Ann Surg Treat Res.  2016 Jul;91(1):1-7. 10.4174/astr.2016.91.1.1.

Influence of body habitus on the surgical outcomes of bilateral axillo-breast approach robotic thyroidectomy in papillary thyroid carcinoma patients

• Lee HS
• Chai YJ
• Kim SJ
• Choi JY
• Lee KE

• KMID: 2327410
• DOI: http://doi.org/10.4174/astr.2016.91.1.1

Abstract

PURPOSE
Obesity is associated with a number of medical comorbidities and is considered a risk factor for surgical complications. The purpose of this study was to analyze the influence of body habitus including obesity on the surgical outcomes of the Bilateral axillo-breast approach (BABA) robotic thyroidectomy (RoT) in papillary thyroid carcinoma (PTC) patients.
METHODS
The medical records of 456 PTC patients who underwent BABA RoT between January 2011 and December 2012 were reviewed, and 310 women PTC patients who had undergone BABA robotic total thyroidectomy with central lymph node dissection were examined. Body habitus were evaluated by measuring body mass index (BMI), body surface area, and neck circumference. We divided the patients into BMI < 25 kg/m2 and BMI ≥ 25 kg/m2 groups. Clinicopathological data, surgical outcomes, and postoperative complications were evaluated.
RESULTS
Clinicopathological characteristics did not differ between the 2 BMI groups. The creation of working space time (P = 0.210) and other surgical outcomes showed no significant differences between the groups. There were no statistically significant differences between body habitus indexes and postoperative length of hospital stay, number of retrieved central lymph nodes, postoperative thyroglobulin levels, occurrence of hypoparathyoidism, recurrent laryngeal nerve injury and wound complication.
CONCLUSION
Patient with large body habitus undergoing BABA RoT were not at an increased risk of surgical complications and showed good surgical outcomes. BABA RoT may be a good alternative operative method for PTC patients for whom cosmetic outcome is an important consideration.

Keyword

Robotic thyroidectomy; Body habitus

MeSH Terms

Body Mass Index
Body Surface Area
Comorbidity
Female
Humans
Length of Stay
Lymph Node Excision
Lymph Nodes
Medical Records
Methods
Neck
Obesity
Postoperative Complications
Recurrent Laryngeal Nerve Injuries
Risk Factors
Thyroglobulin
Thyroid Gland*
Thyroid Neoplasms*
Thyroidectomy*
Wounds and Injuries
Thyroglobulin

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