{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T06:37:50Z","timestamp":1783665470923,"version":"3.55.0"},"reference-count":27,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2021,4,15]],"date-time":"2021-04-15T00:00:00Z","timestamp":1618444800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"the Korea Medical Device Development Fund grant funded by the Korea government (the Min-istry of Science and ICT, the Ministry of Trade, Industry and Energy, the Ministry of Health &amp; Welfare, the Ministry of Food and Drug Safety)","award":["202012E08"],"award-info":[{"award-number":["202012E08"]}]},{"name":"MIST (Ministry of Science and ICT), Korea, under the ITRC (Information Technology Research Center) support program(IITP-2020-2018-0-01833) supervised by the IITP (Institute for Infor-mation &amp; Communications Technology Planning &amp; Evaluation)","award":["2020-2018-0-01833"],"award-info":[{"award-number":["2020-2018-0-01833"]}]},{"name":"Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Science, ICT &amp; Future Planning, Republic of Korea","award":["2018R1A1A1A05077361"],"award-info":[{"award-number":["2018R1A1A1A05077361"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Bilateral axillo-breast approach (BABA) robotic thyroidectomy has been successfully performed for thyroid cancer patients with excellent cosmetic results. Completion thyroidectomy is sometimes necessary after thyroid lobectomy, and whether it has a higher complication rate than the primary operation due to the presence of adhesions remains controversial. The aim of this study was to evaluate surgical outcomes, including operation time and postoperative complications, in patients who underwent BABA robotic completion thyroidectomy. Methods: From Jan 2012 to Aug 2020, 33 consecutive patients underwent BABA robotic completion thyroidectomy for a thyroid malignancy after BABA robotic thyroid lobectomy. The procedures were divided into five steps: (1) robot setting and surgical draping, (2) flap dissection, (3) robot docking, (4) thyroidectomy, and (5) closure. Clinicopathological characteristics, operation time, and postoperative complications were reviewed. Results: The total operation time was shorter for completion thyroidectomy than for the initial operation (164.8 \u00b1 31.7 min vs. 179.8 \u00b1 27.1 min, p = 0.043). Among the robotic thyroidectomy steps, the duration of the thyroidectomy step was shorter than that of the initial operation (69.6 \u00b1 20.9 min vs. 83.0 \u00b1 19.5 min, p = 0.009. One patient (1\/33, 3.0%) needed hematoma evacuation under the flap area immediately after surgery. Three patients (3\/33, 9.1%) showed transient hypoparathyroidism, and one patient (1\/33, 3.0%) had permanent hypoparathyroidism. Two patients (2\/33, 6.1%) showed transient vocal cord palsy and recovered within 3 months following the completion thyroidectomy. There were no cases of open conversion, tracheal injury, flap injury or wound infection. Conclusions: BABA robotic completion thyroidectomy could be performed safely without completion-related complication.<\/jats:p>","DOI":"10.3390\/jcm10081707","type":"journal-article","created":{"date-parts":[[2021,4,15]],"date-time":"2021-04-15T12:11:00Z","timestamp":1618488660000},"page":"1707","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Robotic Completion Thyroidectomy via the Bilateral Axillo-Breast Approach"],"prefix":"10.3390","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2119-8688","authenticated-orcid":false,"given":"JungHak","family":"Kwak","sequence":"first","affiliation":[{"name":"Department of Surgery, Seoul National University College of Medicine, Seoul 03080, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5511-3596","authenticated-orcid":false,"given":"Su-jin","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Surgery, Seoul National University College of Medicine, Seoul 03080, Korea"},{"name":"Thyroid Center, Division of Surgery, Seoul National University Cancer Hospital, Seoul 03080, Korea"},{"name":"Cancer Research Institute, Seoul National University College of Medicine, Seoul 03080, Korea"},{"name":"Medical Big Data Research Center, Institute of Medical and Biological Engineering, Seoul National University, Seoul 03080, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8346-1539","authenticated-orcid":false,"given":"Zhen","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Surgery, Seoul National University College of Medicine, Seoul 03080, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1904-8613","authenticated-orcid":false,"given":"Keunchul","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Surgery, Seoul National University Bundang Hospital, Seongnam 13620, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0187-9777","authenticated-orcid":false,"given":"Jong-hyuk","family":"Ahn","sequence":"additional","affiliation":[{"name":"Department of Surgery, Seoul National University College of Medicine, Seoul 03080, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7338-5157","authenticated-orcid":false,"given":"Hyeong Won","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Surgery, Seoul National University Bundang Hospital, Seongnam 13620, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8830-3433","authenticated-orcid":false,"given":"Young Jun","family":"Chai","sequence":"additional","affiliation":[{"name":"Department of Surgery, Seoul National University Boramae Medical Center, Seoul 07061, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9990-607X","authenticated-orcid":false,"given":"June Young","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Seoul National University Bundang Hospital, Seongnam 13620, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2354-3599","authenticated-orcid":false,"given":"Kyu Eun","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Surgery, Seoul National University College of Medicine, Seoul 03080, Korea"},{"name":"Thyroid Center, Division of Surgery, Seoul National University Cancer Hospital, Seoul 03080, Korea"},{"name":"Cancer Research Institute, Seoul National University College of Medicine, Seoul 03080, Korea"},{"name":"Medical Big Data Research Center, Institute of Medical and Biological Engineering, Seoul National University, Seoul 03080, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,4,15]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"875","DOI":"10.1002\/bjs.1800830656","article-title":"Endoscopic subtotal parathyroidectomy in patients with primary hyperparathyroidism","volume":"83","author":"Gagner","year":"1996","journal-title":"Br. 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