Remote Access Thyroid Surgery

Overview

Journal Gland Surg

Publisher AME Publishing Company

Specialty Endocrinology

Date 2015 Oct 2

PMID 26425450

Citations 9

Authors

Parisha Bhatia

Hossam Eldin Mohamed

Abida Kadi

Emad Kandil

Rohan R Walvekar

Affiliations

Soon will be listed here.

Abstract

Robot assisted thyroid surgery has been the latest advance in the evolution of thyroid surgery after endoscopy assisted procedures. The advantage of a superior field vision and technical advancements of robotic technology have permitted novel remote access (trans-axillary and retro-auricular) surgical approaches. Interestingly, several remote access surgical ports using robot surgical system and endoscopic technique have been customized to avoid the social stigma of a visible scar. Current literature has displayed their various advantages in terms of post-operative outcomes; however, the associated financial burden and also additional training and expertise necessary hinder its widespread adoption into endocrine surgery practices. These approaches offer excellent cosmesis, with a shorter learning curve and reduce discomfort to surgeons operating ergonomically through a robotic console. This review aims to provide details of various remote access techniques that are being offered for thyroid resection. Though these have been reported to be safe and feasible approaches for thyroid surgery, further evaluation for their efficacy still remains.

Citing Articles

The impact of coexisting Hashimoto's thyroiditis on the feasibility of endoscopic thyroidectomy in papillary thyroid carcinoma.

Wang M, Xia H, Cai J Heliyon. 2024; 10(4):e26793.

PMID: 38434093 PMC: 10906291. DOI: 10.1016/j.heliyon.2024.e26793.

A propensity score matching analysis of gasless endoscopic transaxillary thyroidectomy with five-settlement technique versus conventional open thyroidectomy in patients with papillary thyroid microcarcinoma.

Ge J, Yu S, Tan J, Sun B, Wei Z, Zhang Z Surg Endosc. 2023; 37(12):9255-9262.

PMID: 37875693 DOI: 10.1007/s00464-023-10473-4.

Transoral endoscopic thyroidectomy vestibular approach as a safe and feasible alternative to open thyroidectomy: a systematic review and meta-analysis.

Oh M, Chai Y, Yu H, Kim S, Choi J, Lee K Int J Surg. 2023; 109(8):2467-2477.

PMID: 37161554 PMC: 10442077. DOI: 10.1097/JS9.0000000000000444.

The learning curve for single-port transaxillary robotic thyroidectomy (SP-TART): experience through initial 50 cases of lobectomy.

Park J, Kang L, Kim K, Bae J, Kim J Updates Surg. 2022; 75(3):691-700.

PMID: 36536189 DOI: 10.1007/s13304-022-01445-9.

Gasless endoscopic transaxillary thyroid surgery: CUSUM analysis of a single surgeon's experience from 105 preliminary procedures.

Sun B, Li P, Cong R, Zhou D, Zhang Z, Xia F Surg Endosc. 2022; 36(11):8270-8279.

PMID: 35680669 DOI: 10.1007/s00464-022-09273-z.

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