Single-Port Transaxillary Robotic Bilateral Total Thyroidectomy (START) for Graves’ Disease: First Initial 10 Cases Using da Vinci SP Robotic System
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 perf...
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Published in | Journal of endocrine surgery Vol. 22; no. 1; pp. 24 - 32 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
Published |
대한내분비외과학회
01.03.2022
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Online Access | Get full text |
ISSN | 2508-8149 2508-8459 |
DOI | 10.16956/jes.2022.22.1.24 |
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Abstract | 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. KCI Citation Count: 1 |
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AbstractList | 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. KCI Citation Count: 1 |
Author | Nam, Kee-Hyun Lee, Cho Rok Kim, Jin Kyong Kang, Sang-Wook Lee, In A Jeong, Jong Ju Chung, Woong Youn |
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References | Kim (10.16956/jes.2022.22.1.24_ref22) 2018; 18 Al Qubaisi (10.16956/jes.2022.22.1.24_ref29) 2019; 23 Liu (10.16956/jes.2022.22.1.24_ref8) 2011; 168 Kang (10.16956/jes.2022.22.1.24_ref12) 2009; 146 Lee (10.16956/jes.2022.22.1.24_ref13) 2010; 24 Park (10.16956/jes.2022.22.1.24_ref19) 2013; 23 Agarwal (10.16956/jes.2022.22.1.24_ref23) 2011; 212 Sasaki (10.16956/jes.2022.22.1.24_ref11) 2009; 33 Kandil (10.16956/jes.2022.22.1.24_ref27) 2012; 214 Noureldine (10.16956/jes.2022.22.1.24_ref17) 2013; 75 Ryu (10.16956/jes.2022.22.1.24_ref15) 2010; 211 Tomer (10.16956/jes.2022.22.1.24_ref5) 2014; 9 Weetman (10.16956/jes.2022.22.1.24_ref1) 2000; 343 Tellez (10.16956/jes.2022.22.1.24_ref4) 1992; 36 Berti (10.16956/jes.2022.22.1.24_ref10) 2004; 18 Boostrom (10.16956/jes.2022.22.1.24_ref7) 2007; 136 Bu Bshait (10.16956/jes.2022.22.1.24_ref20) 2022 Giannopoulos (10.16956/jes.2022.22.1.24_ref16) 2013; 23 Kim (10.16956/jes.2022.22.1.24_ref21) 2022; 36 Yamamoto (10.16956/jes.2022.22.1.24_ref9) 2001; 31 Abraham-Nordling (10.16956/jes.2022.22.1.24_ref3) 2011; 165 Bartley (10.16956/jes.2022.22.1.24_ref2) 1994; 92 Kandil (10.16956/jes.2022.22.1.24_ref18) 2011; 148 Bahn Chair (10.16956/jes.2022.22.1.24_ref6) 2011; 21 Kang (10.16956/jes.2022.22.1.24_ref25) 2009; 23 Kang (10.16956/jes.2022.22.1.24_ref26) 2009; 209 Lee (10.16956/jes.2022.22.1.24_ref24) 2013; 19 Brunaud (10.16956/jes.2022.22.1.24_ref14) 2010; 147 Kim (10.16956/jes.2022.22.1.24_ref28) 2018; 42 |
References_xml | – volume: 33 start-page: 67 year: 2009 ident: 10.16956/jes.2022.22.1.24_ref11 publication-title: World J Surg doi: 10.1007/s00268-008-9783-6 – year: 2022 ident: 10.16956/jes.2022.22.1.24_ref20 publication-title: World J Surg – volume: 343 start-page: 1236 year: 2000 ident: 10.16956/jes.2022.22.1.24_ref1 publication-title: N Engl J Med doi: 10.1056/NEJM200010263431707 – volume: 42 start-page: 393 year: 2018 ident: 10.16956/jes.2022.22.1.24_ref28 publication-title: World J Surg doi: 10.1007/s00268-017-4209-y – volume: 209 start-page: e1 year: 2009 ident: 10.16956/jes.2022.22.1.24_ref26 publication-title: J Am Coll Surg doi: 10.1016/j.jamcollsurg.2009.05.003 – volume: 31 start-page: 1 year: 2001 ident: 10.16956/jes.2022.22.1.24_ref9 publication-title: Surg Today doi: 10.1007/s005950170211 – volume: 165 start-page: 899 year: 2011 ident: 10.16956/jes.2022.22.1.24_ref3 publication-title: Eur J Endocrinol doi: 10.1530/EJE-11-0548 – volume: 168 start-page: 