Robot-Assisted Neck Dissection Through a Modified Facelift Incision

Albergotti, William Greer; Byrd, J. Kenneth; Nance, Melonie A.; Choi, Eun Chang; Koh, Yoon Woo; Kim, Seungwon; Duvvuri, Umamaheswar

doi:10.1177/0003489415601127

Cited by 26 publications

(29 citation statements)

References 29 publications

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“…Following this, Kim et al combined the facelift and transaxillary approach to perform neck dissections in head and neck squamous cell carcinoma. Multiple case series and comparative studies, primarily out of South Korea, subsequently highlighted the feasibility of nodal dissection through robotic transaxillary, retroauricular, and modified facelift approaches . Despite the embrace of this technology in East Asia, studies remain limited in the head and neck surgical literature.…”

Section: Introductionmentioning

confidence: 99%

Robotic versus conventional neck dissection: A systematic review and meta‐analysis

et al. 2018

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Objective: The aim of this systematic review is to compare the perioperative outcomes of robotic versus conventional neck dissection in patients with head and neck malignancy.Methods: An electronic search of PubMed, Web of Science, and EMBASE databases was conducted. We included studies with direct comparisons of robotic and open neck dissections and performed dual, independent data extraction for primary outcomes of nodal yield, recurrence rate, subjective cosmetic assessment, operative time, length of stay, and rates of perioperative complications. Data were pooled using random effects meta-analysis to determine the standardized mean difference (SMD), absolute risk difference (RD), and 95% confidence intervals (CI).Results: Eleven comparative studies comprising 225 robotic and 430 open neck dissections met the final selection criteria. All studies had low to moderate risk of bias. Robotic surgery improved cosmesis (SMD 1.15, 95% CI 0.73 to 1.56) but also increased operative time (SMD 1.94, 95% CI 1.25 to 2.63). Total nodal yield, pathological nodal yield, recurrence rate, rates of perioperative complications, and length of stay were not significantly different between the two groups, and the 95% CIs suggested that false negative results were unlikely. The results remained consistent after stratification by pathology and robotic technique.Conclusion: Although robotic neck dissection may offer similar perioperative outcomes compared to conventional neck dissection, it requires significantly more operative time. Whereas cosmesis was found to be superior among the robotic cohort, this must be viewed cautiously given the nonvalidated measurement tool that was used and the inherent reporting bias associated with it.

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Section: Introductionmentioning

confidence: 99%

Robotic versus conventional neck dissection: A systematic review and meta‐analysis

et al. 2018

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“…7,8) Terris and Singer 7) and Terris 8) developed a facelift approach for robotic thyroid lobectomy appropriate; this approach reduces the area dissected and allows head-and -neck surgeons to work with a familiar anatomy. Albergotti, et al 5) and Kim,et al 6) recently described the safety and utility of robot-assisted neck dissection using a facelift approach. 5,6) Until recently, we also performed robotic or endoscopic thyroid surgery via a facelift approach, but changed to transoral endoscopic surgery in 2016.…”

Section: Discussionmentioning

confidence: 99%

“…Albergotti, et al 5) and Kim,et al 6) recently described the safety and utility of robot-assisted neck dissection using a facelift approach. 5,6) Until recently, we also performed robotic or endoscopic thyroid surgery via a facelift approach, but changed to transoral endoscopic surgery in 2016. 9,10) The principal limitations of the facelift approach are the poor surgical view and lack of space in which to safely resect the contralateral thyroid lobe.…”

Section: Discussionmentioning

confidence: 99%

“…2D). We performed MRND (II-V) via a facelift incision using the Da Vinci S system; the procedural details were similar to those of Albergotti, et al 5) and Kim, et al 6) All important anatomical structures, such as the great auricular, vagus, spinal accessory, and phrenic nerves, the brachial plexus, and the major vessels, were identified and preserved. The total operative time was approximately 300 min.…”

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confidence: 99%

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A Case of Transoral Endoscopic Thyroidectomy Combined with Facelift Modified Radical Neck Dissection

Lee¹,

Kim²,

Park³

2019

Korean J Otorhinolaryngol-Head Neck Surg

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We recently experienced a case of transoral endoscopic thyroidectomy combined with a modified radical neck dissection (MRND) using a facelift approach in a patient with keloid-prone skin. A 35-year-old female was diagnosed with a papillary thyroid carcinoma, which was 1.2 cm in diameter and showed level II-III lateral cervical metastases. The patient required total thyroidectomy and MRND; however, she was concerned about the neck incision because she had keloid-prone skin. We first performed a transoral, endoscopic total thyroidectomy combined with bilateral central node dissection via a tri-vestibular approach, and then followed it by MRND (II-V) using a facelift approach with the Da Vinci robotic system. We noted no significant complications, such as vocal cord palsy, hypoparathyroidism, or permanent loss of the lower lip or auricle. This new method of combining transoral and facelift approaches will be useful for patients with small thyroid cancers and lateral neck metastases.Korean J Otorhinolaryngol-Head Neck Surg 2019;62(6):343-6 Key WordsZZEndoscopic ㆍMinimally invasive ㆍThyroidectomy ㆍTransoral.

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“…Various approaches have been proposed for the application of robotic surgery to the neck [ 22 – 24 ]. Since robotic cervical surgery using MFI was reported by Koh et al [ 10 ], the usefulness of this approach has been affirmed, and even the cervical lymphadenectomy, is now being performed using a robot [ 25 – 28 ]. In this case, enough space was secured for robot operation during the approach using MFI, leaving a scar which was largely concealed by hair.…”

Section: Discussionmentioning

confidence: 99%

Robot-assisted submandibular gland excision via modified facelift incision

Jung

Kim

Hoon

et al. 2017

Maxillofac Plast Reconstr Surg

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BackgroundThe conventional transcervical resection for submandibular gland disease has some risks and an unsatisfactory cosmetic result. Recently, robot-assisted surgery has been developed as a plausible substitute for conventional surgery which provides an excellent cosmetic outcome.Case presentationThe authors performed robot-assisted sialadenectomy via modified facelift incision using the da Vinci Xi surgical system (Intuitive Surgical Inc., CA, USA) with two endowrist arms (monopolar curved scissors and Maryland bipolar forceps) successfully in a 44-year-old female patient who suffered from sialolith and severe atrophic submandibular gland.ConclusionsIf similar studies are done in the future, this robot-assisted sialadenectomy may become established as an alternative to existing disadvantageous surgical methods.

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Robot-Assisted Neck Dissection Through a Modified Facelift Incision

Cited by 26 publications

References 29 publications

Robotic versus conventional neck dissection: A systematic review and meta‐analysis

Robotic versus conventional neck dissection: A systematic review and meta‐analysis

A Case of Transoral Endoscopic Thyroidectomy Combined with Facelift Modified Radical Neck Dissection

Robot-assisted submandibular gland excision via modified facelift incision

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