Materazzi Gabriele, Fregoli Lorenzo, Manzini Gabriele, Baggiani Angelo, Miccoli Mario, Miccoli Paolo
Department of Surgery, University of Pisa, Via Paradisa 2, 56100, Pisa, Italy,
World J Surg. 2014 Jun;38(6):1282-8. doi: 10.1007/s00268-014-2483-5.
No studies have compared robot-assisted transaxillary thyroidectomy (RATT) and minimally invasive video-assisted thyroidectomy (MIVAT) regarding cosmetic outcome and satisfaction
Patients matching the inclusion criteria (benign nodule less than 4 cm and thyroid volume less than 30 mL) were randomly allotted to undergo MIVAT (group A) or RATT (group B). Cosmetic result, overall satisfaction, operative time, and complications were evaluated.
A total of 62 patients underwent hemithyroidectomy (30 in group A and 32 in group B). All patients were women, with the exception of one man in each group. The mean patient age was 36.9 years (group A) and 32.5 years (group B). Total operative time (intubation-extubation) was shorter in group A (71.6 min) than in group B (120.4 min). Complications included one transient laryngeal nerve injury in each group and one subcutaneous hematoma in group B. Postoperative hospital stay was longer in group B (1.85 days) than in group A (1.15 days). On the PASQ questionnaire, "scar appearance" and "satisfaction with appearance" scores were better in group A than in group B. In the Short Form (SF-36) 36-Item Health Survey Questionnaire, domains of "social activity" and "general health" were better in group B than in group A, whereas "bodily pain" scored higher in group B than in group A.
RATT seems not to supersede MIVAT in terms of satisfaction when comparing two groups of patients undergoing thyroidectomy for benign disease.
尚无研究比较机器人辅助经腋窝甲状腺切除术（RATT）和微创视频辅助甲状腺切除术（MIVAT）在美容效果和满意度方面的差异。
符合纳入标准（良性结节小于4 cm且甲状腺体积小于30 mL）的患者被随机分配接受MIVAT（A组）或RATT（B组）。评估美容效果、总体满意度、手术时间和并发症。
共有62例患者接受了半甲状腺切除术（A组30例，B组32例）。除每组各有1名男性外，所有患者均为女性。患者平均年龄A组为36.9岁，B组为32.5岁。A组（71.6分钟）的总手术时间（插管-拔管）比B组（120.4分钟）短。并发症包括每组各1例暂时性喉返神经损伤和B组1例皮下血肿。B组（1.85天）的术后住院时间比A组（1.15天）长。在PASQ问卷中，A组的“疤痕外观”和“外观满意度”得分优于B组。在简短形式（SF-36）36项健康调查问卷中，B组的“社会活动”和“总体健康”领域优于A组，而“身体疼痛”得分B组高于A组。
在比较两组接受良性疾病甲状腺切除术的患者时，RATT在满意度方面似乎并未超过MIVAT。
