174/astr.2015.88.6.341
更新日期:2015-06-01 00:00:00
abstract:PURPOSE:To determine the prevalence of thrombophilia in Korean patients with an arterial thromboembolism (ATE) or a venous thromboembolism (VTE), and to evaluate the characteristic of VTE in patients with thrombophilia. METHODS:Hospital records of 294 patients (228 with VTE, 66 with ATE) including two foreign ones (me...
journal_title:Annals of surgical treatment and research
pub_type: 杂志文章
doi:10.4174/astr.2016.90.6.340
更新日期:2016-06-01 00:00:00
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journal_title:Annals of surgical treatment and research
pub_type: 杂志文章
doi:10.4174/astr.2017.93.6.310
更新日期:2017-12-01 00:00:00
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journal_title:Annals of surgical treatment and research
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journal_title:Annals of surgical treatment and research
pub_type: 杂志文章
doi:10.4174/astr.2016.90.5.257
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journal_title:Annals of surgical treatment and research
pub_type: 杂志文章
doi:10.4174/astr.2015.88.2.92
更新日期:2015-02-01 00:00:00
abstract::We report a case of synchronous multiple colon adenocarcinomas in a patient with neurofibromatosis type 1 (NF1). NF1 is an autosomal dominant inherited disorder and patients with NF1 have high risk for both benign and malignant tumors. However, adenocarcinomas involving the colon have rarely been reported in patients ...
journal_title:Annals of surgical treatment and research
pub_type:
doi:10.4174/astr.2014.87.3.156
更新日期:2014-09-01 00:00:00
abstract:Purpose:Many patients with cytology proven node-positive breast cancer receive a neoadjuvant chemotherapy (NAC) treatment. We developed a nomogram to predict the breast and axillary pathologic complete responses (pCR) in patients with a cytologically proven axillary node positive breast cancer with NAC. Methods:We sel...
journal_title:Annals of surgical treatment and research
pub_type: 杂志文章
doi:10.4174/astr.2019.96.4.169
更新日期:2019-04-01 00:00:00
abstract:PURPOSE:This study aimed to determine which factors affect the prognosis of hepatectomy for hepatocellular carcinoma (HCC) larger than 5 cm, including the prognostic difference between tumor sizes from 5-10 cm and larger than 10 cm. METHODS:The medical records of 114 patients who underwent hepatectomy for single HCC l...
journal_title:Annals of surgical treatment and research
pub_type: 杂志文章
doi:10.4174/astr.2016.91.3.104
更新日期:2016-09-01 00:00:00
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journal_title:Annals of surgical treatment and research
pub_type: 杂志文章
doi:10.4174/astr.2014.86.1.1
更新日期:2014-01-01 00:00:00
abstract:PURPOSE:Ultrasound-guided fine needle aspiration (US-FNA) in thyroid nodules is presently most commonly used to identify whether these nodules are benign or malignant. However, atypical or follicular lesions of undetermined significance (AUS/FLUS), as categorized in the Bethesda System for reporting the results of FNA,...
journal_title:Annals of surgical treatment and research
pub_type: 杂志文章
doi:10.4174/astr.2016.90.4.201
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journal_title:Annals of surgical treatment and research
pub_type: 杂志文章
doi:10.4174/astr.2019.96.1.19
更新日期:2019-01-01 00:00:00
abstract::[This corrects the article on p. 396 in vol. 92, PMID: 28580343.]. ...
journal_title:Annals of surgical treatment and research
pub_type: 已发布勘误
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journal_title:Annals of surgical treatment and research
pub_type: 杂志文章
doi:10.4174/astr.2019.96.5.209
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journal_title:Annals of surgical treatment and research
pub_type: 杂志文章
doi:10.4174/astr.2015.88.5.269
更新日期:2015-05-01 00:00:00
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journal_title:Annals of surgical treatment and research
pub_type: 杂志文章
doi:10.4174/astr.2016.91.6.288
更新日期:2016-12-01 00:00:00
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journal_title:Annals of surgical treatment and research
pub_type: 杂志文章
doi:10.4174/astr.2020.99.4.213
更新日期:2020-10-01 00:00:00
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journal_title:Annals of surgical treatment and research
pub_type:
doi:10.4174/astr.2014.87.2.100
更新日期:2014-08-01 00:00:00
abstract:Purpose:Increased robotic surgery is attended by increased reports of complications, largely due to limited operative view and lack of tactile sense. These kinds of obstacles, which seldom occur in open surgery, are challenging for beginner surgeons. To enhance robotic surgery safety, we created an augmented reality (A...
journal_title:Annals of surgical treatment and research
pub_type: 杂志文章
doi:10.4174/astr.2018.95.6.297
更新日期:2018-12-01 00:00:00
abstract:PURPOSE:Downstaging after chemoradiotherapy (CRT) for rectal cancer usually occurs. The present study aimed to evaluate pathologic y-stage (yp-stage) and its influence on local recurrence and systemic recurrence in rectal cancer patients treated with CRT followed by surgical resection. METHODS:We retrospectively analy...
journal_title:Annals of surgical treatment and research
pub_type: 杂志文章
doi:10.4174/astr.2015.88.1.15
更新日期:2015-01-01 00:00:00
abstract:Purpose:Colonic perforation is a lethal condition presenting high morbidity and mortality in spite of urgent surgical treatment. This study investigated the surgical outcome of patients with colonic perforation associated with retroperitoneal contamination. Methods:Retrospective analysis was performed for 30 patients ...
journal_title:Annals of surgical treatment and research
pub_type: 杂志文章
doi:10.4174/astr.2017.93.4.203
更新日期:2017-10-01 00:00:00
abstract::Anastomotic leakage following rectal resection is a serious and fearful complication, and may cause presacral abscess and/or peritonitis. To our knowledge, massive hematochezia secondary to presacral abscess caused by anastomotic leakage has not yet been reported in the literature. We observed this rare and life-threa...
journal_title:Annals of surgical treatment and research
pub_type:
doi:10.4174/astr.2015.88.4.236
更新日期:2015-04-01 00:00:00
abstract:PURPOSE:The 2-port laparoscopic appendectomy technique (TLA) is between the conventional 3-port and single-port laparoscopic appendectomy surgeries. We compared postoperative pain and cosmetic results after TLA with conventional laparoscopic appendectomy (CLA) by a 3-port device. METHODS:Patients undergoing TLA were m...
journal_title:Annals of surgical treatment and research
pub_type: 杂志文章
doi:10.4174/astr.2016.91.2.59
更新日期:2016-08-01 00:00:00
abstract:Purpose:Recently a controversy has arisen about so-called "ghost surgery" practices, and people have voiced their opinions for legal sanction against such practices, which clearly undermine the foundation of medical ethics. However, there has been a lack of legal basis for punishing those actions. The present study aim...
journal_title:Annals of surgical treatment and research
pub_type: 杂志文章
doi:10.4174/astr.2018.94.4.167
更新日期:2018-04-01 00:00:00