Robot-assisted endoscopic surgery for thyroid cancer: experience with the first 100 patients.

Sang Wook Kang, Jong Ju Jeong, Ji Sup Yun, Tae Yon Sung, Seung Chul Lee, Yong Sang Lee, Kee Hyun Nam, Hang-Seok Chang, Woong Youn Chung, Cheong Soo Park

Research output: Contribution to journalArticle

222 Citations (Scopus)

Abstract

BACKGROUND: Various robotic surgical procedures have been performed in recent years, and most reports have proved that the application of robotic technology for surgery is technically feasible and safe. This study aimed to introduce the authors' technique of robot-assisted endoscopic thyroid surgery and to demonstrate its applicability in the surgical management of thyroid cancer. METHODS: From 4 October 2007 through 14 March 2008, 100 patients with papillary thyroid cancer underwent robot-assisted endoscopic thyroid surgery using a gasless transaxillary approach. This novel robotic surgical approach allowed adequate endoscopic access for thyroid surgeries. All the procedures were completed successfully using the da Vinci S surgical robot system. Four robotic arms were used with this system: a 12-mm telescope and three 8-mm instruments. The three-dimensional magnified visualization obtained by the dual-channel endoscope and the tremor-free instruments controlled by the robotic systems allowed surgeons to perform sharp and precise endoscopic dissections. RESULTS: Ipsilateral central compartment node dissection was used for 84 less-than-total and 16 total thyroidectomies. The mean operation time was 136.5 min (range, 79-267 min). The actual time for thyroidectomy with lymphadenectomy (console time) was 60 min (range, 25-157 min). The average number of lymph nodes resected was 5.3 (range, 1-28). No serious complications occurred. Most of the patients could return home within 3 days after surgery. CONCLUSIONS: The technique of robot-assisted endoscopic thyroid surgery using a gasless transaxillary approach is a feasible, safe, and effective method for selected patients with thyroid cancer. The authors suggest that application of robotic technology for endoscopic thyroid surgeries could overcome the limitations of conventional endoscopic surgeries in the surgical management of thyroid cancer.

Original languageEnglish
Pages (from-to)2399-2406
Number of pages8
JournalSurgical endoscopy
Volume23
Issue number11
DOIs
Publication statusPublished - 2009 Jan 1

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Thyroid Neoplasms
Robotics
Thyroid Gland
Thyroidectomy
Dissection
Telescopes
Technology
Endoscopes
Tremor
Lymph Node Excision
Ambulatory Surgical Procedures
Lymph Nodes

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Kang, S. W., Jeong, J. J., Yun, J. S., Sung, T. Y., Lee, S. C., Lee, Y. S., ... Park, C. S. (2009). Robot-assisted endoscopic surgery for thyroid cancer: experience with the first 100 patients. Surgical endoscopy, 23(11), 2399-2406. https://doi.org/10.1007/s00464-009-0366-x
Kang, Sang Wook ; Jeong, Jong Ju ; Yun, Ji Sup ; Sung, Tae Yon ; Lee, Seung Chul ; Lee, Yong Sang ; Nam, Kee Hyun ; Chang, Hang-Seok ; Chung, Woong Youn ; Park, Cheong Soo. / Robot-assisted endoscopic surgery for thyroid cancer : experience with the first 100 patients. In: Surgical endoscopy. 2009 ; Vol. 23, No. 11. pp. 2399-2406.
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abstract = "BACKGROUND: Various robotic surgical procedures have been performed in recent years, and most reports have proved that the application of robotic technology for surgery is technically feasible and safe. This study aimed to introduce the authors' technique of robot-assisted endoscopic thyroid surgery and to demonstrate its applicability in the surgical management of thyroid cancer. METHODS: From 4 October 2007 through 14 March 2008, 100 patients with papillary thyroid cancer underwent robot-assisted endoscopic thyroid surgery using a gasless transaxillary approach. This novel robotic surgical approach allowed adequate endoscopic access for thyroid surgeries. All the procedures were completed successfully using the da Vinci S surgical robot system. Four robotic arms were used with this system: a 12-mm telescope and three 8-mm instruments. The three-dimensional magnified visualization obtained by the dual-channel endoscope and the tremor-free instruments controlled by the robotic systems allowed surgeons to perform sharp and precise endoscopic dissections. RESULTS: Ipsilateral central compartment node dissection was used for 84 less-than-total and 16 total thyroidectomies. The mean operation time was 136.5 min (range, 79-267 min). The actual time for thyroidectomy with lymphadenectomy (console time) was 60 min (range, 25-157 min). The average number of lymph nodes resected was 5.3 (range, 1-28). No serious complications occurred. Most of the patients could return home within 3 days after surgery. CONCLUSIONS: The technique of robot-assisted endoscopic thyroid surgery using a gasless transaxillary approach is a feasible, safe, and effective method for selected patients with thyroid cancer. The authors suggest that application of robotic technology for endoscopic thyroid surgeries could overcome the limitations of conventional endoscopic surgeries in the surgical management of thyroid cancer.",
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Kang, SW, Jeong, JJ, Yun, JS, Sung, TY, Lee, SC, Lee, YS, Nam, KH, Chang, H-S, Chung, WY & Park, CS 2009, 'Robot-assisted endoscopic surgery for thyroid cancer: experience with the first 100 patients.', Surgical endoscopy, vol. 23, no. 11, pp. 2399-2406. https://doi.org/10.1007/s00464-009-0366-x

