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Bilateral robotic-assisted transaxillary surgery.

Christine S Landry¹, Elizabeth G Grubbs, Nancy D Perrier

¹Section of Surgical Endocrinology, Department of Surgical Oncology, University of Texas M. D. Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX 77030, USA.

Archives of Surgery (Chicago, Ill. : 1960)

|August 18, 2010

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Robotic-assisted transaxillary surgery (RATS) is a feasible approach for total thyroidectomy in the United States. This case report demonstrates successful bilateral RATS for thyroid gland removal without complications.

Area of Science:

Surgical Oncology
Endocrine Surgery
Robotic Surgery

Background:

Minimally invasive techniques are increasingly explored for thyroidectomies.
Transaxillary approaches offer a scarless alternative for thyroid gland removal.
Robotic assistance enhances precision and dexterity in minimally invasive procedures.

Purpose of the Study:

To report the feasibility of robotic-assisted transaxillary surgery (RATS) for total thyroidectomy in the United States.
To document the successful application of bilateral RATS for thyroid gland removal in a clinical case.

Main Methods:

A case report detailing a 53-year-old woman undergoing thyroid surgery.
The procedure involved a total thyroidectomy using a transaxillary approach with robotic assistance.

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Bilateral robotic-assisted transaxillary surgery was employed for completion thyroidectomy.

Main Results:

Robotic-assisted transaxillary surgery was successfully utilized for right thyroid lobectomy to remove a Hurthle cell neoplasm.
Final pathology confirmed minimally invasive follicular thyroid carcinoma.
Completion thyroidectomy via left-sided RATS was performed without any complications.

Conclusions:

Bilateral robotic-assisted transaxillary surgery is a feasible option for total thyroidectomy in appropriately selected patients.
This represents the first reported instance of this technique's application in the United States.
RATS provides a viable, minimally invasive surgical solution for thyroid gland removal.