A prospective case<b>-</b>control study on the influence of Da Vinci Xi robot and endoscopic surgery on voice function in thyroid cancer_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

LIU Peigen ¹ , GENG Chengyi ¹ , LUO Jie ¹ , SHEN Meiying ¹ , CHEN Daibo ² , YANG Yinghong ¹ ,  YAN Jing ¹

1. Department of General Surgery, Panzhihua Central Hospital, Panzhihua, Sichuan 617067, P. R. China;
2. Department of Otolaryngology, Panzhihua Central Hospital, Panzhihua, Sichuan 617067, P. R. China;

Corresponding author：

YAN Jing, Email: 1455819058@qq.com

Keywords：

thyroid neoplasm; voice evaluation; robotic thyroidectomy; endoscopic thyroidectomy

DOI：

10.7507/1007-9424.202307024

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To compare the effect of robotic thyroidectomy and endoscopic thyroidectomy on the voice function. Methods The clinical data of 181 patients with differentiated thyroid cancer admitted to Panzhihua Central Hospital of Sichuan Province from March 2022 to June 2023 were analyzed retrospectively. According to the operative mode, this patients were divided into two groups: the endoscope group (n=91) and the robot group (n=90). The subjective and objective acoustic indicators were compared between the two groups at 1 day before operation and 1 week, 1 month and 3 months after operation. Results There were no significant difference in voice handicap index (VHI)-10 scores between the two groups at different time points before and after operation (P>0.05). There were no significant difference of VHI-10 scores between preoperative and different postoperative phases in the robot group (P>0.05). The score of VHI-10 at different postoperative phases in the endoscopic group was higher than that at 1 d before operation (P<0.05). The incidence of voice dysfunction (VHI-10 score ≥8) was 1.1% (1/90), 1.1% (1/90) and 0.0% (0/90) in the robot group, 1.1% (1/91) , 2.2% (2/91) and 0.0% (0/91) in the endoscope group at 1 week, 1 month and 3 months after operation respectively, there were no significant difference between the two groups (P>0.05). The fundamental frequency of patients in the endoscopic group was lower than that at 1 d before operation (P<0.05), and there was no significant difference between each phase after operation and at 1 d before operation of fundamental frequency in the robot group (P>0.05). The fundamental frequency of patients in the endoscopic group was lower than that in the robot group at 1 week after operation (P<0.05). The maximum phonation time of each phase after operation in the robot group was not significantly different from that at 1 d before operation (P>0.05). The maximum phonation time of 1 week after operation in the endoscopic group was shorter than that at 1 d before operation (P<0.05) and also shorter than that in the robot group (P<0.05). There were no significant difference in fundamental frequency perturbation, amplitude perturbation, harmonic noise ratio and voice disorder severity index between the two groups at different phases before and after operation (P>0.05). Conclusion Compared with endoscopic thyroidectomy, the voice function of robotic thyroidectomy via bilateral axillary breast approach is better.

Citation： LIU Peigen, GENG Chengyi, LUO Jie, SHEN Meiying, CHEN Daibo, YANG Yinghong, YAN Jing. A prospective case-control study on the influence of Da Vinci Xi robot and endoscopic surgery on voice function in thyroid cancer. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2023, 30(11): 1353-1358. doi: 10.7507/1007-9424.202307024 Copy

