دورية أكاديمية

First Experience of Single-Port Robotic Areolar Approach Thyroidectomy

التفاصيل البيبلوغرافية
العنوان: First Experience of Single-Port Robotic Areolar Approach Thyroidectomy
المؤلفون: Yun Suk Choi, Ji Hyun Choi, Mi Sook Jeon, Min Jung Yu, Hye Mi Lee, Ae Young Shin, Jin Wook Yi
المصدر: Clinical and Experimental Otorhinolaryngology, Vol 16, Iss 3, Pp 275-281 (2023)
بيانات النشر: Korean Society of Otorhinolaryngology-Head and Neck Surgery, 2023.
سنة النشر: 2023
المجموعة: LCC:Medicine
LCC:Otorhinolaryngology
مصطلحات موضوعية: thyroid, robotic surgical procedures, minimally invasive surgical procedures, Medicine, Otorhinolaryngology, RF1-547
الوصف: Objectives Numerous minimally invasive thyroidectomy techniques have been developed and are actively utilized in hospitals around the globe. Herein, we describe a recently developed minimally invasive thyroidectomy technique that employs the da Vinci SP, and we present the preliminary clinical outcomes of single-port robotic areolar thyroidectomy (SPRA). Methods A 3-cm semi-circular incision on the right areola and a small 8-mm incision on the left areola were created. Using hydro-dissection and an advanced bipolar device, a subcutaneous skin flap was created, extending from the areola to the thyroid cartilage. The da Vinci SP was then inserted through the incision in the right areola. Between December 2022 and March 2023, 21 SPRA procedures were conducted. Patients’ medical records and surgical videos were subsequently reviewed. Results Lobectomy was performed in 17 patients, isthmectomy in 2 patients, and total thyroidectomy in 2 patients. The mean flap time was 14.9±4.2 minutes and the console time was 62.4±17.1 minutes. The mean tumor size was 0.89± 0.65 cm and the number of retrieved lymph nodes was 3.94±3.98 (range, 0–12). There were no observed instances of vocal cord palsy or hypoparathyroidism. Conclusion We successfully developed and performed the novel SPRA for the first time worldwide. Unlike other robotic surgery methods, SPRA is less invasive and leaves no visible scars. This technique employs a sophisticated single-port robotic device. However, to assess the efficacy of this method, we need to analyze more cases and conduct comparative studies in the near future.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1976-8710
2005-0720
العلاقة: http://www.e-ceo.org/upload/pdf/ceo-2023-00682.pdfTest; https://doaj.org/toc/1976-8710Test; https://doaj.org/toc/2005-0720Test
DOI: 10.21053/ceo.2023.00682
الوصول الحر: https://doaj.org/article/41c2256fad654590a7172a0b022e4cd5Test
رقم الانضمام: edsdoj.41c2256fad654590a7172a0b022e4cd5
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:19768710
20050720
DOI:10.21053/ceo.2023.00682