Robotic Thyroidectomy: Pros and Cons of Various Surgical Approaches

Sohee Lee

doi:10.16956/kjes.2015.15.4.73

Journal List > Korean J Endocr Surg > v.15(4) > 1060150

Go to TopGo to Top Go to BottomGo to Bottom

TOOLS

Lee: Robotic Thyroidectomy: Pros and Cons of Various Surgical Approaches

Review Article

Korean J Endocrine Surg 2015;15(4):73-78.

Published online: 10 December 2015

DOI: https://doi.org/10.16956/kjes.2015.15.4.73

Robotic Thyroidectomy: Pros and Cons of Various Surgical Approaches

Sohee Lee

Department of Surgery, The Catholic University of Korea College of Medicine, Seoul, Korea

Correspondence: Sohee Lee Department of Surgery, The Catholic University of Korea College of Medicine, 222 Banpo-daero, Seocho-gu, Seoul 06591, Korea Tel: ＋82-2-2228-6088 Fax: ＋82-2-595-2822 e-mail: leesohee@catholic.ac.kr

Received 10 November 2015 Revised 30 November 2015 Accepted 8 December 2015

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Robotic thyroidectomy has been a good option in the treatment of benign and early stage differentiated thyroid cancers, with several functional benefits. In the last few years, many surgeons have established their own robotic thyroidectomy techniques, and published many reports on the feasibility, safety and benefits of their robotic procedures. Although there are many different surgical techniques, robotic thyroidectomy can be classified according to the different means of remote access to the thyroid gland. Each method has advantages and disadvantages, and surgeons have modified each procedure in an effort to eliminate its shortcomings. With the remarkable innovation of robotic instruments and patient selection based on the appropriate indications, robotic thyroidectomy may usher a paradigm shift for thyroid surgery in the near future.

Keywords: Robotic Thyroidectomy, Pros, Cons

References

1. Welbourn RB. Highlights from endocrine surgical history. World J Surg. 1996; 20:603–12.

2. Mohamed SE, Noureldine SI, Kandil E. Alternate incision-site thyroidectomy. Curr Opin Oncol. 2014; 26:22–30.

3. Bhatia P, Mohamed HE, Kadi A, Kandil E, Walvekar RR. Remote access thyroid surgery. Gland Surg. 2015; 4:376–87.

4. Choi JY, Youn YK. Vision of thyroid surgery: past, present and future. J Korean Thyroid Assoc. 2012; 5:1–5.

5. Lee KE, Choi JY, Youn YK. Bilateral axillobreast approach robotic thyroidectomy. Surg Laparosc Endosc Percutan Tech. 2011; 21:230–6.

6. Lee S, Ryu HR, Park JH, Kim KH, Kang SW, Jeong JJ, et al. Early surgical outcomes comparison between robotic and conventional open thyroid surgery for papillary thyroid microcarcinoma. Surgery. 2012; 151:724–30.

7. Kang SW, Jeong JJ, Yun JS, Sung TY, Lee SC, Lee YS, et al. Robot-assisted endoscopic thyroid surgery for thyroid cancer; initial experience of consecutive 100 patients. J Korean Thyroid Assoc. 2008; 1:129–35.

8. Kim WS, Koh YW, Byeon HK, Park YM, Chung HJ, Kim ES, et al. Robot-assisted neck dissection via a transaxillary and retroauricular approach versus a conventional transcervical approach in papillary thyroid cancer with cervical lymph node metastases. J Laparoendosc Adv Surg Tech A. 2014; 24:367–72.

9. Tae K, Ji YB, Jeong JH, Lee SH, Jeong MA, Park CW. Robotic thyroidectomy by a gasless unilateral axillobreast or axillary approach: our early experiences. Surg Endosc. 2011; 25:221–8.

10. Lee KE, Kim E, Koo do H, Choi JY, Kim KH, Youn YK. Robotic thyroidectomy by bilateral axillobreast approach: review of 1,026 cases and surgical completeness. Surg Endosc. 2013; 27:2955–62.

11. Lee S, Lee CR, Lee SC, Park S, Kim HY, Son H, et al. Surgical completeness of robotic thyroidectomy: a prospective comparison with conventional open thyroidectomy in papillary thyroid carcinoma patients. Surg Endosc. 2014; 28:1068–75.

12. Lee J, Kwon IS, Bae EH, Chung WY. Comparative analysis of oncological outcomes and quality of life after robotic versus conventional open thyroidectomy with modified radical neck dissection in patients with papillary thyroid carcinoma and lateral neck node metastases. J Clin Endocrinol Metab. 2013; 98:2701–8.

13. Kang SW, Lee SH, Park JH, Jeong JS, Park S, Lee CR, et al. A comparative study of the surgical outcomes of robotic and conventional open modified radical neck dissection for papillary thyroid carcinoma with lateral neck node metastasis. Surg Endosc. 2012; 26:3251–7.

14. Lee J, Nah KY, Kim RM, Ahn YH, Soh EY, Chung WY. Differences in postoperative outcomes, function, and cosmesis: open versus robotic thyroidectomy. Surg Endosc. 2010; 24:3186–94.

