Journal of pediatric surgery · 2026
Pediatric robotic thyroid surgery and scar-related quality of life: A retrospective cohort of 40 patients.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Airaudo Olivier, Luscan Romain, Aidan Patrick, Simon François, Hartl Dana, Couloigner Vincent
Аннотация
CONTEXT AND OBJECTIVE: To retrospectively evaluate pediatric robotic thyroid surgery and assess postoperative satisfaction using the SCAR-Q scale.
MATERIAL AND METHODS: Patients undergoing robotic thyroid surgery between January 2017 and December 2023 were included. Eu-TIRADS and Bethesda classification were assessed. Surgeries were performed either a transaxillary or retroauricular approach. Clinical variables and complications were recorded. Postoperative scar-related satisfaction was assessed using the validated SCAR-Q questionnaire.
RESULTS: Forty patients were included, with a median age of 15 years (range: 7-18). Histology revealed 23 benign nodules, 6 multinodular goiters, 4 cases of Graves' disease and 7 differentiated carcinomas. A transaxillary approach was performed in 25 cases and a retroauricular approach in 15. Median operative time was 217 min (range: 119-347 min). Postoperative complications included seven temporary recurrent laryngeal nerve palsies, two temporary hypocalcemias, one wound dehiscence, and one temporary impairment of upper limb extension; all resolved at the last follow-up (median follow-up 31 months, range: 3-77). Thirty-one patients completed the SCAR-Q questionnaire from July 1, 2023 to September 1, 2023. Median scores were 80 for appearance (range: 17-100), 82 for symptoms (range: 47-100), and 87 for psychosocial impact (range: 0-100). Satisfaction was high overall, with a trend toward better outcomes after the transaxillary approach.
CONCLUSION: Remote-access robotic thyroidectomy appears to be a feasible option in selected pediatric patients, with high cosmetic satisfaction. The transaxillary approach was associated with a trend toward higher SCAR-Q scores, although selection bias and limited sample size preclude firm conclusions regarding superiority.
MATERIAL AND METHODS: Patients undergoing robotic thyroid surgery between January 2017 and December 2023 were included. Eu-TIRADS and Bethesda classification were assessed. Surgeries were performed either a transaxillary or retroauricular approach. Clinical variables and complications were recorded. Postoperative scar-related satisfaction was assessed using the validated SCAR-Q questionnaire.
RESULTS: Forty patients were included, with a median age of 15 years (range: 7-18). Histology revealed 23 benign nodules, 6 multinodular goiters, 4 cases of Graves' disease and 7 differentiated carcinomas. A transaxillary approach was performed in 25 cases and a retroauricular approach in 15. Median operative time was 217 min (range: 119-347 min). Postoperative complications included seven temporary recurrent laryngeal nerve palsies, two temporary hypocalcemias, one wound dehiscence, and one temporary impairment of upper limb extension; all resolved at the last follow-up (median follow-up 31 months, range: 3-77). Thirty-one patients completed the SCAR-Q questionnaire from July 1, 2023 to September 1, 2023. Median scores were 80 for appearance (range: 17-100), 82 for symptoms (range: 47-100), and 87 for psychosocial impact (range: 0-100). Satisfaction was high overall, with a trend toward better outcomes after the transaxillary approach.
CONCLUSION: Remote-access robotic thyroidectomy appears to be a feasible option in selected pediatric patients, with high cosmetic satisfaction. The transaxillary approach was associated with a trend toward higher SCAR-Q scores, although selection bias and limited sample size preclude firm conclusions regarding superiority.