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Robotic thyroid surgery using a gasless, transaxillary approach and the da Vinci S system: the operative outcomes of 338 consecutive patients

 Sang-Wook Kang  ;  Seung Chul Lee  ;  So Hee Lee  ;  Kang Young Lee  ;  Jong Ju Jeong  ;  Yong Sang Lee  ;  Kee-Hyun Nam  ;  Hang Seok Chang  ;  Woong Youn Chung  ;  Cheong Soo Park 
 SURGERY, Vol.146(6) : 1048-1055, 2009 
Journal Title
Issue Date
Adolescent ; Adult ; Aged ; Female ; Humans ; Male ; Middle Aged ; Postoperative Complications/etiology ; Robotics/instrumentation ; Robotics/methods* ; Surgery, Computer-Assisted/adverse effects ; Surgery, Computer-Assisted/instrumentation ; Surgery, Computer-Assisted/methods* ; Thyroid Neoplasms/blood supply ; Thyroid Neoplasms/pathology ; Thyroid Neoplasms/surgery* ; Thyroidectomy/adverse effects ; Thyroidectomy/instrumentation ; Thyroidectomy/methods* ; Treatment Outcome ; Young Adult
BACKGROUND: Recently, robotic technology in the surgical area has gained wide popularity. However, in the filed of head and neck surgery, the applications of robotic instruments are problematic owing to spatial and technical limitations. The authors performed robot-assisted endoscopic thyroid operations in consecutive thyroid tumor patients using the newly introduced da Vinci S surgical system. Herein the authors describe the technique used and its utility for the operative management of thyroid tumors.

METHODS: From October 2007 to November 2008, 338 patients underwent robot-assisted endoscopic thyroid operations using a gasless, transaxillary approach. All procedures were successfully completed without conversion to an open procedure. Patient's clinicopathologic characteristics, operation types, operation times, the learning curve, and postoperative hospital stays and complications were evaluated.

RESULTS: The mean patient age was 40 years (range, 16-69) and the male to female ratio was 1:16.8. Two hundred and thirty-four patients underwent less than total and 104 underwent bilateral total thyroidectomy. Ipsilateral central compartment node dissection was conducted in all malignant cases. Mean operation time was 144.0 minutes (range, 69-347) and mean postoperative hospital stay was 3.3 days (range, 2-7). No serious postoperative complication occurred; there were 3 cases of recurrent laryngeal nerve injury and 1 of Horner's syndrome.

CONCLUSION: Our technique of robotic thyroid surgery using a gasless, transaxillary approach is feasible and safe in selected patients with a benign or malignant thyroid tumor.
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1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Sang Wook(강상욱) ORCID logo https://orcid.org/0000-0001-5355-833X
Nam, Kee Hyun(남기현) ORCID logo https://orcid.org/0000-0002-6852-1190
Park, Cheong Soo(박정수)
Lee, Kang Young(이강영)
Lee, So Hee(이소희)
Lee, Seung Chul(이승철)
Lee, Yong Sang(이용상) ORCID logo https://orcid.org/0000-0002-8234-8718
Chang, Hang Seok(장항석) ORCID logo https://orcid.org/0000-0002-5162-103X
Chung, Woong Youn(정웅윤)
Jeong, Jong Ju(정종주) ORCID logo https://orcid.org/0000-0002-4155-6035
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