Comparison of surgical outcomes of transoral robotic and endoscopic thyroidectomy: A systematic review and network meta‐analysis
This study aimed to compare surgical outcomes of transoral robotic thyroidectomy (TORT) and transoral endoscopic thyroidectomy vestibular approach (TOETVA), concurrently compared with conventional transcervical thyroidectomy (CTT). A network meta‐analysis, comprising 23 studies, was performed in thi...
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| Veröffentlicht in: | Head & neck 2024-03, Vol.46 (3), p.688-701 |
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| creator | Nguyen, Van Cuong Song, Chang Myeon Ji, Yong Bae Oh, Sukjoong Jeong, Jin Hyeok Tae, Kyung |
| description | This study aimed to compare surgical outcomes of transoral robotic thyroidectomy (TORT) and transoral endoscopic thyroidectomy vestibular approach (TOETVA), concurrently compared with conventional transcervical thyroidectomy (CTT). A network meta‐analysis, comprising 23 studies, was performed in this study. The operative time of the CTT group was significantly shorter than that of the TOETVA and TORT groups. The hospital stay of the TOETVA group was significantly longer than that of the CTT group. Rates of transient recurrent laryngeal nerve palsy and total complications were higher in association with TOETVA than with TORT. No significant differences were found between the three groups in intraoperative blood loss, retrieved lymph nodes, postoperative pain, and other complications. Cosmetic satisfaction was significantly superior with TORT and TOETVA than with CTT. Compared with CTT, TOETVA and TORT showed superior cosmesis but no significant difference in surgical outcomes except for operative time and hospital stay. |
| doi_str_mv | 10.1002/hed.27644 |
| format | Article |
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A network meta‐analysis, comprising 23 studies, was performed in this study. The operative time of the CTT group was significantly shorter than that of the TOETVA and TORT groups. The hospital stay of the TOETVA group was significantly longer than that of the CTT group. Rates of transient recurrent laryngeal nerve palsy and total complications were higher in association with TOETVA than with TORT. No significant differences were found between the three groups in intraoperative blood loss, retrieved lymph nodes, postoperative pain, and other complications. Cosmetic satisfaction was significantly superior with TORT and TOETVA than with CTT. Compared with CTT, TOETVA and TORT showed superior cosmesis but no significant difference in surgical outcomes except for operative time and hospital stay.</description><identifier>ISSN: 1043-3074</identifier><identifier>ISSN: 1097-0347</identifier><identifier>EISSN: 1097-0347</identifier><identifier>DOI: 10.1002/hed.27644</identifier><identifier>PMID: 38229250</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>Endoscopy - adverse effects ; Endoscopy - methods ; Female ; Humans ; Length of Stay - statistics & numerical data ; Lymph nodes ; Meta-analysis ; Natural Orifice Endoscopic Surgery - adverse effects ; Natural Orifice Endoscopic Surgery - methods ; Network Meta-Analysis ; Operative Time ; Postoperative Complications - epidemiology ; Robotic surgery ; Robotic Surgical Procedures - methods ; systematic review ; Thyroidectomy ; Thyroidectomy - adverse effects ; Thyroidectomy - methods ; TOETVA ; TORT ; Treatment Outcome ; Vestibular system</subject><ispartof>Head & neck, 2024-03, Vol.46 (3), p.688-701</ispartof><rights>2024 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3134-37edc50a4f9326e9a49d13929c98b90ddeb6d1c1901f5a5f73d79a135cceae533</cites><orcidid>0000-0002-0182-7865 ; 0000-0002-0382-2072</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fhed.27644$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fhed.27644$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38229250$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nguyen, Van