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Robot-assisted thyroidectomy using a gasless, transaxillary approach for the management of thyroid lesions: Indian experience
AIM: Since last decades, more and more thyroidectomies have been performed by the minimally invasive method. Compared to conventional thyroidectomy, minimally invasive thyroidectomy has a superior cosmetic result. However, the outcome depends, in a large extent, on the skill of the operator and the...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2017
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5607795/ https://www.ncbi.nlm.nih.gov/pubmed/28872097 http://dx.doi.org/10.4103/jmas.JMAS_42_16 |
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author | Somashekhar, S. P. Ashwin, K. R. |
author_facet | Somashekhar, S. P. Ashwin, K. R. |
author_sort | Somashekhar, S. P. |
collection | PubMed |
description | AIM: Since last decades, more and more thyroidectomies have been performed by the minimally invasive method. Compared to conventional thyroidectomy, minimally invasive thyroidectomy has a superior cosmetic result. However, the outcome depends, in a large extent, on the skill of the operator and the learning curve is relatively long. Robotic thyroidectomy (RT) is a relatively new approach in treating thyroid lesions with improved ergonomics and surgical outcomes. PURPOSE: We performed a prospective study of robotic-assisted transaxillary approach for thyroidectomy in Indian patients to examine the feasibility of the procedure. MATERIALS AND METHODS: A total of 35 patients underwent RT. Demographics, surgical indications, operative findings, postoperative functional outcome, local complications and pathological outcomes were recorded and analyzed. RESULTS: The median age of the cohort was 28.6 years and 31 of the patients were women. The median size of the largest nodule was 3.2 cm (range, 1.0–4.5 cm). The median size of the largest nodule was 3.2 cm (range, 1.0–4.5 cm). Eighteen patients underwent less than total thyroidectomy and 17 patients underwent total thyroidectomy, with no conversion. The mean console time standard deviation was 115 min initially, and with experience, it reduced to 106 min for subsequent cases. The mean blood loss was 13 ml. Post-operative outcome was good with no serious complication noted in our series. CONCLUSION: Robotic-assisted thyroidectomy using a gasless transaxillary approach is a feasible, safe and noninferior surgical alternative for selected patients. We believe with time RT will be widened and it will be performed more often. |
format | Online Article Text |
id | pubmed-5607795 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-56077952017-10-01 Robot-assisted thyroidectomy using a gasless, transaxillary approach for the management of thyroid lesions: Indian experience Somashekhar, S. P. Ashwin, K. R. J Minim Access Surg Original Article AIM: Since last decades, more and more thyroidectomies have been performed by the minimally invasive method. Compared to conventional thyroidectomy, minimally invasive thyroidectomy has a superior cosmetic result. However, the outcome depends, in a large extent, on the skill of the operator and the learning curve is relatively long. Robotic thyroidectomy (RT) is a relatively new approach in treating thyroid lesions with improved ergonomics and surgical outcomes. PURPOSE: We performed a prospective study of robotic-assisted transaxillary approach for thyroidectomy in Indian patients to examine the feasibility of the procedure. MATERIALS AND METHODS: A total of 35 patients underwent RT. Demographics, surgical indications, operative findings, postoperative functional outcome, local complications and pathological outcomes were recorded and analyzed. RESULTS: The median age of the cohort was 28.6 years and 31 of the patients were women. The median size of the largest nodule was 3.2 cm (range, 1.0–4.5 cm). The median size of the largest nodule was 3.2 cm (range, 1.0–4.5 cm). Eighteen patients underwent less than total thyroidectomy and 17 patients underwent total thyroidectomy, with no conversion. The mean console time standard deviation was 115 min initially, and with experience, it reduced to 106 min for subsequent cases. The mean blood loss was 13 ml. Post-operative outcome was good with no serious complication noted in our series. CONCLUSION: Robotic-assisted thyroidectomy using a gasless transaxillary approach is a feasible, safe and noninferior surgical alternative for selected patients. We believe with time RT will be widened and it will be performed more often. Medknow Publications & Media Pvt Ltd 2017 /pmc/articles/PMC5607795/ /pubmed/28872097 http://dx.doi.org/10.4103/jmas.JMAS_42_16 Text en Copyright: © 2017 Journal of Minimal Access Surgery http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Somashekhar, S. P. Ashwin, K. R. Robot-assisted thyroidectomy using a gasless, transaxillary approach for the management of thyroid lesions: Indian experience |
title | Robot-assisted thyroidectomy using a gasless, transaxillary approach for the management of thyroid lesions: Indian experience |
title_full | Robot-assisted thyroidectomy using a gasless, transaxillary approach for the management of thyroid lesions: Indian experience |
title_fullStr | Robot-assisted thyroidectomy using a gasless, transaxillary approach for the management of thyroid lesions: Indian experience |
title_full_unstemmed | Robot-assisted thyroidectomy using a gasless, transaxillary approach for the management of thyroid lesions: Indian experience |
title_short | Robot-assisted thyroidectomy using a gasless, transaxillary approach for the management of thyroid lesions: Indian experience |
title_sort | robot-assisted thyroidectomy using a gasless, transaxillary approach for the management of thyroid lesions: indian experience |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5607795/ https://www.ncbi.nlm.nih.gov/pubmed/28872097 http://dx.doi.org/10.4103/jmas.JMAS_42_16 |
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