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Robotic thyroidectomy using gas-insufflation one-step single-port transaxillary (GOSTA) approach
Da Young Yu1, Young Woo Chang2,3, Dohoe Ku1
1Department of Surgery, Korea University College of Medicine, Seoul, Republic of Korea.
Surgical Endoscopy
|September 25, 2023
Summary
The novel gas-insufflation one-step single-port transaxillary (GOSTA) robotic thyroidectomy is as safe and effective as the conventional transaxillary (CTA) approach. This minimally invasive GOSTA method simplifies the procedure without compromising patient outcomes.
Area of Science:
- Minimally Invasive Surgery
- Surgical Oncology
- Endocrine Surgery
Background:
- Robotic thyroidectomy offers potential benefits for minimally invasive procedures.
- Transaxillary approaches aim to reduce neck scarring.
- Evaluating novel techniques for improved surgical outcomes is crucial.
Purpose of the Study:
- To introduce and evaluate the gas-insufflation one-step single-port transaxillary (GOSTA) robotic thyroidectomy approach.
- To compare the GOSTA approach with the conventional transaxillary (CTA) robotic thyroidectomy using a retraction method.
- To assess intraoperative and postoperative outcomes for both surgical techniques.
Main Methods:
- Retrospective analysis of 354 patients undergoing robotic thyroidectomy (January 2019 - April 2023).
- 143 patients underwent the GOSTA approach (3 cm axillary incision, gas-insufflation, one-step, single-port, no retractor).
- 211 patients underwent the CTA approach. Comparative analysis focused on 100 GOSTA vs. 167 CTA thyroid lobectomy patients with differentiated thyroid cancer.
Main Results:
- No significant differences were observed in operative time between the GOSTA and CTA groups.
- Hospital stay duration showed no significant variation between the two approaches.
- Complication rates were comparable for patients undergoing GOSTA versus CTA robotic thyroidectomy.
Conclusions:
- The GOSTA robotic thyroidectomy approach is feasible and safe, comparable to the CTA method.
- The GOSTA approach enables thyroidectomy in a single step with a smaller incision, eliminating the need for a retractor.
- This technique may reduce the workload for surgical teams during robotic thyroidectomy.
