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Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach

Published on: September 15, 2023

Robot-assisted transaxillary thyroidectomy: surgical technique.

Laurent Abramovici¹, César Cartier¹, Guillemette Pierre¹

¹Service d'ORL et Chirurgie Cervico-Faciale, CHU, Hôpital Gui-de-Chauliac, Université Montpellier 1, 80, avenue Augustin-Fliche, 34295 Montpellier cedex, France.

European Annals of Otorhinolaryngology, Head and Neck Diseases

|May 19, 2015

Summary

Robot-assisted transaxillary thyroid surgery offers a neck-incision-free approach for benign thyroid nodules. This technique details the specialized equipment, patient positioning, and surgical steps for robot-assisted lobectomy and isthmectomy.

Keywords:

Robot-assisted surgery Robotic Thyroidectomy Transaxillary

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Area of Science:

Minimally Invasive Surgery
Robotic Surgery
Endocrinology

Background:

Conventional thyroid surgery requires a neck incision, leading to visible scarring.
Transaxillary robotic surgery offers a potential alternative to minimize cosmetic impact.
Benign thyroid nodules are common and often require surgical intervention.

Purpose of the Study:

To describe the equipment, patient positioning, and surgical technique for robot-assisted transaxillary total thyroid lobectomy and isthmectomy.
To highlight the modifications required for robotic transaxillary thyroid surgery compared to conventional methods.

Main Methods:

The study details the specific robotic instruments and setup for the transaxillary approach.
Patient positioning and port placement are described for optimal surgical access.
The surgical technique for performing thyroid lobectomy and isthmectomy using the robot is outlined.

Main Results:

Robot-assisted transaxillary thyroid surgery successfully avoids a neck incision.
The procedure is applicable for moderately large unilateral benign nodules.
Key differences in patient positioning, incision, equipment, and technique are identified.

Conclusions:

Robot-assisted transaxillary thyroid surgery is a viable alternative for selected thyroidectomies.
This approach offers cosmetic benefits by eliminating neck scarring.
Further research may explore its application in a wider range of thyroid pathologies.