{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T02:20:29Z","timestamp":1793845229824,"version":"4.6.1"},"reference-count":24,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2015,8,20]],"date-time":"2015-08-20T00:00:00Z","timestamp":1440028800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2016,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The purpose of this study was to identify predictors of difficult robotic thyroidectomy using the bilateral axillo\u2010breast approach (BABA) for the management of patients with papillary thyroid carcinoma (PTC).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We examined a database containing details of patients with PTC who had undergone robotic thyroidectomy with cervical lymph node dissection between July 2008 and June 2013. Patients were subgrouped into difficult thyroidectomy and non\u2010difficult thyroidectomy to identify predictors associated with difficult thyroidectomy corresponding to the time of operation. Clinicopathologic characteristics, surgical outcomes, and postoperative morbidities were investigated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Male sex was the only significantly different clinicopathologic factor between the 2 groups (<jats:italic>p<\/jats:italic>\u2009=\u2009.013). Other factors, such as age (<jats:italic>p<\/jats:italic>\u2009=\u2009.809) and body mass index (BMI; <jats:italic>p<\/jats:italic>\u2009=\u2009.202), were comparable between the 2 groups. The rates of postoperative complications, such as hypoparathyroidism, vocal cord palsy, and seroma, in the difficult thyroidectomy group were not significantly different from those in the non\u2010difficult thyroidectomy group. There was no hematoma or wound infection. Male sex was the only independent factor associated with difficult thyroidectomy (odds ratio [OR]\u2009=\u20095.379; 95% confidence interval [CI]\u2009=\u20091.052\u201327.502; <jats:italic>p<\/jats:italic>\u2009=\u2009.043), according to the multivariate logistic regression model.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Male sex was the only predictive factor for difficult robotic thyroidectomy using BABA. Further evaluations should be performed to ascertain additional factors associated with difficult robotic thyroidectomy. \u00a9 2015 Wiley Periodicals, Inc. <jats:italic>Head Neck<\/jats:italic> <jats:bold>38<\/jats:bold>: E954\u2013E960, 2016<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.24135","type":"journal-article","created":{"date-parts":[[2015,5,20]],"date-time":"2015-05-20T23:08:56Z","timestamp":1432163336000},"source":"Crossref","is-referenced-by-count":8,"title":["Predictive factors for difficult robotic thyroidectomy using the bilateral axillo\u2010breast approach"],"prefix":"10.1002","volume":"38","author":[{"given":"Hee Yong","family":"Kwak","sequence":"first","affiliation":[{"name":"Department of Surgery Korea University College of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hoon Yub","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Surgery Korea University College of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hye Yoon","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Surgery Korea University College of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seung Pil","family":"Jung","sequence":"additional","affiliation":[{"name":"Department of Surgery Korea University College of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sang Uk","family":"Woo","sequence":"additional","affiliation":[{"name":"Department of Surgery Korea University College of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gil Soo","family":"Son","sequence":"additional","affiliation":[{"name":"Department of Surgery Korea University College of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jae Bok","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Surgery Korea University College of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeoung Won","family":"Bae","sequence":"additional","affiliation":[{"name":"Department of Surgery Korea University College of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,8,20]]},"reference":[{"key":"e_1_2_5_2_1","unstructured":"Thyroid cancer. 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