Robotic surgery versus open surgery for thyroid neoplasms: a systematic review and meta-analysis
Authors: Yue Wang
Chenzhou Wu
Wei Fei
En Luo
Hanghang Liu
Journal: Journal of Cancer Research and Clinical Oncology (2020)
Discipline: CLINICAL MEDICINE
Keywords: Open surgery; Robotic surgery; Thyroid neoplasms; Thyroidectomy.
Affiliations: State Key Laboratory of Oral Disease and National Clinical Research Center for Oral Diseases and, Dept. of Oral Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, No 14, Section 3 of Renmin South Road, Chengdu, 610041, Sichuan, People's Republic of China., Shanghai Huangpu District Dental Clinic, Shanghai, 200001, People's Republic of China., Department of Stomatology, Sichuan Academy of Medical Science and Sichuan Provincial Peoples Hospital, Sichuan University, Chengdu, 610041, Sichuan, People's Republic of China., State Key Laboratory of Oral Disease and National Clinical Research Center for Oral Diseases and, Dept. of Oral Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, No 14, Section 3 of Renmin South Road, Chengdu, 610041, Sichuan, People's Republic of China. .

Abstract:  Purpose: Robotic surgical system has been gradually applied in thyroid neoplasms as a novel treatment for years, with presenting some superiorities as well as limitations. To compare the effectiveness and safety of robotic surgery with open surgery for the patients with thyroid neoplasms, this review was conducted METHODS: We performed electronic search in CENTRAL, MEDLINE, EMBASE, CNKI, CBM, Opengray, and Sciencepaper Online databases and manual search in specific online databases and according to the reference list of relevant papers to get all the studies that compared the effectiveness and safety of robotic surgery with that of open surgery for patients with thyroid neoplasms. Last update was conducted in March 2020. Randomized-controlled trials, case-control studies, cohort studies, and cross-sectional surveys were all included. Results: In this review, 59 studies were included: two RCTs, 15 NRSs, 40 cohort studies, and two cross-sectional studies. Robotic surgery was found to be associated with longer operative duration, less retrieved lymph nodes, higher postoperative thyroglobulin before radioactive iodine ablation, similar complication incidence but less blood loss, better functional recovery, and higher cosmetic satisfaction compared to open surgery. Conclusions: Robotic surgery is a safe and feasible approach with remarkable superiority in reducing intraoperative damage and improving patients' quality of life compared to open surgery for thyroid neoplasms. Meanwhile, this procedure is also associated with long operative duration, insufficient removal of neck lymph nodes, which need to be given careful consideration. 

Retracted: No

PubPeer comments:
 2021 retraction. https: onlinelibrary.wiley.com doi 10.1002 bio.4009 Retraction: Ishwar Prasad Sahu, D. P. Bisen, K. V. R. Murthy, R. K. Tamrakar (2017) Studies on the luminescence properties of cerium cou2010doping on Ca2MgSi2O7:Eu2+ phosphor by solidu2010state reaction method. Luminescence 32(7), 1,263u20131,276; https: doi.org 10.1002 bio.3320 The above article,[1] published online on 29 May 2017 in Wiley Online Library (http: onlinelibrary.wiley.com), has been retracted by agreement_ between the authors, the journal Editor in Chief, Prof. Xinrong Zhang, and John Wiley Sons Ltd. The retraction has been agreed due to multiple passages of unattributed overlap between this article and several published articles. ,