FEASIBILITY AND SURGICAL APPROACH OF TRANSAXILLARY ROBOTIC THYROIDECTOMY WITHOUT CO2 INSUFFLATION Annual Meeting of the American-Head-and-Neck-Society/ Combined Otolaryngological Spring Meeting Lewis, C. M., Chung, W. Y., Holsinger, F. C. JOHN WILEY & SONS INC. 2010: 121–26


Our objective was to evaluate the anatomic basis for robotic-assisted transaxillary thyroidectomy and to determine its feasibility in a prospective clinical trial.Using the da Vinci Surgical Robotic System, we performed 5 cadaveric dissections, via transaxillary approach without gas insufflation. Once the safety and feasibility of this approach had been demonstrated in cadavers, it was utilized to perform a thyroid lobectomy in a patient. The da Vinci system provided excellent visualization of the recurrent and superior laryngeal nerves, parathyroid glands, and paratracheal lymphatics. After the 5 cadaver dissections, the procedure time diminished from >90 minutes to <30 minutes.Robotic-assisted transaxillary thyroidectomy is feasible with proper instrumentation and an understanding of the surgical anatomy. Based on this preclinical laboratory study and our experience in 1 patient, further evaluation of this approach in the setting of a prospective clinical trial is warranted to determine standardized criteria identifying patients who would benefit from this approach.

View details for DOI 10.1002/hed.21318

View details for Web of Science ID 000273384200016

View details for PubMedID 19998442