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Mixed Reality Assisted Radical Endoscopic Thyroidectomy

Mixed Reality Assisted Radical Endoscopic Thyroidectomy

Published on: January 31, 2025

Robot-assisted thyroidectomy with novel camera-port retractor.

Norihiko Ishikawa¹, Masahiko Kawaguchi, Hideki Moriyama

¹From the Department of General and Cardiothoracic Surgery, Kanazawa University, Kanazawa, Japan.

Innovations (Philadelphia, Pa.)

|December 10, 2013

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A novel camera-port (CP) retractor enhances gasless transaxillary robot-assisted thyroidectomy, offering excellent visualization and safe dissection. This instrument aids in avoiding nerve and vessel injury during robotic procedures.

Area of Science:

Robotic Surgery
Surgical Instrumentation
Endocrine Surgery

Background:

Robot-assisted thyroidectomy offers minimally invasive options.
Transaxillary approaches aim to reduce neck scarring.
Improved visualization and instrument maneuverability are crucial for thyroid surgery.

Purpose of the Study:

To describe a novel camera-port (CP) retractor for gasless transaxillary robot-assisted thyroidectomy.
To evaluate the efficacy and safety of the CP retractor in this procedure.

Main Methods:

Gasless transaxillary robot-assisted thyroidectomy was performed on 12 patients using the da Vinci Surgical System.
A novel CP retractor was utilized in all cases.
Maryland bipolar forceps and microbipolar forceps were employed for dissection, cutting, and coagulation.

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Main Results:

The CP retractor provided excellent visualization without robotic arm instrument interference.
The novel retractor was found to be useful and safe.
Bipolar instruments proved effective for robotic dissection around nerves.

Conclusions:

The novel CP retractor is a safe and effective instrument for gasless transaxillary robot-assisted thyroidectomy.
The use of bipolar instruments facilitates safe dissection around critical structures during robotic thyroid surgery.