1
|
Bae HL, Wong JSH, Kim SJ, Jung Y, Choi JB, Kwak J, Yu HW, Chai YJ, Choi JY, Lee KE. Surgical outcomes of robotic thyroidectomy for thyroid tumors over 4 cm via the bilateral axillo-breast approach. Sci Rep 2024; 14:11646. [PMID: 38773181 PMCID: PMC11109269 DOI: 10.1038/s41598-024-62021-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2023] [Accepted: 05/13/2024] [Indexed: 05/23/2024] Open
Abstract
The study investigated the feasibility of robotic bilateral axillo-breast approach (BABA) thyroidectomy for patients with thyroid tumors larger than 4 cm. BABA thyroidectomy has previously shown safety and effectiveness for thyroid surgeries but lacked extensive data on its application to larger tumors. Between October 2008 and August 2022, there were 74 patients underwent robotic BABA thyroidectomy due to thyroid nodules exceeding 4 cm in size. The mean patient age was 40.3 years. Fine needle aspiration results classified the tumors as benign (50.0%), atypia of undetermined significance (27.0%), follicular neoplasm (16.2%), suspicious for malignancy/malignancy (5.4%), or lymphoma (1.4%). The average tumor size was 4.9 cm, with the majority (85.1%) undergoing thyroid lobectomy, and the rest (14.9%) receiving total thyroidectomy. The mean total operation time was 178.4 min for lobectomy and 207.3 min for total thyroidectomy. Transient vocal cord palsy (VCP) was found in 3 patients (4.1%), and there was no permanent VCP. Among patients who underwent total thyroidectomy, transient hypoparathyroidism was observed in three (27.2%), and permanent hypoparathyroidism was observed in one (9.1%). There were no cases of open conversion, tumor spillage, bleeding, flap injury, or tumor recurrence. In conclusion, robotic BABA thyroidectomy may be a safe treatment option for large-sized thyroid tumors that carries no significant increase in complication rates.
Collapse
Affiliation(s)
- Hye Lim Bae
- Department of Surgery, Seoul National University Hospital and College of Medicine, Seoul, South Korea
| | | | - Su-Jin Kim
- Department of Surgery, Seoul National University Hospital and College of Medicine, Seoul, South Korea.
- Cancer Research Institute, Seoul National University College of Medicine, Seoul, South Korea.
| | - Younghoon Jung
- Department of Surgery, Seoul National University Hospital and College of Medicine, Seoul, South Korea
| | - Jae Bong Choi
- Department of Surgery, Gachon University Gil Medical Center, Incheon, South Korea
| | - JungHak Kwak
- Division of Endocrine Surgery, Department of Surgery, Gibbeum Hospital, Seoul, South Korea
| | - Hyeong Won Yu
- Department of Surgery, Seoul National University Bundang Hospital, Seongnam, South Korea
| | - Young Jun Chai
- Department of Surgery, Seoul National University Boramae Medical Center, Seoul, South Korea
| | - June Young Choi
- Department of Surgery, Seoul National University Bundang Hospital, Seongnam, South Korea
| | - Kyu Eun Lee
- Department of Surgery, Seoul National University Hospital and College of Medicine, Seoul, South Korea
- Cancer Research Institute, Seoul National University College of Medicine, Seoul, South Korea
- Medical Big Data Research Center, Institute of Medical and Biological Engineering, Seoul National University, Seoul, South Korea
| |
Collapse
|
2
|
Banerjee H, Ponraj G, Kirthika SK, Suman MV, Lim CM, Ren H. Hydrogel-Shielded Soft Tactile Sensor for Biocompatible Drug Delivery Monitoring. J Med Device 2019. [DOI: 10.1115/1.4044114] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
AbstractTactile sensing is an emerging technological advancement in surgical robotics in order to probe interactions between confined tissue environments and instruments based on touch information. The tactile sense can assist in improving the efficiency of the whole practice and hence enhance precision, control, and safety during surgery. This paper demonstrates a distinct proof-of-concept therapeutic device equipped with a soft tactile sensor. The tactile sensor was custom-made using flexible piezoresistive materials and conductive ink, wrapped with a biocompatible hydrogel polymer matrix for safer human–tissue interactions. The proposed tactile sensor was then calibrated and its performance was compared with gold standard sensors. It was further tested with a continuous force (5 N) for an extended period of time (about 6 h) to address robustness and repeatability. The sensor showed a sensitivity of 0.833 N−1 and a drift of ≤1%. Successful cadaver experiment demonstrates the efficiency of tactile sensing assistance to clinicians.
Collapse
Affiliation(s)
- Hritwick Banerjee
- Department of Biomedical Engineering, Singapore Institute for Neurotechnology (SINAPSE), National University of Singapore, Singapore 117583
| | - Godwin Ponraj
- Department of Biomedical Engineering, Singapore Institute for Neurotechnology (SINAPSE), National University of Singapore, Singapore 117583
| | - Senthil Kumar Kirthika
- Department of Biomedical Engineering, National University of Singapore, Singapore 117583
| | - Malapaka Venkata Suman
- Department of Biomedical Engineering, National University of Singapore, Singapore 117583
| | - Chwee Ming Lim
- Department of Otolaryngology, Head and Neck Surgery, National University Health System, Singapore 119228
| | - Hongliang Ren
- Department of Biomedical Engineering, Singapore Institute for Neurotechnology (SINAPSE), National University of Singapore, Singapore 117583; NUS (Suzhou) Research Institute (NUSRI), Wuzhong District, Suzhou City, Jiangsu 215000, China
| |
Collapse
|