Remote-access thyroidectomy in the pediatric population: A systematic review Review
| Authors: | Cohen, O.; Mäkitie, A. A.; Khafif, A.; Shaha, A. R.; Randolph, G.; Coca-Pelaz, A.; Ferlito, A. |
| Review Title: | Remote-access thyroidectomy in the pediatric population: A systematic review |
| Abstract: | Introduction: Remote-access thyroidectomy has been reported in the pediatric population in a limited fashion. Methods: This was a systematic review in PubMed and Scopus for pediatric remote-access thyroidectomy. Results: Seventy-eight articles were identified and screened, of which 13 met the inclusion criteria, including 231 patients; 70% of publications reported six or fewer patients. The mean age was 15.3 years (range 5–19). Sixty percent of surgeries were total thyroidectomy. Transaxillary robotic approach was most commonly performed (48.9%). Sixty-seven percent of the cases were operated on for a malignancy. Tumor size ranged between 0.4 and 1.8 cm. Recurrent laryngeal nerve injury rate was 1.9%. Transient and permanent hypocalcemia rates were 23.9% and 2.2%, respectively. Conclusion: Pediatric remote-access thyroidectomy is not widely employed currently. Comparative studies with better quality are needed to establish its safety. Among selected pediatric patients, it can provide an alternative to open approaches, especially when neck scar is of major concern. © 2023, The Author(s), under exclusive licence to Springer Healthcare Ltd., part of Springer Nature. |
| Keywords: | adolescent; adult; child; preschool child; child, preschool; cancer surgery; surgical technique; young adult; cancer recurrence; neck dissection; disease free survival; recurrence risk; follow up; tumor volume; surgical approach; distant metastasis; pediatric; systematic review; operation duration; thyroidectomy; thyroid cancer; thyroid neoplasms; robotics; hyperthyroidism; robotic; thyroid tumor; hypocalcemia; surgical patient; surgical margin; adverse event; endoscopic; total thyroidectomy; recurrent laryngeal nerve injury; hemithyroidectomy; humans; human; article; robot assisted surgery; remote-access; remote access thyroidectomy |
| Journal Title: | Advances in Therapy |
| Volume: | 40 |
| Issue: | 4 |
| ISSN: | 0741-238X |
| Publisher: | Springer |
| Date Published: | 2023-04-01 |
| Start Page: | 1560 |
| End Page: | 1570 |
| Language: | English |
| DOI: | 10.1007/s12325-023-02429-w |
| PUBMED: | 36746825 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | Article -- Export Date: 1 May 2023 -- Source: Scopus |
