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Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach
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Gasless trans-axillary robotic thyroidectomy: the introduction and principle
Patrick Aïdan1, Maroun Bechara1
1Head and Neck Department, American Hospital of Paris, Paris, France.
Gland Surgery
|July 18, 2017
Summary
This review traces the evolution of minimally invasive thyroid surgery, from endoscopic techniques like minimally invasive video-assisted thyroidectomy (MIVAT) to the emerging field of robotic surgery.
Area of Science:
- Surgical Innovation
- Endocrine Surgery
- Robotic Surgery
Background:
- Minimally invasive techniques have revolutionized thyroid surgery.
- Evolution includes direct endoscopic approaches and indirect incisions.
- Robotics represents the latest advancement in surgical procedures.
Purpose of the Study:
- To provide a historical overview of minimally invasive thyroid surgery.
- To detail the progression from endoscopic to robotic approaches.
- To introduce transaxillary robotic thyroidectomy.
Main Methods:
- Historical literature review.
- Analysis of key stages in surgical technique development.
- Categorization of endoscopic approaches (direct vs. indirect).
Main Results:
- Minimally invasive video-assisted thyroidectomy (MIVAT) and lateral approaches exemplify direct endoscopic methods.
- Indirect approaches utilize transaxillary or chest/breast incisions.
- Robotic surgery is introduced as a novel advancement.
Conclusions:
- The field of thyroid surgery has seen significant evolution towards less invasive methods.
- Robotic assistance offers new possibilities for minimally invasive thyroidectomy.
- Transaxillary robotic thyroidectomy is an emerging technique.