1 year: 2011 ident: 10.16956/jes.2022.22.1.24_ref8 publication-title: J Surg Res doi: 10.1016/j.jss.2010.12.038 – volume: 146 start-page: 1048 year: 2009 ident: 10.16956/jes.2022.22.1.24_ref12 publication-title: Surgery doi: 10.1016/j.surg.2009.09.007 – volume: 214 start-page: 558 year: 2012 ident: 10.16956/jes.2022.22.1.24_ref27 publication-title: J Am Coll Surg doi: 10.1016/j.jamcollsurg.2012.01.002 – volume: 9 start-page: 147 year: 2014 ident: 10.16956/jes.2022.22.1.24_ref5 publication-title: Annu Rev Pathol doi: 10.1146/annurev-pathol-012513-104713 – volume: 23 start-page: 312 year: 2013 ident: 10.16956/jes.2022.22.1.24_ref16 publication-title: Surg Laparosc Endosc Percutan Tech doi: 10.1097/SLE.0b013e31828b8b20 – volume: 36 start-page: 291 year: 1992 ident: 10.16956/jes.2022.22.1.24_ref4 publication-title: Clin Endocrinol (Oxf) doi: 10.1111/j.1365-2265.1992.tb01445.x – volume: 211 start-page: e13 year: 2010 ident: 10.16956/jes.2022.22.1.24_ref15 publication-title: J Am Coll Surg doi: 10.1016/j.jamcollsurg.2010.05.021 – volume: 24 start-page: 3186 year: 2010 ident: 10.16956/jes.2022.22.1.24_ref13 publication-title: Surg Endosc doi: 10.1007/s00464-010-1113-z – volume: 212 start-page: 1097 year: 2011 ident: 10.16956/jes.2022.22.1.24_ref23 publication-title: J Am Coll Surg doi: 10.1016/j.jamcollsurg.2011.02.026 – volume: 19 start-page: 151 year: 2013 ident: 10.16956/jes.2022.22.1.24_ref24 publication-title: Cancer J doi: 10.1097/PPO.0b013e31828aab61 – volume: 136 start-page: 278 year: 2007 ident: 10.16956/jes.2022.22.1.24_ref7 publication-title: Otolaryngol Head Neck Surg doi: 10.1016/j.otohns.2006.09.011 – volume: 36 start-page: 2688 year: 2022 ident: 10.16956/jes.2022.22.1.24_ref21 publication-title: Surg Endosc doi: 10.1007/s00464-021-08837-9 – volume: 18 start-page: 61 year: 2018 ident: 10.16956/jes.2022.22.1.24_ref22 publication-title: J Endocr Surg doi: 10.16956/jes.2018.18.1.61 – volume: 148 start-page: e447 year: 2011 ident: 10.16956/jes.2022.22.1.24_ref18 publication-title: J Visc Surg doi: 10.1016/j.jviscsurg.2011.10.002 – volume: 147 start-page: e399 year: 2010 ident: 10.16956/jes.2022.22.1.24_ref14 publication-title: J Visc Surg doi: 10.1016/j.jviscsurg.2010.10.005 – volume: 75 start-page: 350 year: 2013 ident: 10.16956/jes.2022.22.1.24_ref17 publication-title: ORL J Otorhinolaryngol Relat Spec doi: 10.1159/000354266 – volume: 23 start-page: 2399 year: 2009 ident: 10.16956/jes.2022.22.1.24_ref25 publication-title: Surg Endosc doi: 10.1007/s00464-009-0366-x – volume: 21 start-page: 593 year: 2011 ident: 10.16956/jes.2022.22.1.24_ref6 publication-title: Thyroid doi: 10.1089/thy.2010.0417 – volume: 23 start-page: e173 year: 2013 ident: 10.16956/jes.2022.22.1.24_ref19 publication-title: Surg Laparosc Endosc Percutan Tech doi: 10.1097/SLE.0b013e3182996fbc – volume: 18 start-page: 1208 year: 2004 ident: 10.16956/jes.2022.22.1.24_ref10 publication-title: Surg Endosc doi: 10.1007/s00464-003-9225-3 – volume: 23 start-page: 23 year: 2019 ident: 10.16956/jes.2022.22.1.24_ref29 publication-title: Perm J doi: 10.7812/TPP/18-188 – volume: 92 start-page: 477 year: 1994 ident: 10.16956/jes.2022.22.1.24_ref2 publication-title: Trans Am Ophthalmol Soc |
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Title | Single-Port Transaxillary Robotic Bilateral Total Thyroidectomy (START) for Graves’ Disease: First Initial 10 Cases Using da Vinci SP Robotic System |
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