1.	Solis-Pazmino P, Salazar-Vega J, Lincango-Naranjo E, et al. Thyroid cancer overdiagnosis and overtreatment: a cross- sectional study at a thyroid cancer referral center in Ecuador. BMC Cancer, 2021, 21(1): 42. doi: 10.1186/s12885-020-07735-y.
2.	杨映弘, 蔺原, 吴艳军, 等. 经乳房途径腔镜甲状腺切除术27例报告. 中国普外基础与临床杂志, 2005, 12(3): 299-300.
3.	杨映弘, 吴艳军, 蔺原, 等. 腔镜与传统开放甲状腺切除术的比较. 中国微创外科杂志, 2006, 6(2): 119-120.
4.	卢曼, 孙金中, 孙圣荣. 腔镜甲状腺手术发展与选择. 中国普外基础与临床杂志, 2022, 29(6): 816-822.
5.	Pavlidis ET, Psarras KK, Symeonidis NG, et al. Robot-assisted thyroidectomy versus open thyroidectomy in the treatment of well differentiated thyroid carcinoma. JSLS. 2021, 25(3): e2021.00032. doi: 10.4293/JSLS.2021.00032.
6.	曾令娟, 马静, 范林军, 等. 达芬奇机器人甲状腺癌根治术后引流管拔除时机的临床对照研究. 中国普外基础与临床杂志, 2020, 27(4): 460-463.
7.	贺青卿, 朱见, 范子义, 等. 达芬奇机器人腋乳径路与传统开放手术治疗甲状腺微小癌的对照研究. 中华外科杂志, 2016, 54(1): 51-55.
8.	王猛, 郑鲁明, 周鹏, 等. 腔镜与机器人甲状腺手术治疗甲状腺微小乳头状癌的对比研究. 肿瘤预防与治疗, 2021, 34(12): 1117-1122.
9.	任婷婷, 兰德, 魏雪梅. 甲状腺切除患者手术前后嗓音功能评估. 中国耳鼻咽喉颅底外科杂志, 2020, 26(4): 369-372.
10.	中国医师协会外科医师分会甲状腺外科医师委员会, 中国研究型医院学会甲状腺疾病专业委员会, 海峡两岸医药卫生交流协会海西甲状腺微创美容外科专家委员会, 等. 经胸前入路腔镜甲状腺手术专家共识(2017版). 中国实用外科杂志, 2017, 37(12): 1369-1373.
11.	中国医师协会外科医师分会甲状腺外科医师委员会, 中国研究型医院学会甲状腺疾病专业委员会. 机器人手术系统辅助甲状腺和甲状旁腺手术专家共识. 中国实用外科杂志, 2016, 36(11): 1165-1170.
12.	徐文, 李红艳, 胡蓉, 等. 嗓音障碍指数量表中文版信度和效度评价. 中华耳鼻咽喉头颈外科杂志, 2008, 43(9): 670-675.
13.	Behlau M, Madazio G, Moreti F, et al. Efficiency and cutoff values of self-assessment instruments on the impact of a voice problem. J Voice, 2016, 30(4): 506.
14.	中华人民共和国国家卫生健康委员会医政医管局. 甲状腺癌诊疗指南(2022年版). 中国实用外科杂志, 2022, 42(12): 1343-1357, 1363.
15.	Van Lierde K, D’haeseleer E, Wuyts FL, et al. Impact of thyroidectomy without laryngeal nerve injury on vocal quality characteristics: an objective multiparameter approach. Laryngoscope, 2010, 120(2): 338-345.
16.	Tae K, Ji YB, Song CM, et al. Safety and efficacy of transoral robotic and endoscopic thyroidectomy: the first 100 cases. Head Neck, 2020, 42(2): 321-329.
17.	刘思维, 邵骏. 嗓音声学分析方法的研究现状. 临床耳鼻咽喉头颈外科杂志, 2022, 36(12): 966-970, 976.
18.	Choi JY, Bae IE, Kim HS, et al. Comparative study of bilateral axillo-breast approach endoscopic and robotic thyroidectomy: propensity score matching analysis of large multi-institutional data. Ann Surg Treat Res, 2020, 98(6): 307-314.
19.	Chung EJ, Park MW, Cho JG, et al. A prospective 1-year comparative study of endoscopic thyroidectomy via a retroauricular approach versus conventional open thyroidectomy at a single institution. Ann Surg Oncol, 2015, 22(9): 3014-3021.
20.	Lee DY, Lee KJ, Han WG, et al. Comparison of transaxillary approach, retroauricular approach, and conventional open hemithyroidectomy: a prospective study at single institution. Surgery, 2016, 159(2): 524-531.
21.	Van Damme S, Cosyns M, Deman S, et al. The effectiveness of pitch-raising surgery in male-to-female transsexuals: a systematic review. J Voice, 2017, 31(2): 244.

