Related Experiment Video
Updated: Sep 14, 2025
04:01
Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
Published on: September 15, 2023
925
Bilateral axillo-breast approach robotic total thyroidectomy without isthmectomy: a case report
Hyeji Kim1, Hyeonuk Hwang1, Hyungju Kwon1
1Department of Surgery, Ewha Womans University College of Medicine, Seoul, Korea.
Ewha Medical Journal
|July 24, 2025
Summary
Bilateral axillo-breast approach (BABA) robotic thyroidectomy offers a scarless alternative to open surgery. This case study demonstrates its safety and feasibility for isthmic papillary thyroid carcinoma without dividing the thyroid isthmus.
Area of Science:
- Endocrinology
- Surgical Oncology
- Robotic Surgery
Background:
- Conventional open thyroidectomy results in visible neck scars.
- Bilateral axillo-breast approach (BABA) robotic thyroidectomy is a minimally invasive technique avoiding neck incisions.
- Dividing the thyroid isthmus is standard in BABA thyroidectomy but poses risks for isthmic tumors.
Observation:
- A case of BABA robotic total thyroidectomy was performed on a patient with isthmic papillary thyroid carcinoma.
- The thyroid isthmus was intentionally not divided during the procedure.
- The surgery was completed successfully.
Findings:
- BABA robotic thyroidectomy without dividing the isthmus is a feasible surgical option.
- This technique can be safely applied to select patients with isthmic papillary thyroid carcinoma.
- Minimizing manipulation of the isthmus may enhance safety in specific thyroid cancer cases.
Implications:
- This approach expands the application of BABA robotic surgery for thyroid cancer.
- It offers a cosmetic advantage for patients with isthmic thyroid malignancies.
- Further research may validate this modified technique for broader clinical use.
