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Published on: September 15, 2023
Robotic thyroid surgery using bilateral axillo-breast approach: From a trainees' point of view
Gyan Chand1, Jin Wook Yi2, Goonj Johri3
1Department of Endocrine Surgery, SGPGIMS, Lucknow, Uttar Pradesh, India.
Background:
Across surgical disciplines, the demand for cosmetically superior procedures is stronger than ever and patient-centered health care has become the standard of care. Endoscopic thyroidectomy has revolutionized the field of minimal access endocrine surgery and akin to other surgical disciplines, there has been a natural progression towards robot-assisted thyroidectomy. Amongst the many described approaches, bilateral axillo-breast approach (BABA) and transaxillary are most widely practiced.
Aims And Objectives:
Our aim was to describe the technique of robot-assisted thyroid surgery (RATS) using BABA.
Methods:
This is based on the corresponding authors' training and experience of over 50 cases of RATS using BABA, at the Seoul National University, Republic of Korea.
Results:
Post-operative outcomes were excellent with lesser pain, better cosmesis and similar oncological outcomes in carefully selected thyroid cancers in comparison to conventional thyroidectomy.
Conclusion:
RATS using BABA is easy to master for endoscopic thyroid surgeons and offers excellent postoperative outcomes, ergonomics, vision and dexterity.
