Gasless transoral robotic thyroidectomy using the DaVinci SP system

Feasibility, safety, and operative technique

Young Min Park, Da Hee Kim, Young Min Moon, Jae Yol Lim, Eun Chang Choi, Se Heon Kim, F. Christopher Holsinger, Yoonwoo Koh

Research output: Contribution to journalArticle

Abstract

Background: Transoral robotic thyroidectomy (TORT) is an ideal method for minimally invasive thyroidectomy, as there is less flap dissection during the procedure and no postoperative scars. However, this method also has the limitation of present DaVinci system and some technical problems related to CO2 gas insufflation that must be resolved. We investigated the feasibility and safety of gasless TORT using the latest version of the DaVinci system (SP). Methods: From October 2018 to January 2019, we performed 10 surgeries of gasless TORT using the DaVinci SP at Yonsei University Hospital. Results: Nine patients underwent unilateral thyroid lobectomy and one patient received total thyroidectomy. All operations were successfully completed. Nine cases had papillary thyroid carcinoma, and one had benign nodules. The mean surgical time was 177 min, and the mean hospital stay was 6.3 days. There were no reports of transient or permanent vocal cord palsy, recurrence, or mortality during the follow-up period. Temporary hypoesthesia of the chin due to mental nerve injury was observed in 3 of 10 patients, but it recovered spontaneously within 1 months in all cases. Conclusions: Gasless TORT using the DaVinci SP system is feasible and safe for selected patients and is a potential alternative approach for scarless thyroid surgery.

Original languageEnglish
Pages (from-to)136-142
Number of pages7
JournalOral Oncology
Volume95
DOIs
Publication statusPublished - 2019 Aug 1

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Thyroidectomy
Robotics
Safety
Thyroid Gland
Vocal Cord Paralysis
Chin
Insufflation
Hypesthesia
Postoperative Care
Operative Time
Cicatrix
Dissection
Length of Stay
Gases
Recurrence
Mortality
Wounds and Injuries

All Science Journal Classification (ASJC) codes

  • Oral Surgery
  • Oncology
  • Cancer Research

Cite this

Park, Young Min ; Kim, Da Hee ; Moon, Young Min ; Lim, Jae Yol ; Choi, Eun Chang ; Kim, Se Heon ; Holsinger, F. Christopher ; Koh, Yoonwoo. / Gasless transoral robotic thyroidectomy using the DaVinci SP system : Feasibility, safety, and operative technique. In: Oral Oncology. 2019 ; Vol. 95. pp. 136-142.
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Gasless transoral robotic thyroidectomy using the DaVinci SP system : Feasibility, safety, and operative technique. / Park, Young Min; Kim, Da Hee; Moon, Young Min; Lim, Jae Yol; Choi, Eun Chang; Kim, Se Heon; Holsinger, F. Christopher; Koh, Yoonwoo.

In: Oral Oncology, Vol. 95, 01.08.2019, p. 136-142.

Research output: Contribution to journalArticle

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AU - Park, Young Min

AU - Kim, Da Hee

AU - Moon, Young Min

AU - Lim, Jae Yol

AU - Choi, Eun Chang

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AU - Holsinger, F. Christopher

AU - Koh, Yoonwoo

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