Robotic-Assisted Modified Radical Neck Dissection: Transaxillary, Bilateral Axill-Breast Approach (BABA), Facelift
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Purpose of Review
N1b thyroid carcinoma has been surgically treated with open-conventional bilateral total thyroidectomy and modified radical neck dissection (mRND). Recently, the use of robotic method has been increasing for the cosmetic demand of patients. Robotic mRND methods can be divided into transaxillary, bilateral axillo-breast approach (BABA), and facelift depending on how the instruments are inserted.
About 10 years of experience have been accumulated for transaxillary and BABA, and their oncologic outcomes have also been proven. However, the facelift method requires more experience and oncologic outcome needs to be proven.
Robotic surgery not only reduces the fatigue of the surgeon but also improves the precision of the surgery all the while providing a cosmetic benefit. The advantages and disadvantages of each methods are obvious. The patients will be able to determine the method according to the advantages and disadvantages.
KeywordsRobot-modified neck dissection Transaxillary Bilateral axillo-breast approach Facelift
Compliance with Ethics Guidelines
Conflict of interest
Kwangsoon Kim, Sang-Wook Kang, and Woong Youn Chung each declare no potential conflicts of interest.
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.
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
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