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Single-Port Transaxillary Robotic Modified Radical Neck Dissection (STAR-RND): Initial Experiences.

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Single-port transaxillary robotic modified radical neck dissection (STAR-RND) offers a safe and feasible approach for metastatic thyroid cancer, resulting in smaller, less visible incisions compared to traditional open surgery.

Keywords:
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Area of Science:

  • Surgical Oncology
  • Robotic Surgery
  • Head and Neck Surgery

Background:

  • Metastatic thyroid cancer often requires modified radical neck dissection.
  • Traditional open neck dissection can result in significant scarring.
  • Minimally invasive techniques are sought to improve cosmetic outcomes and patient recovery.

Purpose of the Study:

  • To evaluate the feasibility and usefulness of single-port transaxillary robotic modified radical neck dissection (STAR-RND) for metastatic thyroid cancer.
  • To compare the surgical wound characteristics of STAR-RND with open modified radical neck dissection.

Main Methods:

  • A retrospective study of 30 patients with papillary thyroid cancer who underwent STAR-RND using the da Vinci SP system.
  • Data collected included operating time, postoperative hospital stay, and complications.

Main Results:

  • All 30 patients were women diagnosed with papillary thyroid cancer.
  • Average operating time was 293.80 ± 36.58 minutes.
  • Average postoperative hospital stay was 4.77 ± 0.57 days, with no major complications.

Conclusions:

  • STAR-RND is technically feasible and safe for treating metastatic thyroid cancer.
  • This technique allows for short and less visible incisions.
  • This is the first report on the use of a single-port robotic system for modified radical neck dissection.