Comparison Study of Robotic Thyroidectomies Through a Bilateral Axillo-Breast Approach and a Transoral Approach

Chae, Sumin; Min, Sun Young; Park, Won Seo

doi:10.1089/lap.2019.0585

Cited by 23 publications

(19 citation statements)

References 18 publications

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“…This is despite the nding that an anterior cervical neck scar can negatively impact patient quality of life. Many extra-cervical approaches to the thyroid have been described to circumvent anterior neck scarring, including the transaxillary, robotic-facelift, and transoral endoscopic vestibular approaches [12][13][14][15]. These incisions are only subtle and not truly scar-free.…”

Section: Discussionmentioning

confidence: 99%

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A Comparative Study of Two Robotic Thyroidectomy Procedures: Transoral Vestibular Versus Bilateral Axillary-Breast Approach

Zhu

et al. 2022

Preprint

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Objective: To compare the surgical outcomes between the transoral-vestibular robotic thyroidectomy (TOVRT) and bilateral axillo-breast approach robotic thyroidectomies (BABART).Methods: A total of 99 patients with papillary thyroid carcinoma without distant metastasis were enrolled in this study from May 2020 to April 2021. 99 patients had received an ultrasound guided fine needle aspiration prior to surgical intervention so the appropriate procedure can be planned. 49 patients underwent TOVRT, and another 50 patients underwent BABART. We performed TOVRT using three intraoral ports or adding the right axillary fold incision to enhance fine countertraction of tissue for radical oncological dissection. The clinical data such as age, gender, height, weight, BMI, primary tumor size, number of central lymph node removed, central lymph node metastasis, operating time, total hospital stays, postoperative hospital stays, total postoperative drainage volume, postoperative pain score, cosmetic effect and complications were observed and analyzed. Results: There were no significant differences in gender, height, weight, BMI and removed central lymph nodes between the two groups (all P > 0.05). Lobectomy or total thyroidectomy with central lymph node dissection using two different robotic thyroidectomy approaches were performed in 99 cases. In all cases, we used intraoperative neuro-monitoring system and confirmed that all RLNs were preserved. All patients had papillary thyroid carcinomas (PTC)． Patients accepted TOVRT were younger than who accepted BABART and patients who accepted TOVRT had smaller primary tumor size. The TOVRT group had a longer surgical time than the BABART group, and was superior in postoperative drainage volume and cosmetic effect (visual analogue scale, VAS)(all P < 0.05). There was no significant difference in lymph node metastasis, hospital stay and postoperative pain score (numerical rating scale, NRS) between the two groups (P > 0.05). However, there were some peculiar complications such as paresthesia of the lower lip and the chin (one case), surgical site infection (one case) and skin burn (one case) in transoral thyroidectomy. Conclusion: Transoral-vestibular robotic thyroidectomy is safe and feasible for selected patients, which is a potential alternative approach for patients who require no scarring of the neck.

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Section: Discussionmentioning

confidence: 99%

“…2.5 Operative procedure of transoral-vestibular robotic thyroidectomy [12][13] The patient' position and orotracheal intubation were shown in Fig. 2, with neck extended and lower limbs separated.…”

Section: Preoperative Preparation Of Transoral-vestibular Robotic Thy...mentioning

confidence: 99%

A Comparative Study of Two Robotic Thyroidectomy Procedures: Transoral Vestibular Versus Bilateral Axillary-Breast Approach

Zhu

et al. 2022

Preprint

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“…Thyroidectomy involves the excision of the thyroid gland in the anterior neck for treatment of benign and malignant disorders. This procedure can be performed in various manners including open non-robotic approaches or through minimally invasive techniques with a robotic platform [18]. Furthermore, the surgical steps and anatomy have little variability between cases making it easier to compare between multiple trials.…”

Section: Procedures Selection and Animal Modelmentioning

confidence: 99%

From Bench to Bedside: The First Live Robotic Surgery on the dVRK to Enable Remote Telesurgery with Motion Scaling

Richter

Funk

Park

et al. 2021

2021 International Symposium on Medical Robotics (ISMR)

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Innovations from surgical robotic research rarely translates to live surgery due to the significant difference between the lab and a live environment. Live environments require considerations that are often overlooked during early stages of research such as surgical staff, surgical procedure, and the challenges of working with live tissue. One such example is the da Vinci Research Kit (dVRK) which is used by over 40 robotics research groups and represents an open-sourced version of the da Vinci® Surgical System. Despite dVRK being available for nearly a decade and the ideal candidate for translating research to practice on over 5,000 da Vinci® Systems used in hospitals around the world, not one live surgery has been conducted with it. In this paper, we address the challenges, considerations, and solutions for translating surgical robotic research from bench-to-bedside. This is explained from the perspective of a remote telesurgery scenario where motion scaling solutions previously experimented in a lab setting are translated to a live pig surgery. This study presents results from the first ever use of a dVRK in a live animal and discusses how the surgical robotics community can approach translating their research to practice.

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“…Recently, demand for decreased cosmetic burden in this highly visible region has driven the development of several remote‐access approaches to the central neck 3 . These include transaxillary, retroauricular, chest/breast, and transoral approaches 4‐15 …”

Section: Introductionmentioning

confidence: 99%

Preferences for thyroidectomy technique: Comparing traditional and transoral approaches

et al. 2021

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Background We investigated preferences between the transcervical and transoral thyroidectomy approach in the United States and Israel. Methods An online survey assessing scar attitudes and surgical preferences, in English and Hebrew, was distributed on http://thyca.com and other platforms. Results 928 and 339 responses from the United States and Israel cohorts, respectively, were analyzed. In both countries, individuals without prior thyroidectomy preferred a scarless approach when hypothetical risks equaled those of traditional thyroidectomy (77% United States, 76% Israel, p = 0.61). U.S. respondents without thyroidectomy had greater preference to avoid a scar and would pay more to do so than those with thyroidectomy (both p < 0.001). Many respondents with prior thyroidectomy still expressed interest in scarless alternatives (57% United States). Conclusions Populations in Israel and the United States prefer scarless thyroidectomy when risks equal the traditional approach. While individuals without prior thyroidectomy are more likely to favor a scarless option, former thyroidectomy patients may have preferred avoiding a scar.

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Comparison Study of Robotic Thyroidectomies Through a Bilateral Axillo-Breast Approach and a Transoral Approach

Cited by 23 publications

References 18 publications

A Comparative Study of Two Robotic Thyroidectomy Procedures: Transoral Vestibular Versus Bilateral Axillary-Breast Approach

A Comparative Study of Two Robotic Thyroidectomy Procedures: Transoral Vestibular Versus Bilateral Axillary-Breast Approach

From Bench to Bedside: The First Live Robotic Surgery on the dVRK to Enable Remote Telesurgery with Motion Scaling

Preferences for thyroidectomy technique: Comparing traditional and transoral approaches

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