Transoral robotic thyroidectomy: a preclinical feasibility study using the da Vinci Xi platform

Area of Science:

• Robotic Surgery
• Endocrine Surgery
• Surgical Innovation

Background:

• Transoral thyroid surgery (TORT) provides scarless access to the thyroid gland and central neck compartments.
• This approach presents significant technical challenges.
• Advancements in robotic surgical systems are crucial for overcoming these challenges.

Purpose of the Study:

• To evaluate the feasibility and technical advantages of using the latest generation robotic surgical system for transoral robotic thyroidectomy (TORT).

Main Methods:

• The da Vinci Xi surgical system was utilized in two human cadavers.
• Procedures included total thyroidectomy and bilateral central neck dissection.
• Surgical execution was assessed based on the system's capabilities.

Main Results:

• Successful completion of total thyroidectomy and bilateral central neck dissection in both cadavers.
• The da Vinci Xi platform offered advantages such as overhead docking, narrower arms, and enhanced range of motion.
• These features facilitated improved execution of TORT techniques.

Conclusions:

• The latest generation robotic system is feasible for performing transoral robotic thyroidectomy (TORT).
• Technological advancements in robotic surgery enhance the execution of scarless thyroid procedures.
• This approach holds promise for improving outcomes in endocrine surgery.