Abstract
Refinements in operative techniques and improvements in surgical instruments have revolutionized modern surgery, leading to minimally invasive procedures and a population of patients who expect safe, efficacious surgery with minimal cosmetic impact. This drive to improve cosmetic outcomes has become especially important in thyroid surgery, where the incision is traditionally prominently exposed on the anterior neck. While minimally invasive techniques have been described to reduce the visible neck scar, remote access thyroidectomy procedures completely remove the incision from the anterior neck and move it to a distant, concealed location.
Remote access thyroid surgery was initially described using endoscopic instrumentation. The surgical robotic platform was incorporated into remote access thyroid surgery in 2009, creating the remote access robotic-assisted thyroidectomy and making the cosmetic benefits available to selected patients throughout the world. The two approaches most commonly performed are the robotic axillary thyroidectomy (RAT) and the robotic facelift thyroidectomy (RFT).
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Kang SW, Jeong JJ, Yun JS et al (2009) Robot-assisted endoscopic surgery for thyroid cancer: experience with the first 100 patients. Surg Endosc 23:2399–2406
Kuppersmith RB, Holsinger FC (2011) Robotic thyroid surgery: an initial experience with North American patients. Laryngoscope 121:521–526
Landry CS, Grubbs EG, Morris GS et al (2011) Robot assisted transaxillary surgery (RATS) for the removal of thyroid and parathyroid glands. Surgery 149:549–555
Kandil EH, Noureldine SI, Yao L, Slakey DP (2012) Robotic transaxillary thyroidectomy: an examination of the first one hundred cases. J Am Coll Surg 214:558–566
Lin HS, Folbe AJ, Carron MA et al (2012) Single-incision transaxillary robotic thyroidectomy: challenges and limitations in a North American Population. Otolaryngol Head Neck Surg 147(6):1041–1046
Perrier N (2012) Why I, have abandoned robot-assisted transaxillary thyroid surgery. Surgery 152:1025–1026
Inabnet WB (2012) Robotic thyroidectomy: must we drive a luxury sedan to arrive at our destination safely? Thyroid 22:988–990
Kang SW, Lee SC, Lee SH et al (2009) Robotic thyroid surgery using a gasless, transaxillary approach and the da Vinci S system: the operative outcomes of 338 consecutive patients. Surgery 146:1048–1055
Seybt M, Kuppersmith RB, Holsinger FC, Terris DJ (2010) Robotic axillary thyroidectomy: multi-institutional clinical experience with the daVinci. Laryngoscope 120(Suppl 4):S182
Terris DJ, Singer MC, Seybt MW (2011) Robot facelift thyroidectomy: II. Clinical feasibility and safety. Laryngoscope 121:1636–1641
Terris DJ, Singer MC, Seybt MW (2011) Robotic facelift thyroidectomy: patient selection and technical considerations. Surg Laparosc Endosc Percutan Tech 21(4):237–242
Berber E, Siperstein A (2011) Robotic transaxillary total thyroidectomy using a unilateral approach. Surg Laparosc Endosc Percutan Tech 21:207–210
Kang SW, Lee SH, Ryu HR et al (2010) Initial experience with robot-assisted modified radical neck dissection for the management of thyroid carcinoma with lateral neck node metastasis. Surgery 148:1214–1221
Ryu HR, Kang SW, Lee SH et al (2010) Feasibility and safety of a new robotic thyroidectomy through a gasless, transaxillary single-incision approach. J Am Coll Surg 211(3):e13–e19
Tae K, Ji YB, Cho SH et al (2012) Early surgical outcomes of robotic thyroidectomy by a gasless unilateral axillo-breast or axillary approach for papillary thyroid carcinoma: 2 years’ experience. Head Neck 34:617–625
Jackson NR, Yao L, Tufano RP, Kandil EH (2014) Safety of robotic thyroidectomy approaches: meta-analysis and systematic review. Head Neck 36(1):137–143
Kang SW, Park JH, Jeong JS et al (2011) Prospects of robotic thyroidectomy using a gasless transaxillary approach for the management of thyroid carcinoma. Surg Laparosc Endosc Percutan Tech 21:223–229
Singer MC, Seybt MW, Terris DJ (2011) Robot facelift thyroidectomy: I. Preclinical simulation and morphometric assessment. Laryngoscope 121:1631–1635
Terris DJ, Singer MC (2012) Qualitative and quantitative differences between 2 robotic thyroidectomy techniques. Otolaryngol Head Neck Surg 147(1):20–25
Stevenson CE, Gardner DF, Grover AC (2012) Patient factors affecting operative times for single-incision trans-axillary robotic-assisted (STAR) thyroid lobectomy: does size matter? Ann Surg Oncol 19:1460–1465
Terris DJ, Singer MC (2012) Robotic facelift thyroidectomy: facilitating remote access surgery. Head Neck 34:746–747
Duke WS, Terris DJ (2014) Alternative approaches to the thyroid gland. Endocrinol Metab Clin N Am 43:459–474
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Duke, W.S., Terris, D.J. (2016). Robotic Thyroidectomy. In: Lombardi, C., Bellantone, R. (eds) Minimally Invasive Therapies for Endocrine Neck Diseases. Springer, Cham. https://doi.org/10.1007/978-3-319-20065-1_12
Download citation
DOI: https://doi.org/10.1007/978-3-319-20065-1_12
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-20064-4
Online ISBN: 978-3-319-20065-1
eBook Packages: MedicineMedicine (R0)