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Robotic Transaxillary Hemithyroidectomy Using the da Vinci SP Robotic System: Initial Experience With 10 Consecutive

Kwangsoon Kim1, Sang-Wook Kang2, Jin Kyong Kim2

  • 1The Catholic University of Korea, Seoul, Korea.

Surgical Innovation
|March 5, 2020
PubMed
Summary

This study introduces a new robotic transaxillary thyroidectomy technique using the da Vinci SP system, minimizing invasiveness. The novel approach proved safe and feasible for papillary thyroid carcinoma patients.

Keywords:
da Vinci SP robotic systemrobotic surgerythyroidectomytransaxillary

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Area of Science:

  • Minimally Invasive Surgery
  • Robotic Surgery
  • Endocrine Surgery

Background:

  • Robotic thyroidectomy is feasible and safe, but concerns exist regarding invasiveness due to extensive flap dissection.
  • Minimizing surgical dissection is crucial for improving patient outcomes in thyroidectomy procedures.

Purpose of the Study:

  • To introduce a novel robotic transaxillary thyroidectomy technique using the da Vinci SP robotic system.
  • To evaluate the feasibility and safety of this minimally invasive approach by minimizing dissection extent.

Main Methods:

  • Ten patients with papillary thyroid carcinoma underwent robotic transaxillary thyroidectomy using the da Vinci SP system.
  • Procedures were performed between December 2018 and April 2019 at Yonsei University Hospital.
  • Both gasless and gas insufflation methods were utilized and compared.

Main Results:

  • All ten procedures were successfully completed using the single-port robotic system.
  • The mean operative time was 148.7 minutes; the gasless method was faster (130.5 min) than gas insufflation (176.0 min).
  • All patients were discharged on postoperative day three without complications.

Conclusions:

  • Robotic transaxillary thyroidectomy with the da Vinci SP system is technically feasible and safe.
  • This technique offers a short incision length, potentially reducing invasiveness compared to prior methods.
  • This is the first reported use of a single-port robotic system for thyroidectomy, warranting further clinical trials.