Single-Port Transaxillary Robotic Bilateral Total Thyroidectomy (START) for Graves’ Disease: First Initial 10 Cases Using da Vinci SP Robotic System

• 발행기관: 대한내분비외과학회
• 저자명: In A Lee Jin Kyong Kim Cho Rok Lee Sang-Wook Kang Jong Ju Jeong Kee-Hyun Nam Woong Youn Chung
• 간행물 정보: 『The Koreran journal of Endocrine Surgery』22권1호, 24~32쪽, 전체 9쪽
• 주제분류: 의약학 > 면역학
• 파일형태: PDF
• 발행일자: 2022.03.30

영문 초록

Purpose Graves’ disease (GD) is an autoimmune disorder and the most common cause of persistent hyperthyroidism. Recently, robotic transaxillary thyroidectomy has served as a minimally invasive surgical alternative to conventional open thyroidectomy, even for patients with GD. In 2019, we first performed single-port transaxillary bilateral total thyroidectomy using the da Vinci SP robotic system (START). This study aimed to evaluate the technical feasibility of START for GD. Methods This retrospective review included 10 patients with GD who underwent START at our institution between September 2020 and January 2022 by a single surgeon. Results All 10 patients were female, and the body-mass index was 22.3±3.6 kg/m2 (range, 18.6-28.9). Seven patients (70%) had thyroid carcinoma, two (20%) had persistent hyperthyroidism despite medical control, and one patient (10%) had Graves’ ophthalmopathy. The mean operation time was 173.4±26.8 min (range, 128-226), and the mean estimated blood loss was 102.0±185.1 mL (range, 10-600). There were no cases of conversion to open surgery. There were no intraoperative complications and six cases of postoperative complications, including transient hypocalcemia in three cases, bleeding with reoperation in two cases, and transient hoarseness in one case. Conclusions Patients with GD with large goiter and hypervascularity require delicate ligation, even of minor vessels, in a narrow space. START is feasible and safe for GD performed by high-volume expert surgeons.

목차

INTRODUCTION

MATERIALS AND METHODS

RESULTS

DISCUSSION

CONCLUSION

ACKNOWLEDGMENTS

REFERENCES

키워드

Single-port transaxillary robotic thyroidectomy Graves’ disease Da Vinci SP robotic system