Robotic transaxillary total thyroidectomy through a single axillary incision

Shamil Aliyev, Halit Eren Taskin, Orhan Agcaoglu, Erol Aksoy, Mira Milas, Allan Siperstein, Eren Berber

    Research output: Contribution to journalArticle

    24 Scopus citations

    Abstract

    Background: There is controversy in the literature about whether robotic total thyroidectomy should be performed through unilateral or bilateral axillary incisions. The aim of this study was to perform a detailed critical analysis of the single-incision technique with a focus on postoperative pain, morbidity, and oncologic outcomes. Methods: Between June 2009 and May 2012, 30 patients underwent robotic neck surgery through a single axillary incision. The perioperative outcomes of 16 patients who underwent robotic total thyroidectomy were compared with 30 consecutive patients undergoing conventional total thyroidectomy. Data were collected from a prospectively maintained, institutional review board-approved database. All data are presented as mean values ± standard error of the mean. Results: Both groups were similar regarding age, gender, body mass index, tumor size, and tumor type. For all patients, skin-to-skin operative time (OT) was less in the conventional group (139 ± 8 vs 183 ± 11 minutes, respectively; P =.002). In the robotic group, a significant improvement of the OT occurred after the 6th case: 245 ± 12 minutes for the first 6 cases versus 153 ± 10 minutes for the last 10 cases (P <.001). Estimated blood loss was similar between groups. The median hospital stay was 1 day for both groups. The morbidity was 13% in the conventional and 19% in the robotic group (P =.631). Conclusion: Our results show that robotic total thyroidectomy through a single axillary incision is feasible, with similar short-term oncologic results. However, owing to the extent of dissection, the 2-week operative site discomfort is greater after robotic versus conventional total thyroidectomy.

    Original languageEnglish (US)
    Pages (from-to)705-710
    Number of pages6
    JournalSurgery (United States)
    Volume153
    Issue number5
    DOIs
    StatePublished - May 1 2013

    ASJC Scopus subject areas

    • Surgery

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    Aliyev, S., Taskin, H. E., Agcaoglu, O., Aksoy, E., Milas, M., Siperstein, A., & Berber, E. (2013). Robotic transaxillary total thyroidectomy through a single axillary incision. Surgery (United States), 153(5), 705-710. https://doi.org/10.1016/j.surg.2012.10.013