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Transaxillary robotic thyroid surgery: a preliminary European experience
Benjamin Lallemant1, Guillaume Chambon2, Camille Galy-Bernadoy1
1Department of Head and Neck Surgery, University Hospital of Nîmes, Nîmes, Montpellier, France ; University of Montpellier I, Sud de France, Montpellier, France.
European Thyroid Journal
|May 1, 2014
Summary
Robot-assisted endoscopic transaxillary thyroidectomy is feasible and safe in European patients, showing preliminary success with low complication rates. This robotic surgery approach offers a high level of patient satisfaction.
Area of Science:
- Minimally Invasive Surgery
- Surgical Oncology
- Robotic Surgery
Background:
- Robot-assisted endoscopic transaxillary thyroidectomy is an emerging surgical technique.
- Evaluation in European patient cohorts is needed.
- This study assesses the technique in a French university hospital.
Purpose of the Study:
- To evaluate the feasibility and preliminary outcomes of robot-assisted transaxillary thyroidectomy.
- To assess the safety and efficacy of this technique in European patients.
Main Methods:
- Retrospective review of 23 consecutive patients.
- Procedures performed between September 2010 and June 2012.
- Includes total thyroidectomies and lobectomies.
Main Results:
- All procedures were completed successfully with a mean operative time of 134 minutes.
- One case of internal jugular vein injury occurred; no persistent complications.
- Minor postoperative events in 5 patients; diagnoses included benign adenomas, thyroiditis, and Graves' disease.
Conclusions:
- Robot-assisted thyroid surgery is feasible and safe for selected European patients.
- The technique demonstrates infrequent minor complications.
- High patient satisfaction is achieved with this robotic approach.