15. Tae K, Ji YB, Cho SH, Lee SH, Kim DS, Kim TW. Early surgical outcomes of robotic thyroidectomy by a gasless unilateral axillobreast or axillary approach for papillary thyroid carcinoma: 2 years' experience. Head Neck. 2012; 34:617–25.

16. Ryu HR, Kang SW, Lee SH, Rhee KY, Jeong JJ, Nam KH, et al. Feasibility and safety of a new robotic thyroidectomy through a gasless, transaxillary single-incision approach. J Am Coll Surg. 2010; 211:e13–9.

17. Tae K, Kim KY, Yun BR, Ji YB, Park CW, Kim DS, et al. Functional voice and swallowing outcomes after robotic thyroidectomy by a gasless unilateral axillobreast approach: comparison with open thyroidectomy. Surg Endosc. 2012; 26:1871–7.

18. Lee J, Yun JH, Nam KH, Choi UJ, Chung WY, Soh EY. Perioperative clinical outcomes after robotic thyroidectomy for thyroid carcinoma: a multicenter study. Surg Endosc. 2011; 25:906–12.

19. Lee J, Na KY, Kim RM, Oh Y, Lee JH, Lee J, et al. Postoperative functional voice changes after conventional open or robotic thyroidectomy: a prospective trial. Ann Surg Oncol. 2012; 19:2963–70.

20. Lee S, Kim HY, Lee CR, Park S, Son H, Kang SW, et al. A prospective comparison of patient body image after robotic thyroidectomy and conventional open thyroidectomy in patients with papillary thyroid carcinoma. Surgery. 2014; 156:117–25.

21. Lee J, Chung WY. Quality of life outcomes after robotic thyroid surgery. J Korean Thyroid Assoc. 2015; 8:19–25.

22. Kang SW, Lee SC, Lee SH, Lee KY, Jeong JJ, Lee YS, et al. Robotic thyroid surgery using a gasless, transaxillary approach and the da Vinci S system: the operative outcomes of 338 consecutive patients. Surgery. 2009; 146:1048–55.

23. Ban EJ, Yoo JY, Kim WW, Son HY, Park S, Lee SH, et al. Surgical complications after robotic thyroidectomy for thyroid carcinoma: a single center experience with 3,000 patients. Surg Endosc. 2014; 28:2555–63.

24. Lee S, Park S, Lee CR, Son H, Kim J, Kang SW, et al. The impact of body habitus on the surgical outcomes of transaxillary single-incision robotic thyroidectomy in papillary thyroid carcinoma patients. Surg Endosc. 2013; 27:2407–14.

25. Clark JH, Kim HY, Richmon JD. Transoral robotic thyroid surgery. Gland Surg. 2015; 4:429–34.

26. Bomeli SR, Duke WS, Terris DJ. Robotic facelift thyroid surgery. Gland Surg. 2015; 4:403–9.

27. Richmon JD, Pattani KM, Benhidjeb T, Tufano RP. Transoral robotic-assisted thyroidectomy: a preclinical feasibility study in 2 cadavers. Head Neck. 2011; 33:330–3.

28. Kang SW, Lee SH, Ryu HR, Lee KY, Jeong JJ, Nam KH, et al. Initial experience with robot-assisted modified radical neck dissection for the management of thyroid carcinoma with lateral neck node metastasis. Surgery. 2010; 148:1214–21.

29. Chung WY. Robotic thyroidectomy and modified radical neck dissection: present and future. Korean J Endocr Surg. 2012; 12:1–10.

30. Mohamed HE, Kandil E. Robotic transaxillary and retroauricular thyroid surgery. J Surg Oncol. 2015; 112:243–9.

31. Seup Kim B, Kang KH, Park SJ. Robotic modified radical neck dissection by bilateral axillary breast approach for papillary thyroid carcinoma with lateral neck metastasis. Head Neck. 2015; 37:37–45.

32. Kim BS, Kang KH, Kang H, Park SJ. Central neck dissection using a bilateral axillobreast approach for robotic thyroidectomy: comparison with conventional open procedure after propensity score matching. Surg Laparosc Endosc Percutan Tech. 2014; 24:67–72.

33. Kwak HY, Kim HY, Lee HY, Jung SP, Woo SU, Son GS, et al. Predictive factors for difficult robotic thyroidectomy using the bilateral axillobreast approach. Head Neck, in press 2015.

34. Byeon HK, Koh YW. The new era of robotic neck surgery: The universal application of the retroauricular approach. J Surg Oncol, in press 2015.

35. Byeon HK, Holsinger FC, Tufano RP, Chung HJ, Kim WS, Koh YW, et al. Robotic total thyroidectomy with modified radical neck dissection via unilateral retroauricular approach. Ann Surg Oncol. 2014; 21:3872–5.

36. Terris DJ, Singer MC, Seybt MW. Robotic facelift thyroidectomy: patient selection and technical considerations. Surg Laparosc Endosc Percutan Tech. 2011; 21:237–42.

37. Terris DJ, Singer MC, Seybt MW. Robotic facelift thyroidectomy: II. Clinical feasibility and safety. Laryngoscope. 2011; 121:1636–41.

TOOLS

Similar articles