Transoral robotic-assisted thyroidectomy with central neck dissection: preclinical cadaver feasibility study and proposed surgical technique

Richmon, Jeremy D.; Holsinger, F. Christopher; Kandil, Emad; Moore, Michael W.; Garcia, Jose Armando; Tufano, Ralph P.

doi:10.1007/s11701-011-0287-2

Cited by 100 publications

(68 citation statements)

References 14 publications

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“…In 2011, Richmon et al (18) modified this approach to avoid the floor of mouth route because rotation along the axis of the camera was restricted by the maxillary and mandibular dentition. This limitation, along with early reports of high complication rates with endoscopic thyroidectomy through the floor of mouth in live patients, made the sublingual approach particularly unattractive and it is now nearly completely abandoned in clinical practice.…”

Section: Historymentioning

confidence: 99%

Transoral robotic thyroidectomy (TORT): procedures and outcomes

Richmon

Kim

2017

Gland Surg.

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Remote-access approaches to the thyroid gland have seen a rapid evolution recently with the development of various techniques to minimize the cosmetic and quality-of-life impact of a visible scar. Most approaches have required significantly more tissue dissection and have been limited in their extent to treat contralateral disease. The transoral approach is the most recent iteration of "scarless" thyroidectomy and offers various advantages over other techniques including less tissue dissection, equal access to both sides of the neck, and a superb midline view of the anatomy. Transoral thyroidectomy may be performed with either laparoscopic or robotic technology, each with various advantages and disadvantages. Herein, we discuss our experience with transoral robotic thyroidectomy (TORT).

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Section: Historymentioning

confidence: 99%

Transoral robotic thyroidectomy (TORT): procedures and outcomes

Richmon

Kim

2017

Gland Surg.

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“…An interesting natural orifice transoral approach has been proposed in a pre-clinical cadaver study [35]. Three gingival buccal incisions are utilized.…”

Section: Transoralmentioning

confidence: 99%

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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“…Using a hybrid sublingual-buccal technique and the da Vinci surgical system (Intuitive Surgical Inc.), they successfully removed the thyroid gland without damage to the surrounding structures. Later same year, the same group described the technique for robotic-assisted transoral central lymph node dissection (18). For this study, instead of a hybrid sublingual-buccal technique, all three incisions were placed in the gingival-buccal sulcus.…”

Section: Review Of the Literaturementioning

confidence: 99%

Robotic and endoscopic transoral thyroidectomy: feasibility and description of the technique in the cadaveric model

et al. 2017

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Background: Numerous new approaches have been described over the years to improve the cosmetic outcomes of thyroid surgery. Transoral approach is a new technique that aims to achieve superior cosmetic outcomes by concealing the incision in the oral cavity.Methods: Transoral thyroidectomy through vestibular approach was performed in two institutions on cadaveric models. Procedure was performed endoscopically in one institution, while the robotic technique was utilized at the other.Results: Transoral thyroidectomy was successfully performed at both institutions with robotic and endoscopic techniques. All vital structures were identified and preserved.Conclusions: Transoral thyroidectomy has been performed in animal and cadaveric models, as well as in some clinical studies. Our initial experience indicates the feasibility of this approach. More clinical studies are required to elucidate its full utility.

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Transoral robotic-assisted thyroidectomy with central neck dissection: preclinical cadaver feasibility study and proposed surgical technique

Cited by 100 publications

References 14 publications

Transoral robotic thyroidectomy (TORT): procedures and outcomes

Transoral robotic thyroidectomy (TORT): procedures and outcomes

Robotic Thyroid Surgery

Robotic and endoscopic transoral thyroidectomy: feasibility and description of the technique in the cadaveric model

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