Robotic thyroidectomy using gas-insufflation one-step single-port transaxillary (GOSTA) approach

Yu, Da Young; Chang, Young Woo; Ku, Dohoe; Ko, Seung Yeon; Lee, Hye Yoon; Son, Gil Soo

doi:10.1007/s00464-023-10435-w

Surg Endosc

2023

DOI: 10.1007/s00464-023-10435-w

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Robotic thyroidectomy using gas-insufflation one-step single-port transaxillary (GOSTA) approach

Da Young Yu,

Young Woo Chang,

Dohoe Ku

et al.

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2024

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Cited by 3 publications

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Current and Future of Robotic Surgery in Thyroid Cancer Treatment

Park,

Kim

2024

Cancers

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Thyroid cancer is among the most common endocrine malignancies, necessitating effective surgical interventions. Traditional open cervicotomy has long been the standard approach for thyroidectomy. However, the advent of robotic surgery has introduced new possibilities for minimally invasive procedures with benefits in terms of cosmetic outcomes, enhanced precision, comparable complication rates, and reduced recovery time. This study mainly reviewed the most widely used and well-known robotic thyroidectomy approaches: the transaxillary approach, the bilateral axillo–breast approach, and the transoral approach. This review examines the current status and future potential of robotic surgery in thyroid cancer treatment, comparing its efficacy, safety, and outcomes with those of conventional open cervicotomy. Challenges such as a longer operative time and higher costs exist. Future directions include technological advancements, tele-surgery, single-port surgery, and the integration of artificial intelligence. Robotic surgery holds promise in optimizing patient outcomes in thyroid cancer treatment.

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Current and Future of Robotic Surgery in Thyroid Cancer Treatment

Park,

Kim

2024

Cancers

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One-Year Clinical Experience of Single-Port and Multi-Port Robotic Thyroid Surgery in a Single Institution

Lee,

Hwang,

Shin

et al. 2024

JCM

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Background: With the advent of da Vinci SP, surgical methods using da Vinci SP are becoming popular in thyroid surgery. The authors previously reported on a new surgical method called the single-port robotic areolar (SPRA) approach, which evolved from the previous bilateral axillary breast approach (BABA). This paper reports a comparative analysis of SPRA and BABA over one year. Methods: The data on SPRA and BABA thyroid surgery performed at the authors’ hospital from December 2022 to December 2023 were analyzed. Results: 111 SPRA and 159 BABA surgeries were performed. SPRA was performed overwhelmingly on women (1 man vs. 110 women), and the body mass index (BMI) was lower in SPRA patients (23.63 ± 3.49 vs. 25.71 ± 4.39, p < 0.001). The proportion of total thyroidectomy was significantly higher in BABA patients, and a modified radical neck dissection (MRND) was only performed using the BABA method. The time for flap formation before robot docking was significantly shorter in SPRA patients (12.08 ± 3.99 vs. 18.34 ± 5.84 min, p < 0.001). Postoperative drain amount was also significantly lower in SPRA patients (53.87 ± 35.45 vs. 81.74 ± 30.26 mL, p < 0.001). Hospital stay after surgery was significantly shorter with SPRA (3.04 ± 0.48 vs. 3.36 ± 0.73 days, p < 0.001). Thyroglobulin levels after a total thyroidectomy (0.06 ± 0.13 vs. 0.45 ± 0.78, p = 0.002) and stimulated Tg level before the RAI (1.03 ± 0.74 vs. 5.01 ± 13.63, p = 0.046) were significantly lower in the SPRA group. No significant differences were observed between the two groups according to the postoperative complications, including vocal cord palsy and hypoparathyroidism. Conclusions: Based on the authors’ experience, SPRA is a less invasive robot thyroid surgery method than BABA.

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Single-Port Robotic Areolar Thyroidectomy: How I Do It

Shin,

Lee,

Hwang

et al. 2024

JSIE

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With the recent development of the da Vinci Single Port (SP) robotic surgical system, new surgical methods applying the da Vinci SP in thyroid surgery are being reported. We first reported a method known as single-port robotic areolar (SPRA) thyroidectomy in 2023, and we performed more than 100 SPRA thyroidectomies in a year. SPRA is a more minimally invasive method than the existing bilateral axillary breast approach method, as the subcutaneous flap area is reduced by more than 50%. Herein, we present a step-by-step description of the method of SPRA thyroidectomy.

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Robotic thyroidectomy using gas-insufflation one-step single-port transaxillary (GOSTA) approach

Cited by 3 publications

References 54 publications

Current and Future of Robotic Surgery in Thyroid Cancer Treatment

Current and Future of Robotic Surgery in Thyroid Cancer Treatment

One-Year Clinical Experience of Single-Port and Multi-Port Robotic Thyroid Surgery in a Single Institution

Single-Port Robotic Areolar Thyroidectomy: How I Do It

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