Robot-assisted endoscopic surgery for thyroid cancer : experience with the first 100 patients. / Kang, Sang Wook; Jeong, Jong Ju; Yun, Ji Sup; Sung, Tae Yon; Lee, Seung Chul; Lee, Yong Sang; Nam, Kee Hyun; Chang, Hang-Seok; Chung, Woong Youn; Park, Cheong Soo.

In: Surgical endoscopy, Vol. 23, No. 11, 01.01.2009, p. 2399-2406.

Research output: Contribution to journalArticle

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T1 - Robot-assisted endoscopic surgery for thyroid cancer

T2 - experience with the first 100 patients.

AU - Kang, Sang Wook

AU - Jeong, Jong Ju

AU - Yun, Ji Sup

AU - Sung, Tae Yon

AU - Lee, Seung Chul

AU - Lee, Yong Sang

AU - Nam, Kee Hyun

AU - Chang, Hang-Seok

AU - Chung, Woong Youn

AU - Park, Cheong Soo

PY - 2009/1/1

Y1 - 2009/1/1

N2 - BACKGROUND: Various robotic surgical procedures have been performed in recent years, and most reports have proved that the application of robotic technology for surgery is technically feasible and safe. This study aimed to introduce the authors' technique of robot-assisted endoscopic thyroid surgery and to demonstrate its applicability in the surgical management of thyroid cancer. METHODS: From 4 October 2007 through 14 March 2008, 100 patients with papillary thyroid cancer underwent robot-assisted endoscopic thyroid surgery using a gasless transaxillary approach. This novel robotic surgical approach allowed adequate endoscopic access for thyroid surgeries. All the procedures were completed successfully using the da Vinci S surgical robot system. Four robotic arms were used with this system: a 12-mm telescope and three 8-mm instruments. The three-dimensional magnified visualization obtained by the dual-channel endoscope and the tremor-free instruments controlled by the robotic systems allowed surgeons to perform sharp and precise endoscopic dissections. RESULTS: Ipsilateral central compartment node dissection was used for 84 less-than-total and 16 total thyroidectomies. The mean operation time was 136.5 min (range, 79-267 min). The actual time for thyroidectomy with lymphadenectomy (console time) was 60 min (range, 25-157 min). The average number of lymph nodes resected was 5.3 (range, 1-28). No serious complications occurred. Most of the patients could return home within 3 days after surgery. CONCLUSIONS: The technique of robot-assisted endoscopic thyroid surgery using a gasless transaxillary approach is a feasible, safe, and effective method for selected patients with thyroid cancer. The authors suggest that application of robotic technology for endoscopic thyroid surgeries could overcome the limitations of conventional endoscopic surgeries in the surgical management of thyroid cancer.

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