Initial experience with robot-assisted modified radical neck dissection for the management of thyroid carcinoma with lateral neck node metastasis

Kang, Sang‐Wook; Lee, So Hee; Ryu, Haeng Rang; Lee, Kang Young; Jeong, Jong Ju; Nam, Kee Hyun; Chung, Woong Youn; Park, Cheong Soo

doi:10.1016/j.surg.2010.09.016

Cited by 169 publications

(176 citation statements)

References 21 publications

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“…Tumor sizes were quite small 1.1 ± 0.5 cm with 61 % having micro-carcinoma. No major complications were observed in this small study [37].…”

Section: Lateral Cervical Compartment Nodal Diseasementioning

confidence: 43%

“…A separate group also examined the effect of BMI on operative times and found a non-significant difference of 204 vs 225 min in patients who were normal (BMI B25) versus overweight (BMI [25) respectively. Complication profile was not reported by BMI [37].…”

Section: Above-normal Body Mass Index (Bmi)mentioning

confidence: 89%

“…Initial experiences with a small group of differentiated thyroid carcinoma patients harvested an average of 6.1 ± 4.4 nodes per case [37]. In the largest report of 1,000 patient undergoing thyroidectomy for cancer, central compartment dissection was performed on all patients, with an average of 4.62 ± 3.14 nodes harvested robotically [ …”

Section: Central Compartment Nodal Diseasementioning

confidence: 99%

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Robotic Thyroid Surgery

Wharry

Stang

2012

Curr Surg Rep

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While thyroid surgery has been performed safely for nearly a century, the societal desire for a smaller and less visible surgical incision and consequent neck wound have become increasingly important for some patients. Within the last 5 years, thyroid surgical methods have been adapted by several groups to utilize robotic platform technology with the goal of achieving safe resection of the thyroid gland without a visible neck blemish. We review the currently published data regarding the use of surgical robotic platforms to perform remote access thyroid surgery. In particular, the currently described approaches, outcomes, complication profile, learning curve, and cost are examined. We also discuss the utility of the approach in populations of special interest to the endocrine surgeon, and a rational framework for adoption of the technology among surgeons interested in adding this technique to their armamentarium.

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“…Tumor sizes were quite small 1.1 ± 0.5 cm with 61 % having micro-carcinoma. No major complications were observed in this small study [37].…”

Section: Lateral Cervical Compartment Nodal Diseasementioning

confidence: 43%

Section: Above-normal Body Mass Index (Bmi)mentioning

confidence: 89%

Section: Central Compartment Nodal Diseasementioning

confidence: 99%

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Robotic Thyroid Surgery

Wharry

Stang

2012

Curr Surg Rep

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“…However, some surgeons have initiated the use of this robotic procedure for more difficult cases, such as those involving more advanced thyroid cancers (e.g., size >2 cm, extracapsular lesions, thyroid cancers with lateral LN metastasis) or Graves' disease (23)(24)(25)28,29).…”

Section: Surgical Indications For Robotic Thyroidectomymentioning

confidence: 99%

“…Increasingly, surgeons are taking the initiative to perform robotic thyroidectomy with lateral neck dissection (23)(24)(25). In this article, we have described our robotic thyroidectomy and central/lateral neck node dissection procedures and have summarized the recent results associated with this surgical technique.…”

Section: Introductionmentioning

confidence: 99%

Robotic thyroidectomy and cervical neck dissection for thyroid cancer

Paek

Kang

2016

Gland Surg.

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A robotic approach for thyroid surgery was developed to overcome the limitations of endoscopic thyroidectomy and provide many technical advantages. This approach facilitates the surgeon's control through a magnified three-dimensional view, decreased tremor, and freedom of motion with articulated instruments. Robotic thyroidectomy is safe and technically feasible in patients with well-differentiated, lowrisk thyroid cancer. Furthermore, robotic thyroidectomy may become a good surgical alternative option for patients with more advanced thyroid cancer. Our modified bilateral axillo-breast approach (BABA) for central and lateral cervical neck lymph node (LN) dissection has yielded excellent surgical outcomes as an open procedure. The incorporation of robotics in thyroid cancer surgery will continue to evolve, and the surgical indications for robotic thyroidectomy will continue to expand. Further analyses that include longterm outcomes and randomized comparative trials remain important.

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