Transaxillary gasless robotic thyroidectomy: a single surgeon's experience in North America

Archives of Otolaryngology--head & Neck Surgery
Emad H KandilDouglas P Slakey

Abstract

To describe a robotic technique for transaxillary gasless thyroidectomy with the addition of intraoperative peripheral nerve monitoring in the surgical management of thyroid disease. Prospective study. Academic institution. Fifty patients underwent robotic transaxillary thyroidectomy from September 1, 2009, to August 31, 2010. All the patients underwent preoperative and postoperative direct laryngoscopy. The patients' demographic information, operative times, complications, postoperative hospital stay, and the surgeon's learning curve were evaluated. Feasibility of the robotic approach, patient and gland characteristics, operative time, and complications. Thirty-nine females and 11 males with a mean age of 48.2 (age range, 13-76) years were included in the study. A total of 37 surgical procedures were lobectomies, and 13 were total or near-total thyroidectomies. The mean nodule size (range) was 24.9 (10-72) mm. The mean operative time (range) was 122.5 (81-280) minutes, mean docking time (range) was 10.1 (6-15) minutes, and mean console time (range) was 55.5 (10-140) minutes. Mean blood loss (range) was 25 (10-100) mL. There were no conversions to conventional open surgery. One patient developed transient radial nerve neuropath...Continue Reading

Citations

Jan 12, 2013·Annals of Surgical Oncology·Onvox YiSuck Joon Hong
Sep 24, 2013·Langenbeck's Archives of Surgery·Salem I NoureldineEmad Kandil
Jul 31, 2013·Surgery·Salem I NoureldineEmad Kandil
Mar 1, 2012·Journal of the American College of Surgeons·Emad H KandilDouglas P Slakey
Oct 16, 2015·World Journal of Surgery·Chang Myeon SongKyung Tae
Mar 9, 2013·Head & Neck·Nicole R JacksonEmad H Kandil
Jun 11, 2015·Thyroid : Official Journal of the American Thyroid Association·Andrew M HinsonBrendan C Stack
May 20, 2015·European Annals of Otorhinolaryngology, Head and Neck Diseases·Laurent AbramoviciRenaud Garrel
Oct 18, 2016·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Guanghui ZhuYuanzhou Shan
Jan 25, 2014·ORL; Journal for Oto-rhino-laryngology and Its Related Specialties·Salem I NoureldineEmad Kandil
Nov 2, 2019·International Journal of Clinical Oncology·Sandeep P NayakAthira Ramakrishnan
Sep 14, 2018·Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India·Ashok Kumar GuptaAnand Subash
Mar 27, 2013·The Cancer Journal·Jandee Lee, Woong Youn Chung
Sep 19, 2019·Minimally Invasive Surgery·B M Sephton
Jun 3, 2014·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Hongliang ShenMing Qiu

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