Robot-assisted endoscopic surgery for thyroid cancer: experience with the first 100 patients

Kang, Sang–Wook; Jeong, Jong Ju; Yun, Ji Sup; Sung, Tae Yon; Lee, Seung−Chul; Lee, Yong Sang; Nam, Kee Hyun; Chang, Hang Seok; Chung, Woong Youn; Park, Cheong Soo

doi:10.1007/s00464-009-0366-x

Cited by 356 publications

(376 citation statements)

References 29 publications

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“…The use of robot techniques is new in the field of thyroid surgery. The few studies that have examined robotic thyroidectomy have involved only a small number of patients in a single center [9,[11][12][13][14][15]. Although other reports have demonstrated the safety and feasibility of robotic thyroidectomy, the present work is the first multicenter study to investigate this approach specifically for thyroid carcinoma treatment.…”

Section: Discussionmentioning

confidence: 97%

“…The surgical techniques for robotic thyroidectomy with our approach have been described in detail elsewhere [11][12][13].…”

Section: Surgical Techniquementioning

confidence: 99%

“…Using an axillary approach, endoscopic access is adequate for thyroid cancer surgery and provides a natural view as per open surgery. Use of the dual-channel endoscope, the robot controlling system, and articulating instruments means robotic surgery provides 3-D magnified visualization, tremor-free handling, and a better range of motion even in deep and narrow spaces [11][12][13].…”

mentioning

confidence: 99%

“…The few published studies in this field are relatively small [11][12][13][14]. Little is known regarding the efficacy and safety of this technique, especially during the time of its introduction into centers and during the surgeon ''learning'' phase.…”

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confidence: 99%

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Perioperative clinical outcomes after robotic thyroidectomy for thyroid carcinoma: a multicenter study

et al. 2010

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Objectives Robotic thyroidectomy and lymph node dissection is rapidly emerging as an alternative to conventional endoscopic thyroidectomy for thyroid carcinoma. Robot techniques incorporate the advantages of endoscopic procedures while overcoming some of the problems. We present the largest multi-institution clinical study of robotic thyroidectomy for thyroid carcinomas. The robotic thyroidectomy involved gasless transaxillary approach using the da Vinci surgical robot system. Methods We reviewed a database of 1,043 consecutive patients with low-risk differentiated thyroid carcinoma who underwent robotic thyroidectomy between October 2007 and August 2009. Operations were performed by five surgeons at four academic centers. We analyzed perioperative, clinical, and pathological data. Results The study involved 71 men and 972 women, with a mean age of 39 (range, 15-70) years. All operations were performed successfully without any need for conventional open or endoscopic conversion. There were 366 total thyroidectomies and 677 subtotal thyroidectomies with cervical lymph node dissection. The mean overall operation time and console time were 132.4 and 63.9 min, respectively. There were ten (1%) major postoperative morbidities. The mean tumor size was 0.8 (range, 0.1-6.0) cm, and the mean number of retrieved central lymph nodes was 5.1 ± 3.8 (range, 0-26). The mean postoperative hospital stay was 2.9 (range, 1-8) days. Conclusions Robotic thyroidectomy using gasless transaxillary method was feasible, safe, and provided good outcomes for patients with differentiated thyroid carcinoma. Robotic technology overcame some technical limitations associated with conventional endoscopy.

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Section: Discussionmentioning

confidence: 97%

“…The surgical techniques for robotic thyroidectomy with our approach have been described in detail elsewhere [11][12][13].…”

Section: Surgical Techniquementioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Perioperative clinical outcomes after robotic thyroidectomy for thyroid carcinoma: a multicenter study

et al. 2010

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“…A 3-dimensional stable and magnified image, instruments with seven degrees of freedom, gasless technique… are some of the crucial advantages of the addition of robot to surgery, especially thyroid and neck surgery, interventions with small working space. In fact, in 2009, the team of Professor Chung introduced the transaxillary robotic thyroidectomy (19).…”

Section: The Robotic Eramentioning

confidence: 99%

Gasless trans-axillary robotic thyroidectomy: the introduction and principle

Aïdan

Bechara

2017

Gland Surg.

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A historic review of the main stages of evolution of the minimally-invasive techniques in thyroid surgery. The endoscopic era is divided into direct and indirect approaches. Examples are the minimally invasive video-assisted thyroidectomy (MIVAT) and the minimally invasive lateral approach. The indirect approach is divided into transaxillary and chest/breast incisions. A brief historic review of the advent of robots to the medical and mainly surgical field. And finally, an introduction to transaxillary robotic thyroidectomy.

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Transaxillary Gasless Robotic Thyroidectomy<subtitle>A Single Surgeon's Experience in North America</subtitle>

Kandil¹

2012

Arch Otolaryngol Head Neck Surg

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We have demonstrated the technique to be feasible, safe, and applicable for patients with thyroid disease. We believe that the use of robotic technology for endoscopic thyroid surgical procedures could overcome the limitations of conventional endoscopic surgical procedures in the surgical management of thyroid disease. To our knowledge, this is the first reported large series using this novel technique in the United States.

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Robot-assisted endoscopic surgery for thyroid cancer: experience with the first 100 patients

Cited by 356 publications

References 29 publications

Perioperative clinical outcomes after robotic thyroidectomy for thyroid carcinoma: a multicenter study

Perioperative clinical outcomes after robotic thyroidectomy for thyroid carcinoma: a multicenter study

Gasless trans-axillary robotic thyroidectomy: the introduction and principle

Transaxillary Gasless Robotic Thyroidectomy<subtitle>A Single Surgeon's Experience in North America</subtitle>

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