Recent progress of retroauricular robotic thyroidectomy with the new surgical robotic system

Byeon, Hyung Kwon; Holsinger, Christopher; Duvvuri, Umamaheswar; Kim, Da Hee; Park, Jae Hong; Chang, Estelle; Kim, Se Heon; Koh, Yoon Woo

doi:10.1002/lary.26938

Cited by 10 publications

(11 citation statements)

References 21 publications

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“…Disadvantages of this approach are the possible risks of anterior chest paresthesia, brachial plexus injury, high volume hemorrhage, and esophageal injury. 6,11 The retroauricular approach can reduce risk of injury to the great vessels, the esophagus, or the anterior chest sensory nerves, which are the complications of the transaxillary approach. However, the disadvantages of the retroauricular approach are the risks of injury to the greater auricular or marginal mandibular nerve.…”

Section: Discussionmentioning

confidence: 99%

“…Ultrasound imaging (US) findings were categorized based on K-TIRADS system. 6 Table 1 shows the baseline clinical characteristics in patients with PTC. Hemithyroidectomy was performed in 24 patients and total thyroidectomy in 8 patients.…”

Section: Baseline Clinical Characteristicsmentioning

confidence: 99%

“…6,7 There have been successful reports of the robotic RA thyroidectomy by many institutions worldwide. 6,7 Julia et al reported feasibility of RA thyroidectomy with a single-arm robotic surgical system in a preclinical cadaveric setting. They demonstrated that during RA thyroidectomy, SP robotic system facilitated more efficient dissection by allowing additional retraction of surrounding gland or tissue and that robotic surgical system might have the potential to replace current systems for RA thyroidectomy.…”

Section: Introductionmentioning

confidence: 99%

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Feasibility of robotic thyroidectomy via hairline incision using da Vinci single port system: Initial experience with 40 consecutive cases

et al. 2022

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Background: This study aimed to introduce our robotic technique, which can minimize dissection extent using the da Vinci SP robotic system via hairline incision. Methods: Forty patients underwent robotic thyroidectomy using the da Vinci SP robotic system via a hairline incision between February 2020 and April 2021 at Ulsan University Hospital. All procedures were performed successfully by one surgeon using the SP robotic system. Results: Hemithyroidectomies were performed in 32 patients and total thyroidectomies in eight patients. Central neck dissection was performed in 32 patients. The overall mean operative time was 140.2 ± 50.7 min, and the mean console time was 74.0 ± 42.7 min. All patients were discharged on the second or third day after operation without any complications. Conclusions: Robotic thyroidectomy using the SP robotic system via hairline incision is technically feasible and safe, with a shorter incision length when compared with that of the Xi system.

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Section: Discussionmentioning

confidence: 99%

Section: Baseline Clinical Characteristicsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Feasibility of robotic thyroidectomy via hairline incision using da Vinci single port system: Initial experience with 40 consecutive cases

et al. 2022

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“…Real impact of surgical robotic system for precision surgery of parotidectomy: retroauricular parotidectomy using da Vinci surgical system incision in 2013 (4,5). We have applied the same surgical technique to patients with parotid cancer.…”

Section: Original Articlementioning

confidence: 99%

Real impact of surgical robotic system for precision surgery of parotidectomy: retroauricular parotidectomy using da Vinci surgical system

Park¹,

Kim²,

Kang³

et al. 2020

Gland Surg

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Background: We performed robotic parotidectomy with or without robotic neck dissection via a retroauricular approach in patients with parotid benign and malignant tumors and analyzed treatment outcomes of the patients to evaluate the safety and feasibility of robotic parotidectomy.Methods: Between January 2017 and July 2018, 53 patients received robotic parotidectomy with/without robotic neck dissection through a remote access retroauricular incision without a preauricular incision.Results: All operations were successfully performed in all patients without significant perioperative complications or tumor spillage. Tumors were located in the superficial lobe of the parotid gland in 40 patients, and the remaining 13 tumors were located in the deep lobe of the parotid gland. Postoperative pathologic examination revealed benign tumor in 32 patients and malignant tumors in 18 patients. The mean operation time was 226 minutes in patients who underwent only parotidectomy and 375 minutes in patients who underwent parotidectomy with robotic neck dissection. The average amount of bleeding was 23 mL, and the amount of drainage after operation averaged 171 mL. The average length of hospital stay was 6 days. Postoperative complications were limited to transient facial paralysis in three patients, all of which resolved within 1 month. All patients were satisfied with their cosmetic results at 6 months after operation.Conclusions: Robotic parotidectomy with/without robotic neck dissection through a retroauricular approach was a feasible and safe technique in patients with parotid benign and malignant tumor. Specifically, we found it to be helpful in young patients with malignant parotid tumors who should receive cervical lymphadenectomy and parotidectomy, because it does not leave a visible scar on the face or neck. In the future, long-term follow-up will be necessary to validate its oncologic safety and functional outcomes.

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“…The average waiting time for surgery is up to 6 months, and longer in large hospitals where there are more complicated cases. The approach for thyroid lobectomy can be the classical method or remote access surgery, such as the transoral endoscopic thyroidectomy vestibular (18), retroauricular (19,20), or axillary-breast approaches (21), depending on the discussion between the surgeon's preference and the patient's needs.…”

Section: Diagnostic Approaches and Management Of Patients With Thyroid Nodules In Different Settings In Thailandmentioning

confidence: 99%

Pathological practice and management of thyroid nodules: a Thai perspective

et al. 2020

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Although, in the thyroid field, there have been several internationally standard diagnostic and management guidelines for practitioners from every country to follow but there is still variation among physicians across the globe in taking care of patients and pathology specimens with thyroid nodules due to dissimilar backgrounds of each place. Thailand is one among several countries that tries to maintain standard of care to meet international requirements although, with some limitations, not all recommendations are followed. To understand how approaches of thyroid nodules are performed throughout the country and how the healthcare system of the whole kingdom is managed including what major current limitations, the authors conducted a survey among physicians consisting of surgeons, radiologists and pathologists who are involved in the management of the thyroid lesions by personal phone contact and custom online questionnaires. Performances of fine needle aspiration of different institutes are also evaluated by analyzing the data from available publications and compared their results with other series from the literature.Shortage of pathologists and un-equal resource allocation are the major problems concerning administrative aspect while a lack of awareness in new terminologies or diagnostic systems (e.g., NIFTP, UMP, Bethesda, TI-RADS) among physicians, particularly clinicians, are the problems of training and continuous medical education. Another point of concern is a rather poor performance in fine needle aspiration from the Thai series in which there are high rate (30.5%) of non-diagnostic category (Bethesda I) and false negativity as demonstrated by relatively high risk of malignancy (9.6%) in Bethesda II compared with other series from the literature. Regarding molecular studies, despite their usefulness in improving diagnostic accuracy, especially for cytology specimens, these ancillary tools are not routinely used in our practice since they are available in only few referral centers. This review provided a background information of the perspective on how thyroid nodules are managed in the Thai settings.

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Recent progress of retroauricular robotic thyroidectomy with the new surgical robotic system

Abstract: 4. Laryngoscope, 128:1730-1737, 2018.

Cited by 10 publications

References 21 publications

Feasibility of robotic thyroidectomy via hairline incision using da Vinci single port system: Initial experience with 40 consecutive cases

Feasibility of robotic thyroidectomy via hairline incision using da Vinci single port system: Initial experience with 40 consecutive cases

Real impact of surgical robotic system for precision surgery of parotidectomy: retroauricular parotidectomy using da Vinci surgical system

Pathological practice and management of thyroid nodules: a Thai perspective

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