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KMID : 0602820110170020083
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Korean Journal of Bronchoesophagology
2011 Volume.17 No. 2 p.83 ~ p.88
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Robotic Lateral Compartment Selective Neck Dissection in Well-Differentiated Thyroid Carcinoma
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Tae Kyung
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Abstract
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Robotic thyroidectomy has been developed to minimize neck scarring, and several authors have described its feasibility and safety, and have reported surgical outcomes comparable with conventional open thyroidectomy. The da Vinci surgical system robot provides a three-dimensional magnified view of the surgical area. It also provides hand-tremor filtration, fine motion scaling, and precise and multi-articulated hand-like motions. Recently, robotic technology has also been applied to lateral compartment neck dissection in thyroid cancer. We have developed a new novel selective neck dissection procedure by a gasless unilateral axillo-breast (GUAB) approach with a da Vinci Surgical System for well-differentiated thyroid carcinoma to avoid a long visible neck scar. Based on our early experience, robotic selective neck dissection by GUAB approach is a safe, feasible and cosmetically excellent procedure. It can be an alternative to conventional open surgery in the highly selected patients with well-differentiated thyroid carcinoma. The oncologic safety of robotic selective neck dissection should be verified with long-term follow-up data.
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KEYWORD
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Robotic thyroidectomy, da Vinci robot, Selective neck dissection, Thyroid cancer
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