Cuong</creatorcontrib><creatorcontrib>Song, Chang Myeon</creatorcontrib><creatorcontrib>Ji, Yong Bae</creatorcontrib><creatorcontrib>Oh, Sukjoong</creatorcontrib><creatorcontrib>Jeong, Jin Hyeok</creatorcontrib><creatorcontrib>Tae, Kyung</creatorcontrib><title>Comparison of surgical outcomes of transoral robotic and endoscopic thyroidectomy: A systematic review and network meta‐analysis</title><title>Head & neck</title><addtitle>Head Neck</addtitle><description>This study aimed to compare surgical outcomes of transoral robotic thyroidectomy (TORT) and transoral endoscopic thyroidectomy vestibular approach (TOETVA), concurrently compared with conventional transcervical thyroidectomy (CTT). A network meta‐analysis, comprising 23 studies, was performed in this study. The operative time of the CTT group was significantly shorter than that of the TOETVA and TORT groups. The hospital stay of the TOETVA group was significantly longer than that of the CTT group. Rates of transient recurrent laryngeal nerve palsy and total complications were higher in association with TOETVA than with TORT. No significant differences were found between the three groups in intraoperative blood loss, retrieved lymph nodes, postoperative pain, and other complications. Cosmetic satisfaction was significantly superior with TORT and TOETVA than with CTT. Compared with CTT, TOETVA and TORT showed superior cosmesis but no significant difference in surgical outcomes except for operative time and hospital stay.</description><subject>Endoscopy - adverse effects</subject><subject>Endoscopy - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Length of Stay - statistics & numerical data</subject><subject>Lymph nodes</subject><subject>Meta-analysis</subject><subject>Natural Orifice Endoscopic Surgery - adverse effects</subject><subject>Natural Orifice Endoscopic Surgery - methods</subject><subject>Network Meta-Analysis</subject><subject>Operative Time</subject><subject>Postoperative Complications - epidemiology</subject><subject>Robotic surgery</subject><subject>Robotic Surgical Procedures - methods</subject><subject>systematic review</subject><subject>Thyroidectomy</subject><subject>Thyroidectomy - adverse effects</subject><subject>Thyroidectomy - methods</subject><subject>TOETVA</subject><subject>TORT</subject><subject>Treatment Outcome</subject><subject>Vestibular system</subject><issn>1043-3074</issn><issn>1097-0347</issn><issn>1097-0347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10c9O3DAQBnCralUo9NAXQJF6gUNg_CcbzA1taamE1Es5R157UkyTzGI7rHJDfQKesU9Sh4ULUk-2Rz9_Gulj7BOHYw4gTm7QHYt6odQbtstB1yVIVb-d70qWEmq1wz7EeAsAcqHEe7YjT4XQooJd9mdJ_doEH2koqC3iGH55a7qCxmSpxzgPUzBDpJCngVaUvC3M4AocHEVL6_xMN1Mg79Am6qez4ryIU0zYm5kGvPe4efoxYNpQ-F30mMzfh0czmG6KPu6zd63pIn58PvfY9deLn8vL8urHt-_L86vSSi5VKWt0tgKjWi3FArVR2nGphbb6dKXBOVwtHLdcA28rU7W1dLU2XFbWosFKyj12uM1dB7obMaam99Fi15kBaYyN0LzSmkMNmX5-RW9pDHnfWQmlQWnOszraKhsoxoBtsw6-N2FqODRzMU0upnkqJtuD58Rx1efpi3xpIoOTLdj4Dqf_JzWXF1-2kf8ApqiaoA</recordid><startdate>202403</startdate><enddate>202403</enddate><creator>Nguyen, Van Cuong</creator><creator>Song, Chang Myeon</creator><creator>Ji, Yong Bae</creator><creator>Oh, Sukjoong</creator><creator>Jeong, Jin Hyeok</creator><creator>Tae, Kyung</creator><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TK</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0182-7865</orcidid><orcidid>https://orcid.org/0000-0002-0382-2072</orcidid></search><sort><creationdate>202403</creationdate><title>Comparison of surgical outcomes of transoral robotic and endoscopic thyroidectomy: A systematic review and network meta‐analysis</title><author>Nguyen, Van Cuong ; Song, Chang Myeon ; Ji, Yong Bae ; Oh, Sukjoong ; Jeong, Jin Hyeok ; Tae, Kyung</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3134-37edc50a4f9326e9a49d13929c98b90ddeb6d1c1901f5a5f73d79a135cceae533</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Endoscopy - adverse effects</topic><topic>Endoscopy - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Length of Stay - statistics & numerical data</topic><topic>Lymph nodes</topic><topic>Meta-analysis</topic><topic>Natural Orifice Endoscopic Surgery - adverse effects</topic><topic>Natural Orifice Endoscopic Surgery - methods</topic><topic>Network Meta-Analysis</topic><topic>Operative Time</topic><topic>Postoperative Complications - epidemiology</topic><topic>Robotic surgery</topic><topic>Robotic Surgical Procedures - methods</topic><topic>systematic review</topic><topic>Thyroidectomy</topic><topic>Thyroidectomy - adverse effects</topic><topic>Thyroidectomy - methods</topic><topic>TOETVA</topic><topic>TORT</topic><topic>Treatment Outcome</topic><topic>Vestibular system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nguyen, Van Cuong</creatorcontrib><creatorcontrib>Song, Chang Myeon</creatorcontrib><creatorcontrib>Ji, Yong Bae</creatorcontrib><creatorcontrib>Oh, Sukjoong</creatorcontrib><creatorcontrib>Jeong, Jin Hyeok</creatorcontrib><creatorcontrib>Tae, Kyung</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Head & neck</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nguyen, Van Cuong</au><au>Song, Chang Myeon</au><au>Ji, Yong Bae</au><au>Oh, Sukjoong</au><au>Jeong, Jin Hyeok</au><au>Tae, Kyung</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of surgical outcomes of transoral robotic and endoscopic thyroidectomy: A systematic review and network meta‐analysis</atitle><jtitle>Head & neck</jtitle><addtitle>Head Neck</addtitle><date>2024-03</date><risdate>2024</risdate><volume>46</volume><issue>3</issue><spage>688</spage><epage>701</epage><pages>688-701</pages><issn>1043-3074</issn><issn>1097-0347</issn><eissn>1097-0347</eissn><abstract>This study aimed to compare surgical outcomes of transoral robotic thyroidectomy (TORT) and transoral endoscopic thyroidectomy vestibular approach (TOETVA), concurrently compared with conventional transcervical thyroidectomy (CTT). A network meta‐analysis, comprising 23 studies, was performed in this study. The operative time of the CTT group was significantly shorter than that of the TOETVA and TORT groups. The hospital stay of the TOETVA group was significantly longer than that of the CTT group. Rates of transient recurrent laryngeal nerve palsy and total complications were higher in association with TOETVA than with TORT. No significant differences were found between the three groups in intraoperative blood loss, retrieved lymph nodes, postoperative pain, and other complications. Cosmetic satisfaction was significantly superior with TORT and TOETVA than with CTT. Compared with CTT, TOETVA and TORT showed superior cosmesis but no significant difference in surgical outcomes except for operative time and hospital stay.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>38229250</pmid><doi>10.1002/hed.27644</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0002-0182-7865</orcidid><orcidid>https://orcid.org/0000-0002-0382-2072</orcidid></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Endoscopy - adverse effects Endoscopy - methods Female Humans Length of Stay - statistics & numerical data Lymph nodes Meta-analysis Natural Orifice Endoscopic Surgery - adverse effects Natural Orifice Endoscopic Surgery - methods Network Meta-Analysis Operative Time Postoperative Complications - epidemiology Robotic surgery Robotic Surgical Procedures - methods systematic review Thyroidectomy Thyroidectomy - adverse effects Thyroidectomy - methods TOETVA TORT Treatment Outcome Vestibular system |
| title | Comparison of surgical outcomes of transoral robotic and endoscopic thyroidectomy: A systematic review and network meta‐analysis |
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