0 385

Cited 232 times in

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

Authors
 Sang-Wook Kang  ;  Jong Ju Jeong  ;  Ji-Sup Yun  ;  Tae Yon Sung  ;  Seung Chul Lee  ;  Yong Sang Lee  ;  Kee-Hyun Nam  ;  Hang Seok Chang  ;  Woong Youn Chung  ;  Cheong Soo Park 
Citation
 SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, Vol.23(11) : 2399-2406, 2009 
Journal Title
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
ISSN
 0930-2794 
Issue Date
2009
MeSH
Adolescent ; Adult ; Aged ; Cohort Studies ; Female ; Follow-Up Studies ; Humans ; Length of Stay ; Male ; Middle Aged ; Minimally Invasive Surgical Procedures/instrumentation ; Minimally Invasive Surgical Procedures/methods ; Neoplasm Staging ; Pain, Postoperative/physiopathology ; Postoperative Complications/epidemiology ; Postoperative Complications/physiopathology ; Probability ; Robotics/methods* ; Thyroid Neoplasms/pathology ; Thyroid Neoplasms/surgery* ; Thyroidectomy/adverse effects ; Thyroidectomy/methods* ; Treatment Outcome ; Young Adult
Keywords
Endoscopic thyroid surgery ; Gasless ; Robot-assisted ; Thyroid cancer ; Transaxillary approach
Abstract
BACKGROUND: Various robotic surgical procedures have been performed in recent years, and most reports have proved that the application of robotic technology for surgery is technically feasible and safe. This study aimed to introduce the authors' technique of robot-assisted endoscopic thyroid surgery and to demonstrate its applicability in the surgical management of thyroid cancer. METHODS: From 4 October 2007 through 14 March 2008, 100 patients with papillary thyroid cancer underwent robot-assisted endoscopic thyroid surgery using a gasless transaxillary approach. This novel robotic surgical approach allowed adequate endoscopic access for thyroid surgeries. All the procedures were completed successfully using the da Vinci S surgical robot system. Four robotic arms were used with this system: a 12-mm telescope and three 8-mm instruments. The three-dimensional magnified visualization obtained by the dual-channel endoscope and the tremor-free instruments controlled by the robotic systems allowed surgeons to perform sharp and precise endoscopic dissections. RESULTS: Ipsilateral central compartment node dissection was used for 84 less-than-total and 16 total thyroidectomies. The mean operation time was 136.5 min (range, 79-267 min). The actual time for thyroidectomy with lymphadenectomy (console time) was 60 min (range, 25-157 min). The average number of lymph nodes resected was 5.3 (range, 1-28). No serious complications occurred. Most of the patients could return home within 3 days after surgery. CONCLUSIONS: The technique of robot-assisted endoscopic thyroid surgery using a gasless transaxillary approach is a feasible, safe, and effective method for selected patients with thyroid cancer. The authors suggest that application of robotic technology for endoscopic thyroid surgeries could overcome the limitations of conventional endoscopic surgeries in the surgical management of thyroid cancer
Full Text
http://link.springer.com/article/10.1007%2Fs00464-009-0366-x
DOI
10.1007/s00464-009-0366-x
Appears in Collections:
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)
Sung, Tae Yon(성태연)
Yun, Ji Sup(윤지섭)
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
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/105518
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse

Links