Impact of body mass index on robotic transaxillary thyroidectomy

Abstract Obesity is associated with increased operating times and higher complication rates in many types of surgery. Its impact on robotic thyroidectomy however, is not well documented. The aim of this study was to investigate the relationship between body mass index (BMI) and robotic transaxillary...

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Autores principales:	Zeng Yap, Won Woong Kim, Sang-Wook Kang, Cho Rok Lee, Jandee Lee, Jong Ju Jeong, Kee-Hyun Nam, Woong Youn Chung
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2019
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/77bdb0f6d5094304822ef89910477cda
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spelling	oai:doaj.org-article:77bdb0f6d5094304822ef89910477cda2021-12-02T15:09:14ZImpact of body mass index on robotic transaxillary thyroidectomy10.1038/s41598-019-45355-02045-2322https://doaj.org/article/77bdb0f6d5094304822ef89910477cda2019-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-019-45355-0https://doaj.org/toc/2045-2322Abstract Obesity is associated with increased operating times and higher complication rates in many types of surgery. Its impact on robotic thyroidectomy however, is not well documented. The aim of this study was to investigate the relationship between body mass index (BMI) and robotic transaxillary thyroidectomy (RTAT). A retrospective review of prospectively collected data of all patients who underwent RTAT at Yonsei University Health System from October 2007 to December 2014 was performed. Patients were divided into three groups based on BMI (Group 1: BMI < 25, Group 2: BMI 25–29.99, Group 3: BMI ≥ 30), and compared. A total of 3697 patients were analyzed. No differences between the three groups were observed in clinicopathological factors, extent of surgery or length of stay. After multivariate analysis, only seroma and transient voice hoarseness were related to increasing BMI. Total operative time was significantly longer for Group 3 patients with less-than-bilateral total thyroidectomy (BTT), but was not significantly different for patients with BTT. Although obese patients undergoing RTAT have a slightly higher risk of seroma, transient voice hoarseness, and longer operative times, BMI did not influence the other important surgical outcomes of thyroidectomy. Therefore, obesity should not be a contraindication for performing RTAT.Zeng YapWon Woong KimSang-Wook KangCho Rok LeeJandee LeeJong Ju JeongKee-Hyun NamWoong Youn ChungNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 9, Iss 1, Pp 1-9 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Zeng Yap Won Woong Kim Sang-Wook Kang Cho Rok Lee Jandee Lee Jong Ju Jeong Kee-Hyun Nam Woong Youn Chung Impact of body mass index on robotic transaxillary thyroidectomy
description	Abstract Obesity is associated with increased operating times and higher complication rates in many types of surgery. Its impact on robotic thyroidectomy however, is not well documented. The aim of this study was to investigate the relationship between body mass index (BMI) and robotic transaxillary thyroidectomy (RTAT). A retrospective review of prospectively collected data of all patients who underwent RTAT at Yonsei University Health System from October 2007 to December 2014 was performed. Patients were divided into three groups based on BMI (Group 1: BMI < 25, Group 2: BMI 25–29.99, Group 3: BMI ≥ 30), and compared. A total of 3697 patients were analyzed. No differences between the three groups were observed in clinicopathological factors, extent of surgery or length of stay. After multivariate analysis, only seroma and transient voice hoarseness were related to increasing BMI. Total operative time was significantly longer for Group 3 patients with less-than-bilateral total thyroidectomy (BTT), but was not significantly different for patients with BTT. Although obese patients undergoing RTAT have a slightly higher risk of seroma, transient voice hoarseness, and longer operative times, BMI did not influence the other important surgical outcomes of thyroidectomy. Therefore, obesity should not be a contraindication for performing RTAT.
format	article
author	Zeng Yap Won Woong Kim Sang-Wook Kang Cho Rok Lee Jandee Lee Jong Ju Jeong Kee-Hyun Nam Woong Youn Chung
author_facet	Zeng Yap Won Woong Kim Sang-Wook Kang Cho Rok Lee Jandee Lee Jong Ju Jeong Kee-Hyun Nam Woong Youn Chung
author_sort	Zeng Yap
title	Impact of body mass index on robotic transaxillary thyroidectomy
title_short	Impact of body mass index on robotic transaxillary thyroidectomy
title_full	Impact of body mass index on robotic transaxillary thyroidectomy
title_fullStr	Impact of body mass index on robotic transaxillary thyroidectomy
title_full_unstemmed	Impact of body mass index on robotic transaxillary thyroidectomy
title_sort	impact of body mass index on robotic transaxillary thyroidectomy
publisher	Nature Portfolio
publishDate	2019
url	https://doaj.org/article/77bdb0f6d5094304822ef89910477cda
work_keys_str_mv	AT zengyap impactofbodymassindexonrobotictransaxillarythyroidectomy AT wonwoongkim impactofbodymassindexonrobotictransaxillarythyroidectomy AT sangwookkang impactofbodymassindexonrobotictransaxillarythyroidectomy AT choroklee impactofbodymassindexonrobotictransaxillarythyroidectomy AT jandeelee impactofbodymassindexonrobotictransaxillarythyroidectomy AT jongjujeong impactofbodymassindexonrobotictransaxillarythyroidectomy AT keehyunnam impactofbodymassindexonrobotictransaxillarythyroidectomy AT woongyounchung impactofbodymassindexonrobotictransaxillarythyroidectomy
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Impact of body mass index on robotic transaxillary thyroidectomy

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