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Single-Port Transaxillary Robotic Modified Radical Neck Dissection (STAR-RND): Initial Experiences
Joon Ho1, Donggyu Kim1, Ji-Eun Lee1
1Department of Surgery, Severance Hospital, Yonsei Cancer Center, Yonsei University College of Medicine, Seoul, South Korea.
Objectives:
This study aimed to demonstrate the usefulness of single-port transaxillary robotic modified radical neck dissection (STAR-RND) for metastatic thyroid cancer, and its potential to make small and invisible surgical wounds possible compared to open modified radical neck dissection.
Methods:
Between January 2020 and July 2021, 30 thyroid cancer patients who underwent lateral neck dissection surgery with the da Vinci SP at Yonsei University Health System (Seoul, Korea) were studied.
Results:
All 30 patients, diagnosed with papillary thyroid cancer were women. The average operating time was 293.80 ± 36.58 (min), and the average postoperative hospital stay was 4.77 ± 0.57 (days). All patients were discharged after the expected number of hospitalization days without major complications.
Conclusion:
STAR-RND is technically feasible and safe with a short length of the incision. To our knowledge, this is the first report on the use of a single-port robotic system for modified radical neck dissection. LEVEL OF EVIDENCE BY USING 2011 OCEBM: 4 Laryngoscope, 133:709-714, 2023.
Insights
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.
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.
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