1. Solis-Pazmino P, Salazar-Vega J, Lincango-Naranjo E, et al. Thyroid cancer overdiagnosis and overtreatment: a cross- sectional study at a thyroid cancer referral center in Ecuador. BMC Cancer, 2021, 21(1): 42. doi: 10.1186/s12885-020-07735-y.
2. 杨映弘, 蔺原, 吴艳军, 等. 经乳房途径腔镜甲状腺切除术27例报告. 中国普外基础与临床杂志, 2005, 12(3): 299-300.
3. 杨映弘, 吴艳军, 蔺原, 等. 腔镜与传统开放甲状腺切除术的比较. 中国微创外科杂志, 2006, 6(2): 119-120.
4. 卢曼, 孙金中, 孙圣荣. 腔镜甲状腺手术发展与选择. 中国普外基础与临床杂志, 2022, 29(6): 816-822.
5. Pavlidis ET, Psarras KK, Symeonidis NG, et al. Robot-assisted thyroidectomy versus open thyroidectomy in the treatment of well differentiated thyroid carcinoma. JSLS. 2021, 25(3): e2021.00032. doi: 10.4293/JSLS.2021.00032.
6. 曾令娟, 马静, 范林军, 等. 达芬奇机器人甲状腺癌根治术后引流管拔除时机的临床对照研究. 中国普外基础与临床杂志, 2020, 27(4): 460-463.
7. 贺青卿, 朱见, 范子义, 等. 达芬奇机器人腋乳径路与传统开放手术治疗甲状腺微小癌的对照研究. 中华外科杂志, 2016, 54(1): 51-55.
8. 王猛, 郑鲁明, 周鹏, 等. 腔镜与机器人甲状腺手术治疗甲状腺微小乳头状癌的对比研究. 肿瘤预防与治疗, 2021, 34(12): 1117-1122.
9. 任婷婷, 兰德, 魏雪梅. 甲状腺切除患者手术前后嗓音功能评估. 中国耳鼻咽喉颅底外科杂志, 2020, 26(4): 369-372.
10. 中国医师协会外科医师分会甲状腺外科医师委员会, 中国研究型医院学会甲状腺疾病专业委员会, 海峡两岸医药卫生交流协会海西甲状腺微创美容外科专家委员会, 等. 经胸前入路腔镜甲状腺手术专家共识(2017版). 中国实用外科杂志, 2017, 37(12): 1369-1373.
11. 中国医师协会外科医师分会甲状腺外科医师委员会, 中国研究型医院学会甲状腺疾病专业委员会. 机器人手术系统辅助甲状腺和甲状旁腺手术专家共识. 中国实用外科杂志, 2016, 36(11): 1165-1170.
12. 徐文, 李红艳, 胡蓉, 等. 嗓音障碍指数量表中文版信度和效度评价. 中华耳鼻咽喉头颈外科杂志, 2008, 43(9): 670-675.
13. Behlau M, Madazio G, Moreti F, et al. Efficiency and cutoff values of self-assessment instruments on the impact of a voice problem. J Voice, 2016, 30(4): 506.
14. 中华人民共和国国家卫生健康委员会医政医管局. 甲状腺癌诊疗指南(2022年版). 中国实用外科杂志, 2022, 42(12): 1343-1357, 1363.
15. Van Lierde K, D’haeseleer E, Wuyts FL, et al. Impact of thyroidectomy without laryngeal nerve injury on vocal quality characteristics: an objective multiparameter approach. Laryngoscope, 2010, 120(2): 338-345.
16. Tae K, Ji YB, Song CM, et al. Safety and efficacy of transoral robotic and endoscopic thyroidectomy: the first 100 cases. Head Neck, 2020, 42(2): 321-329.
17. 刘思维, 邵骏. 嗓音声学分析方法的研究现状. 临床耳鼻咽喉头颈外科杂志, 2022, 36(12): 966-970, 976.
18. Choi JY, Bae IE, Kim HS, et al. Comparative study of bilateral axillo-breast approach endoscopic and robotic thyroidectomy: propensity score matching analysis of large multi-institutional data. Ann Surg Treat Res, 2020, 98(6): 307-314.
19. Chung EJ, Park MW, Cho JG, et al. A prospective 1-year comparative study of endoscopic thyroidectomy via a retroauricular approach versus conventional open thyroidectomy at a single institution. Ann Surg Oncol, 2015, 22(9): 3014-3021.
20. Lee DY, Lee KJ, Han WG, et al. Comparison of transaxillary approach, retroauricular approach, and conventional open hemithyroidectomy: a prospective study at single institution. Surgery, 2016, 159(2): 524-531.
21. Van Damme S, Cosyns M, Deman S, et al. The effectiveness of pitch-raising surgery in male-to-female transsexuals: a systematic review. J Voice, 2017, 31(2): 244.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

A prospective case-control study on the influence of Da Vinci Xi robot and endoscopic surgery on voice function in thyroid cancer

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content