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Current Surgery Reports

, 5:19 | Cite as

Transoral Robotic Thyroidectomy

  • Hoon Yub KimEmail author
Robotic Surgery (E. Berber, Section Editor)
Part of the following topical collections:
  1. Robotic Surgery

Abstract

Purpose of Review

Transoral approach is nowadays gaining the enormous attention among the thyroid surgeons, as it showed definite merits over the previously developed remote-access approaches for thyroidectomy, such as the ideal cosmetic outcome without remaining the postoperative scars, and the lesser dissection of the flap resulting in the decreased operation time and lesser postoperative pain.

Recent Findings

Instead of using the conventional endoscopic operation apparatus and instruments, we could successfully introduce the robotic surgical system to this novel surgical approach, and, in turn, could have the optimal surgical outcomes enhanced by the unique three-dimensional operative vision and multiple articulating instruments, after overcoming some trials and errors encountered during the initial developmental era.

Summary

I herein describe the procedures of transoral robotic thyroidectomy (TORT) which we uniquely developed, and show my personal opinion on the advantages and disadvantages of the TORT.

Keywords

Transoral thyroidectomy Transoral endoscopic thyroidectomy Transoral robotic thyroidectomy Minimally invasive thyroidectomy 

Notes

Funding

None.

Compliance with Ethics Guidelines

Conflict of Interest

The author declares no conflicts of interest relevant to this manuscript.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: ∙ Of importance ∙∙ Of major importance

  1. 1.
    Gagner M. Endoscopic subtotal parathyroidectomy in patients with primary hyperparathyroidism. Br J Surg. 1996;83:875.CrossRefPubMedGoogle Scholar
  2. 2.
    Kang SW, Jeong JJ, Yun JS, et al. Gasless endoscopic thyroidectomy using trans-axillary approach; surgical outcome of 581 patients. Endocr J. 2009;56:361–9.CrossRefPubMedGoogle Scholar
  3. 3.
    Choi JY, Lee KE, Chung KW, et al. Endoscopic thyroidectomy via bilateral axillo-breast approach (BABA): review of 512 cases in a single institute. Surg Endosc. 2012;26:948–55.CrossRefPubMedGoogle Scholar
  4. 4.
    Wilhelm T, Metzig A. Endoscopic minimally invasive thyroidectomy (eMIT): a prospective proof-of-concept study in humans. World J Surg. 2011;35:543–51.CrossRefPubMedGoogle Scholar
  5. 5.
    Nakajo A, Arima H, Hirata M, et al. Trans-Oral Video-Assisted Neck Surgery (TOVANS). A new transoral technique of endoscopic thyroidectomy with gasless premandible approach. Surg Endosc. 2013;27:1105–10.CrossRefPubMedGoogle Scholar
  6. 6.
    ∙ Lee HY, Richmon J, Walvekar R, Holsinger C, Kim HY. Robotic transoral periosteal thyroidectomy (TOPOT): experience in two cadavers. J Laparoendosc Adv Surg Tech A. 2015;25:139–42. This article describes the technical aspects of transoral robotic thyroidectomy. CrossRefPubMedGoogle Scholar
  7. 7.
    Lee HY, Hwang SB, Ahn KM, Lee JB, Bae JW, Kim HY. The safety of transoral periosteal thyroidectomy: results of swine models. J Laparoendosc Adv Surg Tech A. 2014;24:312–7.CrossRefPubMedGoogle Scholar
  8. 8.
    Lee KE, Kim E, Koo DH, et al. Robotic thyroidectomy by bilateral axillo-breast approach: review of 1,026 cases and surgical completeness. Surg Endosc. 2013;27:2955–62.CrossRefPubMedGoogle Scholar
  9. 9.
    Ban EJ, Yoo JY, Kim WW, et al. Surgical complications after robotic thyroidectomy for thyroid carcinoma: a single center experience with 3,000 patients. Surg Endosc. 2014;28:2555–63.CrossRefPubMedGoogle Scholar
  10. 10.
    ∙∙ Lee HY, You JY, Woo SU, et al. Transoral periosteal thyroidectomy: cadaver to human. Surg Endosc. 2015;29:898–904. This is the article reporting the first successful transoral robotic thyroidectomy in human. CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  1. 1.Department of SurgeryKorea University College of MedicineSeoulKorea

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