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KMID : 1195620230160030275
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Clinical and Experimental Otorhinolaryngology
2023 Volume.16 No. 3 p.275 ~ p.281
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First Experience of Single-Port Robotic Areolar Approach Thyroidectomy
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Choi Yun-Suk
Choi Ji-Hyun
Jeon Mi-Sook
Yu Min-Jung
Lee Hye-Mi
Shin Ae-Young
Yi Jin-Wook
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Abstract
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Objectives. Numerous minimally invasive thyroidectomy techniques have been developed and are actively utilized in hos-pitals around the globe. Herein, we describe a recently developed minimally invasive thyroidectomy technique thatemploys the da Vinci SP, and we present the preliminary clinical outcomes of single-port robotic areolar thyroidecto-my (SPRA).
Methods. A 3-cm semi-circular incision on the right areola and a small 8-mm incision on the left areola were created. Usinghydro-dissection and an advanced bipolar device, a subcutaneous skin flap was created, extending from the areola tothe thyroid cartilage. The da Vinci SP was then inserted through the incision in the right areola. Between December2022 and March 2023, 21 SPRA procedures were conducted. Patients’ medical records and surgical videos were sub-sequently reviewed.
Results. Lobectomy was performed in 17 patients, isthmectomy in 2 patients, and total thyroidectomy in 2 patients. Themean 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 instancesof vocal cord palsy or hypoparathyroidism.
Conclusion. We successfully developed and performed the novel SPRA for the first time worldwide. Unlike other roboticsurgery methods, SPRA is less invasive and leaves no visible scars. This technique employs a sophisticated single-portrobotic device. However, to assess the efficacy of this method, we need to analyze more cases and conduct compara-tive studies in the near future.
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KEYWORD
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Thyroid, Robotic Surgical Procedures, Minimally Invasive Surgical Procedures
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