Abstract
Several approaches have been described for thyroid and parathyroid surgery to avoid a visible neck incision, which is of a concern especially in young females with history of healing with keloid or hypertrophic scar. Herein, we are discussing promising novel techniques in providing a hidden incision, with reported safety and technical superiority utilizing robotic technology. Several remote access robotic approaches have been described, including transaxillary, retroauricular, and bilateral axillobreast (BABA) approaches. In this chapter, we focused on perioperative planning utilizing the transaxillary approach.
References
Kandil E, Noureldine S, Abdel Khalek M, Alrasheedi S, Aslam R, Friedlander P, et al. Initial experience using robot- assisted transaxillary thyroidectomy for Graves’ disease. J Visc Surg. 2011;148(6):e447–51.
Kang SW, Lee SH, Ryu HR, Lee KY, Jeong JJ, Nam KH, et al. Initial experience with robot-assisted modified radical neck dissection for the management of thyroid carcinoma with lateral neck node metastasis. Surgery. 2010;148(6):1214–21.
Kandil E, Hammad AY, Walvekar RR, Hu T, Masoodi H, Mohamed SE, et al. Robotic thyroidectomy versus nonrobotic approaches: a meta-analysis examining surgical outcomes. Surg Innov. 2016;23(3):317–25.
Lee J, Nah KY, Kim RM, Ahn YH, Soh E, Chung WY. Differences in postoperative outcomes, function, and cosmesis: open versus robotic thyroidectomy. Surg Endosc. 2010;24(12):3186–94.
Tae K, Ji YB, Jeong JH, Lee SH, Jeong MA, Park CW. Robotic thyroidectomy by a gasless unilateral axillo-breast or axillary approach: our early experiences. Surg Endosc. 2011;25(1):221–8.
Tae K, Ji YB, Cho SH, Lee SH, Kim DS, Kim TW. Early surgical outcomes of robotic thyroidectomy by a gasless unilateral axillo-breast or axillary approach for papillary thyroid carcinoma: 2 years’ experience. Head Neck. 2012;34(5):617–25.
Kang SW, Jeong JJ, Nam KH, Chang HS, Chung WY, Park CS. Robot-assisted endoscopic thyroidectomy for thyroid malignancies using a gasless transaxillary approach. J Am Coll Surg. 2009;209(2):e1–7.
Kandil EH, Noureldine SI, Yao L, Slakey DP. Robotic transaxillary thyroidectomy: an examination of the first one hundred cases. J Am Coll Surg. 2012;214(4):558–64.
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(6):1048–55.
Lee J, Kang SW, Jung JJ, Choi UJ, Yun JH, Nam KH, et al. Multicenter study of robotic thyroidectomy: short-term postoperative outcomes and surgeon ergonomic considerations. Ann Surg Oncol. 2011;18(9):2538–47.
Lee YM, Yi O, Sung TY, Chung KW, Yoon JH, Hong SJ. Surgical outcomes of robotic thyroid surgery using a double incision gasless transaxillary approach: analysis of 400 cases treated by the same surgeon. Head Neck. 2014;36(10):1413–9.
Lee J, Yun JH, Choi UJ, Kang SW, Jeong JJ, Chung WY. Robotic versus endoscopic thyroidectomy for thyroid cancers: a multi-institutional analysis of early postoperative outcomes and surgical learning curves. J Oncol. 2012;2012:734541.
Cabot JC, Lee CR, Brunaud L, Kleiman DA, Chung WY, Fahey 3rd TJ, et al. Robotic and endoscopic transaxillary thyroidectomies may be cost prohibitive when compared to standard cervical thyroidectomy: a cost analysis. Surgery. 2012;152(6):1016–24.
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Robotic-assisted right thyroid lobectomy (MP4 108512 kb)
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Ali, D.B., Kang, SW., Kandil, E. (2018). Robotic-Assisted Transaxillary Thyroid and Parathyroid Surgery. In: Patel, A.D., Oleynikov, D. (eds) The SAGES Manual of Robotic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-51362-1_26
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DOI: https://doi.org/10.1007/978-3-319-51362-1_26
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