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Robotic retroauricular thyroidectomy with additional axillary port: Early personal experiences
Seung Hoon Han1, Eun-Jae Chung1
1Department of Otorhinolaryngology-Head and Neck Surgery Seoul National University Hospital, Seoul National University College of Medicine Seoul Korea.
Laryngoscope Investigative Otolaryngology
|August 17, 2021
Summary
Adding an axillary port to robotic retroauricular thyroidectomy significantly reduces operation time. This novel approach is safe and feasible, offering easier dissection without compromising patient outcomes or cosmetic satisfaction.
Area of Science:
- Minimally Invasive Surgery
- Robotic Surgery
- Endocrine Surgery
Background:
- Robotic retroauricular thyroidectomy offers a scarless approach.
- The utility of an additional axillary port in this procedure requires further investigation.
Purpose of the Study:
- To evaluate the usefulness of an additional axillary port in robotic retroauricular thyroidectomy.
- To compare perioperative data and postoperative function with and without an axillary port.
Main Methods:
- Retrospective review of 11 patients undergoing robotic retroauricular thyroidectomy (2016-2021).
- Comparison of outcomes between patients with (n=6) and without (n=5) an additional axillary port.
- Analysis of operation time, drainage, hospital stay, complications, cosmetic satisfaction, and pain.
Main Results:
- The axillary port group had significantly shorter operation times (174.5 vs. 207.6 minutes, P=.033).
- No significant differences were observed in blood loss, drainage, or hospital stay.
- No significant differences in complications, pain, or cosmetic satisfaction at 2 and 6 weeks postoperatively.
Conclusions:
- Robotic retroauricular thyroidectomy with an additional axillary port is a safe and feasible technique.
- The fourth robotic arm enhances dissection ease by providing thyroid gland retraction.
- This approach shows promise for improved surgical efficiency.
