Advanced Developments in Neck Dissection Technique: Perspectives in Minimally Invasive Surgery

Lee, Jandee; Chung, Woong Youn

doi:10.5772/31114

Cited by 7 publications

(9 citation statements)

References 21 publications

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“…We also formulated a standard template for robotic thyroidectomy [1,2,19,20,26]. In robotic thyroidectomy, the port (cannula) placement is of major concern to avoid collisions among robotic instruments but also to provide free access to the thyroid bed.…”

Section: Robotic Thyroidectomy Proceduresmentioning

confidence: 99%

“…The novel method of robotic thyroidectomy using a gasless transaxillary approach requires two skin incisions: an axillary incision for camera, first and second robotic arm access, and an anterior chest incision for the third robotic arm [1,2,19,20]. In two-incision robotic thyroidectomy, a 0.6- to 0.8-cm second skin incision is made on the tumor side of the anterior chest wall to permit insertion of the fourth robotic arm.…”

Section: Robotic Thyroidectomy Proceduresmentioning

confidence: 99%

“…Thyroid nodules have been diagnosed preoperatively based on the results of US-guided fine-needle aspiration cytology (FNAC). Among the tumor characteristics assessed by these methods were size, site, presence of extrathyroidal invasion, multiplicity, bilaterality, and presence of cervical LN metastasis [1,2]. …”

Section: Indications and Contraindicationsmentioning

confidence: 99%

“…Pioneers in thyroid surgery continue to refine surgical techniques in robotic thyroidectomy and neck dissection, building on the principles and framework described for the indication, as well as on surgical tips [1,2,3,4]. The first step taken to improve robotic thyroid surgery was characterized by the rapid evolution of robotic surgical techniques and training programs [1,2,3,4,5,6,7,8]. The second step should be directed toward better perioperative assessment of oncologic outcomes and safety [1,5,6,7,8,9,10,11].…”

Section: Introductionmentioning

confidence: 99%

“…This system has enabled surgeons to control a three-dimensional high-definition camera, reduced physiological tremor and enabled free dexterity of movement using articulated instruments. This technique offers an especially easy approach when working in deep and narrow spaces such as the neck area [1,2]. …”

Section: Introductionmentioning

confidence: 99%

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Robotic Surgery for Thyroid Disease

Lee¹,

Chung²

2013

Eur Thyroid J

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Robotic surgery is an innovation in thyroid surgery that may compensate for the drawbacks of conventional endoscopic surgery. A surgical robot provides strong advantages, including three-dimensional imaging, motion scaling, tremor elimination, and additional degrees of freedom. We review here recent adaptations, experience and applications of robotics in thyroid surgery. Robotic thyroid surgeries include thyroid lobectomy, total thyroidectomy, central compartment neck dissection, and radical neck dissection for benign and malignant thyroid diseases. Most of the current literature consists of case series of robotic thyroidectomies. Recent retrospective and prospective analyses have evaluated the safety and oncologic efficacy of robotic surgery for thyroid cancer. Although robotic thyroid surgery is often associated with longer operation times than conventional open surgery, robotic techniques have shown similar or superior levels of surgical completeness and safety compared with conventional open or endoscopic surgery. Compared to open thyroidectomy, robotic thyroidectomy has been associated with several quality-of-life benefits, including excellent cosmetic results, reduced neck pain and sensory changes, and decreased voice and swallowing discomfort after surgery. For surgeons, robotic surgery has improved ergonomics and has a shorter learning curve than open or endoscopic surgery. The advantages of robotic thyroid surgery over conventional surgery suggest that robotic thyroidectomy with or without neck dissection may become the preferred surgical option for thyroid diseases. Robotic thyroid surgery will likely continue to develop as more endocrine and head-and-neck surgeons are trained and more patients seek this newly developed surgical option.

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