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Gasless transoral robotic thyroidectomy using the DaVinci SP system: Feasibility, safety, and operative technique

Authors
 Young Min Park  ;  Da Hee Kim  ;  Young Min Moon  ;  Jae Yol Lim  ;  Eun Chang Choi  ;  Se-Heon Kim  ;  F. Christopher Holsinger  ;  Yoon Woo Koh 
Citation
 ORAL ONCOLOGY, Vol.95 : 136-142, 2019 
Journal Title
 ORAL ONCOLOGY 
ISSN
 1368-8375 
Issue Date
2019
Keywords
DaVinci SP ; Gasless transoral thyroidectomy ; Vestibular approach
Abstract
BACKGROUND: Transoral robotic thyroidectomy (TORT) is an ideal method for minimally invasive thyroidectomy, as there is less flap dissection during the procedure and no postoperative scars. However, this method also has the limitation of present DaVinci system and some technical problems related to CO2 gas insufflation that must be resolved. We investigated the feasibility and safety of gasless TORT using the latest version of the DaVinci system (SP). METHODS: From October 2018 to January 2019, we performed 10 surgeries of gasless TORT using the DaVinci SP at Yonsei University Hospital. RESULTS: Nine patients underwent unilateral thyroid lobectomy and one patient received total thyroidectomy. All operations were successfully completed. Nine cases had papillary thyroid carcinoma, and one had benign nodules. The mean surgical time was 177 min, and the mean hospital stay was 6.3 days. There were no reports of transient or permanent vocal cord palsy, recurrence, or mortality during the follow-up period. Temporary hypoesthesia of the chin due to mental nerve injury was observed in 3 of 10 patients, but it recovered spontaneously within 1 months in all cases. CONCLUSIONS: Gasless TORT using the DaVinci SP system is feasible and safe for selected patients and is a potential alternative approach for scarless thyroid surgery.
Full Text
https://www.sciencedirect.com/science/article/pii/S1368837519301915
DOI
10.1016/j.oraloncology.2019.06.003
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Koh, Yoon Woo(고윤우)
Kim, Da Hee(김다희) ORCID logo https://orcid.org/0000-0001-7286-1334
Kim, Se Heon(김세헌)
Park, Young Min(박영민) ORCID logo https://orcid.org/0000-0002-7593-8461
Lim, Jae Yol(임재열) ORCID logo https://orcid.org/0000-0002-9757-6414
Choi, Eun Chang(최은창)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/174793
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