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Robotic Transaxillary Thyroidectomy: A Modified Protocol for the Western Medical Community

  • Sang-Wook Kang
  • Emad Kandil
  • Woong Youn Chung
Chapter

Abstract

Robotic transaxillary thyroidectomy is currently of great interest, particularly in Asia, Europe, and North and South America. Considerable research has shown that it is safe and that its outcome is at least equivalent, if not superior, to open thyroidectomy. It has been slow to gain widespread acceptance in clinical practice, however, perhaps because of reservations about its general applicability to all patient populations, uncertainty about the instruments involved, and questions about the willingness of insurance companies to fund the procedure. This chapter provides detailed information on the method and summarizes important modifications that may pave the way for its widespread adoption.

Keywords

Robotic Thyroidectomy Transaxillary 

References

  1. 1.
    Rencuzogullari A, Gorgun E. Robotic rectal surgery. J Surg Oncol. 2015;112:326–31.CrossRefPubMedGoogle Scholar
  2. 2.
    O'Malley DM, Smith B, Fowler JM. The role of robotic surgery in endometrial cancer. J Surg Oncol. 2015;112(7):761–8.  https://doi.org/10.1002/jso.23988.CrossRefPubMedGoogle Scholar
  3. 3.
    Ramirez D, Zargar H, Caputo P, Kaouk JH. Robotic-assisted laparoscopic prostatectomy: an update on functional and oncologic outcomes, techniques, and advancements in technology. J Surg Oncol. 2015;112(7):746–52.  https://doi.org/10.1002/jso.24040.CrossRefPubMedGoogle Scholar
  4. 4.
    Hüscher CS, Chiodini S, Napolitano C, Recher A. Endoscopic right thyroid lobectomy. Surg Endosc. 1997;11:877.CrossRefPubMedGoogle Scholar
  5. 5.
    Ohgami M, Ishii S, Arisawa Y, Ohmori T, Noga K, Furukawa T, Kitajima M. Scarless endoscopic thyroidectomy: breast approach for better cosmesis. Surg Laparosc Endosc Percutan Tech. 2000;10:1–4.CrossRefPubMedGoogle Scholar
  6. 6.
    Miccoli P, Berti P, Raffaelli M, Conte M, Materazzi G, Galleri D. Minimally invasive video-assisted thyroidectomy. Am J Surg. 2001;181:567–70.CrossRefPubMedGoogle Scholar
  7. 7.
    Inabnet WB 3rd, Jacob BP, Gagner M. Minimally invasive endoscopic thyroidectomy by a cervical approach. Surg Endosc. 2003;17(11):1808.CrossRefPubMedGoogle Scholar
  8. 8.
    Yoon JH, Park CH, Chung WY. Gasless endoscopic thyroidectomy via an axillary approach: experience of 30 cases. Surg Laparosc Endosc Percutan Tech. 2006;16:226–31.CrossRefPubMedGoogle Scholar
  9. 9.
    Kang SW, Jeong JJ, Yun JS, Sung TY, Lee SC, Lee YS, et al. Robot-assisted endoscopic surgery for thyroid cancer: experience with the first 100 patients. Surg Endosc. 2009;23:2399–406.CrossRefPubMedGoogle Scholar
  10. 10.
    Lee KE, Rao J, Youn YK. Endoscopic thyroidectomy with the da Vinci robot system using the bilateral axillary breast approach (BABA) technique; our initial experience. Surg Laparosc Endosc Percutan Tech. 2009;19:e71–5.CrossRefPubMedGoogle Scholar
  11. 11.
    Kang SW, Lee SC, Lee SH, Lee KY, Jeong JJ, Lee YS, et al. Robotic thyroid surgery using a gasless, transaxillary approach and the da Vinci S system: the operative outcomes of 338 consecutive patients. Surgery. 2009;146:1048–55.CrossRefPubMedGoogle Scholar
  12. 12.
    Kuppersmith RB, Salem A, Holsinger FC. Advanced approaches for thyroid surgery. Otolaryngol Head Neck Surg. 2009;141:340–2.CrossRefPubMedGoogle Scholar
  13. 13.
    Lewis CM, Chung WY, Holsinger FC. Feasibility and surgical approach of transaxillary approach robotic thyroidectomy without CO2 insufflation. Head Neck. 2010;32:121–6.PubMedGoogle Scholar
  14. 14.
    Holsinger FC, Sweeney AD, Jantharapattana K, Salem A, Weber RS, Chung WY, et al. The emergence of endoscopic head and neck surgery. Curr Oncol Rep. 2010;12:216–22.CrossRefPubMedGoogle Scholar
  15. 15.
    Landry CS, Grubbs EG, Morris GS, Turner NS, Holsinger FC, Lee JE, Perrier ND. Robot assisted transaxillary surgery (RATS) for the removal of thyroid and parathyroid glands. Surgery. 2011;149:549–55.CrossRefPubMedGoogle Scholar
  16. 16.
    Lee J, Chung WY. Robotic surgery for thyroid disease. Eur Thyroid J. 2013;2:93–101.PubMedPubMedCentralGoogle Scholar
  17. 17.
    Kang SW, Lee SH, Ryu HR, Lee KY, Jeong JJ, Nam KH, et al. Initial experiences of robot-assisted modified radical neck dissection for the management of thyroid carcinoma with lateral neck node metastasis. Surgery. 2010;148:1214–21.CrossRefPubMedGoogle Scholar
  18. 18.
    Lee J, Chung WY. Robotic thyroidectomy and neck dissection: past, present, and future. Cancer J. 2013;19:151–61.CrossRefPubMedGoogle Scholar
  19. 19.
    Lee J, Kwon IS, Bae EH, Chung WY. Comparative analysis of oncological outcomes and quality of life after robotic versus conventional open thyroidectomy with modified radical neck dissection in patients with papillary thyroid carcinoma and lateral neck node metastases. J Clin Endocrinol Metab. 2013;98:2701–8.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Sang-Wook Kang
    • 1
  • Emad Kandil
    • 2
  • Woong Youn Chung
    • 1
  1. 1.Department of SurgeryYonsei University College of MedicineSeoulSouth Korea
  2. 2.Department of Endocrine SurgeryTulane University School of MedicineNew OrleansUSA

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