Robotic thyroid surgery using a gasless, transaxillary approach and the da Vinci S system: The operative outcomes of 338 consecutive patients

Sang Wook Kang, Seung Chul Lee, So Hee Lee, Kang Young Lee, Jong Ju Jeong, Yong Sang Lee, Kee Hyun Nam, Hang-Seok Chang, Woong Youn Chung, Cheong Soo Park

Research output: Contribution to journalArticle

280 Citations (Scopus)

Abstract

Background: Recently, robotic technology in the surgical area has gained wide popularity. However, in the filed of head and neck surgery, the applications of robotic instruments are problematic owing to spatial and technical limitations. The authors performed robot-assisted endoscopic thyroid operations in consecutive thyroid tumor patients using the newly introduced da Vinci S surgical system. Herein the authors describe the technique used and its utility for the operative management of thyroid tumors. Methods: From October 2007 to November 2008, 338 patients underwent robot-assisted endoscopic thyroid operations using a gasless, transaxillary approach. All procedures were successfully completed without conversion to an open procedure. Patient's clinicopathologic characteristics, operation types, operation times, the learning curve, and postoperative hospital stays and complications were evaluated. Results: The mean patient age was 40 years (range, 16-69) and the male to female ratio was 1:16.8. Two hundred and thirty-four patients underwent less than total and 104 underwent bilateral total thyroidectomy. Ipsilateral central compartment node dissection was conducted in all malignant cases. Mean operation time was 144.0 minutes (range, 69-347) and mean postoperative hospital stay was 3.3 days (range, 2-7). No serious postoperative complication occurred; there were 3 cases of recurrent laryngeal nerve injury and 1 of Horner's syndrome. Conclusion: Our technique of robotic thyroid surgery using a gasless, transaxillary approach is feasible and safe in selected patients with a benign or malignant thyroid tumor.

Original languageEnglish
Pages (from-to)1048-1055
Number of pages8
JournalSurgery
Volume146
Issue number6
DOIs
Publication statusPublished - 2009 Dec 1

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Robotics
Thyroid Gland
Length of Stay
Recurrent Laryngeal Nerve Injuries
Horner Syndrome
Conversion to Open Surgery
Neoplasms
Learning Curve
Thyroidectomy
Dissection
Neck
Head
Technology

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Kang, Sang Wook ; Lee, Seung Chul ; Lee, So Hee ; Lee, Kang Young ; Jeong, Jong Ju ; Lee, Yong Sang ; Nam, Kee Hyun ; Chang, Hang-Seok ; Chung, Woong Youn ; Park, Cheong Soo. / Robotic thyroid surgery using a gasless, transaxillary approach and the da Vinci S system : The operative outcomes of 338 consecutive patients. In: Surgery. 2009 ; Vol. 146, No. 6. pp. 1048-1055.
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Robotic thyroid surgery using a gasless, transaxillary approach and the da Vinci S system : The operative outcomes of 338 consecutive patients. / Kang, Sang Wook; Lee, Seung Chul; Lee, So Hee; Lee, Kang Young; Jeong, Jong Ju; Lee, Yong Sang; Nam, Kee Hyun; Chang, Hang-Seok; Chung, Woong Youn; Park, Cheong Soo.

In: Surgery, Vol. 146, No. 6, 01.12.2009, p. 1048-1055.

Research output: Contribution to journalArticle

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T1 - Robotic thyroid surgery using a gasless, transaxillary approach and the da Vinci S system

T2 - The operative outcomes of 338 consecutive patients

AU - Kang, Sang Wook

AU - Lee, Seung Chul

AU - Lee, So Hee

AU - Lee, Kang Young

AU - Jeong, Jong Ju

AU - Lee, Yong Sang

AU - Nam, Kee Hyun

AU - Chang, Hang-Seok

AU - Chung, Woong Youn

AU - Park, Cheong Soo

PY - 2009/12/1

Y1 - 2009/12/1

N2 - Background: Recently, robotic technology in the surgical area has gained wide popularity. However, in the filed of head and neck surgery, the applications of robotic instruments are problematic owing to spatial and technical limitations. The authors performed robot-assisted endoscopic thyroid operations in consecutive thyroid tumor patients using the newly introduced da Vinci S surgical system. Herein the authors describe the technique used and its utility for the operative management of thyroid tumors. Methods: From October 2007 to November 2008, 338 patients underwent robot-assisted endoscopic thyroid operations using a gasless, transaxillary approach. All procedures were successfully completed without conversion to an open procedure. Patient's clinicopathologic characteristics, operation types, operation times, the learning curve, and postoperative hospital stays and complications were evaluated. Results: The mean patient age was 40 years (range, 16-69) and the male to female ratio was 1:16.8. Two hundred and thirty-four patients underwent less than total and 104 underwent bilateral total thyroidectomy. Ipsilateral central compartment node dissection was conducted in all malignant cases. Mean operation time was 144.0 minutes (range, 69-347) and mean postoperative hospital stay was 3.3 days (range, 2-7). No serious postoperative complication occurred; there were 3 cases of recurrent laryngeal nerve injury and 1 of Horner's syndrome. Conclusion: Our technique of robotic thyroid surgery using a gasless, transaxillary approach is feasible and safe in selected patients with a benign or malignant thyroid tumor.

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