Endoscopic Thyroidectomy With the da Vinci Robot System Using the Bilateral Axillary Breast Approach (BABA) Technique

Lee, Kyu Eun; Rao, Jaideepraj; Youn, Yeo-Kyu

doi:10.1097/sle.0b013e3181a4ccae

Cited by 220 publications

(197 citation statements)

References 7 publications

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“…The currently published series have a temporary RLN injury rate between 3 and 20 %, with permanent injury rates ranging between 0.7 and 1 % [25 • , 34,20,44,45,43,29,30,23]. The permanent rates are similar to rates for open surgery, where it is generally agreed that rates of less than 2 % are acceptable.…”

Section: Vocal Cord Paresismentioning

confidence: 72%

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Robotic Thyroid Surgery

Wharry

Stang

2012

Curr Surg Rep

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While thyroid surgery has been performed safely for nearly a century, the societal desire for a smaller and less visible surgical incision and consequent neck wound have become increasingly important for some patients. Within the last 5 years, thyroid surgical methods have been adapted by several groups to utilize robotic platform technology with the goal of achieving safe resection of the thyroid gland without a visible neck blemish. We review the currently published data regarding the use of surgical robotic platforms to perform remote access thyroid surgery. In particular, the currently described approaches, outcomes, complication profile, learning curve, and cost are examined. We also discuss the utility of the approach in populations of special interest to the endocrine surgeon, and a rational framework for adoption of the technology among surgeons interested in adding this technique to their armamentarium.

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Section: Vocal Cord Paresismentioning

confidence: 72%

“…Bilateral Axillary Breast Approach Lee et al [30] described a bilateral axillary and breast approach (BABA) of endoscopic thyroid surgery with the da Vinci robotic platform in 2009. Patients were selected with low-risk thyroid cancer, nodules with benign cytology up to 8 cm, and Grave's disease.…”

Section: Gasless Transaxillary Approachmentioning

confidence: 99%

Robotic Thyroid Surgery

Wharry

Stang

2012

Curr Surg Rep

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“…The use of robot techniques is new in the field of thyroid surgery. The few studies that have examined robotic thyroidectomy have involved only a small number of patients in a single center [9,[11][12][13][14][15]. Although other reports have demonstrated the safety and feasibility of robotic thyroidectomy, the present work is the first multicenter study to investigate this approach specifically for thyroid carcinoma treatment.…”

Section: Discussionmentioning

confidence: 97%

“…The few published studies in this field are relatively small [11][12][13][14]. Little is known regarding the efficacy and safety of this technique, especially during the time of its introduction into centers and during the surgeon ''learning'' phase.…”

mentioning

confidence: 99%

Perioperative clinical outcomes after robotic thyroidectomy for thyroid carcinoma: a multicenter study

et al. 2010

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Objectives Robotic thyroidectomy and lymph node dissection is rapidly emerging as an alternative to conventional endoscopic thyroidectomy for thyroid carcinoma. Robot techniques incorporate the advantages of endoscopic procedures while overcoming some of the problems. We present the largest multi-institution clinical study of robotic thyroidectomy for thyroid carcinomas. The robotic thyroidectomy involved gasless transaxillary approach using the da Vinci surgical robot system. Methods We reviewed a database of 1,043 consecutive patients with low-risk differentiated thyroid carcinoma who underwent robotic thyroidectomy between October 2007 and August 2009. Operations were performed by five surgeons at four academic centers. We analyzed perioperative, clinical, and pathological data. Results The study involved 71 men and 972 women, with a mean age of 39 (range, 15-70) years. All operations were performed successfully without any need for conventional open or endoscopic conversion. There were 366 total thyroidectomies and 677 subtotal thyroidectomies with cervical lymph node dissection. The mean overall operation time and console time were 132.4 and 63.9 min, respectively. There were ten (1%) major postoperative morbidities. The mean tumor size was 0.8 (range, 0.1-6.0) cm, and the mean number of retrieved central lymph nodes was 5.1 ± 3.8 (range, 0-26). The mean postoperative hospital stay was 2.9 (range, 1-8) days. Conclusions Robotic thyroidectomy using gasless transaxillary method was feasible, safe, and provided good outcomes for patients with differentiated thyroid carcinoma. Robotic technology overcame some technical limitations associated with conventional endoscopy.

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“…These include thyroidectomy through chest (6), breast (7), axillary (8,9), bilateral axillo-breast (10), and retroauricular (11) incisions. Also, robotic facelift thyroidectomy, a procedure that combines thyroidectomy with retroauricular facelift to achieve superior cosmesis, has been described (12).…”

Section: Introductionmentioning

confidence: 99%

Robotic and endoscopic transoral thyroidectomy: feasibility and description of the technique in the cadaveric model

et al. 2017

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Background: Numerous new approaches have been described over the years to improve the cosmetic outcomes of thyroid surgery. Transoral approach is a new technique that aims to achieve superior cosmetic outcomes by concealing the incision in the oral cavity.Methods: Transoral thyroidectomy through vestibular approach was performed in two institutions on cadaveric models. Procedure was performed endoscopically in one institution, while the robotic technique was utilized at the other.Results: Transoral thyroidectomy was successfully performed at both institutions with robotic and endoscopic techniques. All vital structures were identified and preserved.Conclusions: Transoral thyroidectomy has been performed in animal and cadaveric models, as well as in some clinical studies. Our initial experience indicates the feasibility of this approach. More clinical studies are required to elucidate its full utility.

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Endoscopic Thyroidectomy With the da Vinci Robot System Using the Bilateral Axillary Breast Approach (BABA) Technique

Cited by 220 publications

References 7 publications

Robotic Thyroid Surgery

Robotic Thyroid Surgery

Perioperative clinical outcomes after robotic thyroidectomy for thyroid carcinoma: a multicenter study

Robotic and endoscopic transoral thyroidectomy: feasibility and description of the technique in the cadaveric model

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