Featured Research

from universities, journals, and other organizations

New Robot-assisted Surgical Method Found Successful For Treatment Of Thyroid Cancer

Date:
August 23, 2009
Source:
Weber Shandwick Worldwide
Summary:
Using a novel robot-assisted endoscopic technique, a team of surgeons in Korea has successfully treated 200 consecutive patients with thyroid cancer. The minimally invasive operation, which has several technical and cosmetic benefits that the traditional open operation does not offer, is described in a new study.

Using a novel robot-assisted endoscopic technique, a team of surgeons at Yonsei University College of Medicine in Seoul, Korea, has successfully treated 200 consecutive patients with thyroid cancer. The minimally invasive operation, which has several technical and cosmetic benefits that the traditional open operation does not offer, is described in the August issue of the Journal of the American College of Surgeons.

According to the National Cancer Institute, more than 37,000 people are diagnosed with thyroid cancer each year in the United States. Surgical removal of all or part of the thyroid gland – the most common treatment for thyroid cancer – typically requires a three- to five-inch incision across the front of the neck. Although robot-assisted endoscopic operations have been adopted in the surgical treatment of various cancers, the incorporation of these techniques has been delayed in head and neck surgery due to the narrow, deep anatomical space and delicate nerves and blood vessels in these areas.

The use of robots provides surgeons with a three-dimensional view and enhanced magnification of the anatomy, as well as the ability to filter unintentional movements of human hands, enabling a safer and easier operation that preserves structures surrounding the target organ.

"This innovative robot-assisted technique for thyroid surgery represents an exciting new treatment option for patients with thyroid cancer," said Woong Youn Chung, MD, PhD, Yonsei University College of Medicine in Seoul. "Not only does it offer good clinical outcomes, but it also spares patients from the large, visible scar that results from traditional open surgery."

Over a 10-month period, a surgical team at Yonsei University College of Medicine operated on 200 patients (mean age 40.3 ฑ 9.5 years) with thyroid cancer by robot-assisted endoscopic thyroidectomy using a novel transaxillary approach. All patients had well-differentiated, local thyroid tumors of at least two centimeters. Using the da Vinciฎ Surgical System (Intuitive Surgical), a surgeon removed all or part of the thyroid gland by making an incision under the patient's right arm (in the patient's lesion-side axilla), eliminating the need for a neck incision.

After the operation, all patients underwent neck ultrasonography and serum thyroglobulin tests at three- and six-month intervals. Of the 45 patients who had a bilateral total thyroidectomy, 38 received radioactive iodine (RAI) therapy between four and six weeks postoperatively and a body scan two days later to investigate possible abnormal radiation uptake. Seven low-risk patients did not undergo RAI.

In this study, postoperative complications included transient low calcium levels (hypocalcemia) in 12 patients (26.7 percent), transient hoarseness in 8 patients (4 percent) and permanent nerve paralysis in one patient (0.5 percent). Serum parathyroid hormone levels were slightly reduced during the immediate postoperative period but normalized within one month of the operation.

In the patients who underwent bilateral total thyroidectomy, serum thyroglobulin was less than one nanogram per milliliter in 42 patients (93.3 percent). No tumor recurrence was observed by neck ultrasonography at 10 and 18 months postoperatively, and no patient was found to have abnormal radiation uptake.


Story Source:

The above story is based on materials provided by Weber Shandwick Worldwide. Note: Materials may be edited for content and length.


Cite This Page:

Weber Shandwick Worldwide. "New Robot-assisted Surgical Method Found Successful For Treatment Of Thyroid Cancer." ScienceDaily. ScienceDaily, 23 August 2009. <www.sciencedaily.com/releases/2009/08/090819164323.htm>.
Weber Shandwick Worldwide. (2009, August 23). New Robot-assisted Surgical Method Found Successful For Treatment Of Thyroid Cancer. ScienceDaily. Retrieved September 20, 2014 from www.sciencedaily.com/releases/2009/08/090819164323.htm
Weber Shandwick Worldwide. "New Robot-assisted Surgical Method Found Successful For Treatment Of Thyroid Cancer." ScienceDaily. www.sciencedaily.com/releases/2009/08/090819164323.htm (accessed September 20, 2014).

Share This



More Health & Medicine News

Saturday, September 20, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Could Grief Affect The Immune Systems Of Senior Citizens?

Could Grief Affect The Immune Systems Of Senior Citizens?

Newsy (Sep. 19, 2014) — The study found elderly people are much more likely to become susceptible to infection than younger adults going though a similar situation. Video provided by Newsy
Powered by NewsLook.com
Jury Delivers Verdict in Salmonella Trial

Jury Delivers Verdict in Salmonella Trial

AP (Sep. 19, 2014) — A federal jury has convicted three people in connection with an outbreak of salmonella poisoning five years ago that sickened hundreds of people and was linked to a number of deaths. (Sept. 19) Video provided by AP
Powered by NewsLook.com
How The 'Angelina Jolie Effect' Increased Cancer Screenings

How The 'Angelina Jolie Effect' Increased Cancer Screenings

Newsy (Sep. 19, 2014) — Angelina's Jolie's decision to undergo a preventative mastectomy in 2013 inspired many women to seek early screenings for the disease. Video provided by Newsy
Powered by NewsLook.com
The Cost of Ebola

The Cost of Ebola

Reuters - Business Video Online (Sep. 18, 2014) — As Sierra Leone prepares for a three-day "lockdown" in its latest bid to stem the spread of Ebola, Ciara Lee looks at the financial implications of fighting the largest ever outbreak of the disease. Video provided by Reuters
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:  

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile iPhone Android Web
Follow Facebook Twitter Google+
Subscribe RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins