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Remote Access Robotic Facelift Thyroidectomy: A Multi-institutional Experience.

William S Duke1, F Christopher Holsinger2, Emad Kandil3

  • 1Department of Otolaryngology and Endocrinology, Augusta University Thyroid and Parathyroid Center, Augusta University, 1120 Fifteenth Street, BP-4109, Augusta, GA, 30912-4060, USA.

World Journal of Surgery
|October 15, 2016
PubMed
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This summary is machine-generated.

Robotic facelift thyroidectomy (RFT) is a safe and feasible surgical approach for selected patients, offering an alternative to visible neck scars. This multi-institutional study confirms its effectiveness in endocrine surgery practices.

Area of Science:

  • Endocrine Surgery
  • Minimally Invasive Surgery
  • Robotic Surgery

Background:

  • Robotic facelift thyroidectomy (RFT) emerged as a novel surgical technique for thyroid gland procedures.
  • This approach utilizes a remote incision site, aiming to minimize visible scarring.
  • Early promising outcomes prompted a multi-institutional validation study.

Purpose of the Study:

  • To evaluate the safety and feasibility of RFT in a larger patient cohort.
  • To analyze surgical indications, operative parameters, and patient outcomes.
  • To assess complication rates and postoperative management strategies associated with RFT.

Main Methods:

  • Prospective data collection from consecutive RFT patients across five North American academic endocrine surgery practices.

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  • Evaluation of surgical indications, operative times, final pathology, nodule size, and complications.
  • Analysis of postoperative management, including drain use and hospital stay duration.

    • Main Results:

    • 102 RFT procedures were performed on 90 patients (98.9% female, mean age 41.9 years).
    • Nodular disease was the primary indication (91.2%); 8.8% were completion thyroidectomies for cancer.
    • Mean largest nodule size was 1.9 cm; mean operative time was 162 minutes. No permanent complications, 3.9% transient recurrent laryngeal nerve weakness, 2.9% hematomas. 61.8% outpatient, 65.7% no drain.

    Conclusions:

    • Robotic facelift thyroidectomy is technically feasible and safe for carefully selected patients.
    • RFT offers a valuable option for patients seeking to avoid a visible cervical scar.
    • Further prospective studies comparing RFT with other remote access techniques are recommended.