Gasless transaxnillary robot-assisted neck dissection: A preclinical feasibility study in four cadavers

Yoo Seob Shin, Hyun Jun Hong, Yoon Woo Koh, Woong Youn Chung, Hye Yeon Lee, Jae Min Hong, Chi Sang Hwang, Jae Won Chang, Eun Chang Choi

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Purpose: We hypothesized that comprehensive neck dissection could be achieved via a gasless transaxillary approach using a robotic system. We intended to evaluate the accessibility of level I, IIB and VA nodes with transaxillary robot-assisted neck dissection of four cadavers. Materials and Methods: Transaxillary robotic neck dissection was performed in four cadavers through a 7-cm longitudinal incision at the anterior axilla and a 0.8-cm-sized incision in the chest wall. Results: We successfully performed neck dissection from level II to V in all four cadavers. However, dissection of levels IIB and VA, which lie on the cephalic portion of the spinal accessory nerve, was difficult. Vital structures, including the internal jugular vein, carotid artery, vagus nerve, phrenic nerve, superior thyroid artery and hypoglossal nerve, were successfully identified and preserved. Conclusion: Our results demonstrate the feasibility of robot-assisted neck dissection using a transaxillary approach. We suggest that gasless, transaxillary robotic neck dissection is a promising technique for treating nodal metastasis in thyroid cancers or in selected squamous cell carcinomas of the head and neck. However, some modification of the approach might be needed when performing comprehensive neck dissections of all levels of the neck.

Original languageEnglish
Pages (from-to)193-197
Number of pages5
JournalYonsei medical journal
Volume53
Issue number1
DOIs
Publication statusPublished - 2012 Jan 1

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Neck Dissection
Feasibility Studies
Cadaver
Robotics
Accessory Nerve
Hypoglossal Nerve
Phrenic Nerve
Axilla
Vagus Nerve
Jugular Veins
Thoracic Wall
Thyroid Neoplasms
Carotid Arteries
Dissection
Thyroid Gland
Neck
Arteries
Head
Neoplasm Metastasis

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Shin, Yoo Seob ; Hong, Hyun Jun ; Koh, Yoon Woo ; Chung, Woong Youn ; Lee, Hye Yeon ; Hong, Jae Min ; Hwang, Chi Sang ; Chang, Jae Won ; Choi, Eun Chang. / Gasless transaxnillary robot-assisted neck dissection : A preclinical feasibility study in four cadavers. In: Yonsei medical journal. 2012 ; Vol. 53, No. 1. pp. 193-197.
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abstract = "Purpose: We hypothesized that comprehensive neck dissection could be achieved via a gasless transaxillary approach using a robotic system. We intended to evaluate the accessibility of level I, IIB and VA nodes with transaxillary robot-assisted neck dissection of four cadavers. Materials and Methods: Transaxillary robotic neck dissection was performed in four cadavers through a 7-cm longitudinal incision at the anterior axilla and a 0.8-cm-sized incision in the chest wall. Results: We successfully performed neck dissection from level II to V in all four cadavers. However, dissection of levels IIB and VA, which lie on the cephalic portion of the spinal accessory nerve, was difficult. Vital structures, including the internal jugular vein, carotid artery, vagus nerve, phrenic nerve, superior thyroid artery and hypoglossal nerve, were successfully identified and preserved. Conclusion: Our results demonstrate the feasibility of robot-assisted neck dissection using a transaxillary approach. We suggest that gasless, transaxillary robotic neck dissection is a promising technique for treating nodal metastasis in thyroid cancers or in selected squamous cell carcinomas of the head and neck. However, some modification of the approach might be needed when performing comprehensive neck dissections of all levels of the neck.",
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Shin, YS, Hong, HJ, Koh, YW, Chung, WY, Lee, HY, Hong, JM, Hwang, CS, Chang, JW & Choi, EC 2012, 'Gasless transaxnillary robot-assisted neck dissection: A preclinical feasibility study in four cadavers', Yonsei medical journal, vol. 53, no. 1, pp. 193-197. https://doi.org/10.3349/ymj.2012.53.1.193

Gasless transaxnillary robot-assisted neck dissection : A preclinical feasibility study in four cadavers. / Shin, Yoo Seob; Hong, Hyun Jun; Koh, Yoon Woo; Chung, Woong Youn; Lee, Hye Yeon; Hong, Jae Min; Hwang, Chi Sang; Chang, Jae Won; Choi, Eun Chang.

In: Yonsei medical journal, Vol. 53, No. 1, 01.01.2012, p. 193-197.

Research output: Contribution to journalArticle

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N2 - Purpose: We hypothesized that comprehensive neck dissection could be achieved via a gasless transaxillary approach using a robotic system. We intended to evaluate the accessibility of level I, IIB and VA nodes with transaxillary robot-assisted neck dissection of four cadavers. Materials and Methods: Transaxillary robotic neck dissection was performed in four cadavers through a 7-cm longitudinal incision at the anterior axilla and a 0.8-cm-sized incision in the chest wall. Results: We successfully performed neck dissection from level II to V in all four cadavers. However, dissection of levels IIB and VA, which lie on the cephalic portion of the spinal accessory nerve, was difficult. Vital structures, including the internal jugular vein, carotid artery, vagus nerve, phrenic nerve, superior thyroid artery and hypoglossal nerve, were successfully identified and preserved. Conclusion: Our results demonstrate the feasibility of robot-assisted neck dissection using a transaxillary approach. We suggest that gasless, transaxillary robotic neck dissection is a promising technique for treating nodal metastasis in thyroid cancers or in selected squamous cell carcinomas of the head and neck. However, some modification of the approach might be needed when performing comprehensive neck dissections of all levels of the neck.

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