Factors affecting operative time in robotic thyroidectomy

Head Neck. 2018 May;40(5):893-903. doi: 10.1002/hed.25033. Epub 2017 Dec 5.

Abstract

Background: The purpose of this study was to evaluate factors related to operative time in robotic thyroidectomy.

Methods: We retrospectively analyzed 240 patients who underwent robotic thyroidectomy. The total thyroidectomy cases and lobectomy cases were both categorized into those with long operative times (LOTs; upper 25% of cases) and those with short operative times (SOTs; lower 25%).

Results: Among the total thyroidectomy cases, body mass index (BMI) ≥23 kg/m2 (hazard ratio [HR] 5.34; P = .008) and bilateral central neck dissection (CND; HR 14.92; P = .028) were more frequent in the LOT group in multivariate analysis. Among the lobectomy cases, BMI ≥23 kg/m2 (HR 12.92; P = .003) and unilateral CND (HR 21.38; P = .017) were the only independent risk factors for prolonged operative time.

Conclusion: Body habitus and clinical nodal status in the central compartment should be considered in deciding the indications for robotic thyroidectomy.

Keywords: operative time; robotic thyroidectomy; thyroid carcinoma; thyroid surgery; thyroid tumor.

MeSH terms

  • Adult
  • Body Mass Index
  • Female
  • Humans
  • Male
  • Middle Aged
  • Neck Dissection
  • Operative Time*
  • Postoperative Complications / epidemiology*
  • Retrospective Studies
  • Robotic Surgical Procedures / adverse effects*
  • Thyroid Nodule / complications
  • Thyroid Nodule / pathology
  • Thyroid Nodule / surgery*
  • Thyroidectomy / adverse effects*