Department of Surgery, Yonsei University College of Medicine, Seoul, Korea.
Thyroid. 2012 Dec;22(12):1266-74. doi: 10.1089/thy.2012.0068.
Transaxillary robotic thyroidectomy, developed by the Yonsei University group from Seoul, Korea, is a new approach that eliminates the need for a cervical incision. Originally, this technique was performed using a two-incision technique (ipsilateral axilla and anterior chest wall). More recently, the chest wall incision is being eliminated and a less invasive robotic thyroid procedure is being performed through a single axillary incision.
The complexity of this new technique introduces the potential for new complications particularly during the initial learning curve that are not routinely or previously associated with conventional open thyroidectomy. This article will aide surgeons in overcoming the learning curve of transaxillary single-incision robotic thyroidectomy (TSI-RT), giving a detailed explanation of the robotic surgical procedure, the possible complications, and complication management.
If surgeons have mastery of the multiple steps of the robotic surgical procedure and a good understanding of possible complications and how to prevent them, TSI-RT can be performed safely and offers numerous advantages over multi-incision robotic thyroidectomy as well as conventional open thyroidectomy.
由韩国首尔延世大学集团开发的经腋窝入路机器人甲状腺切除术是一种新的方法，它消除了颈部切口的需要。最初，该技术采用双切口技术（同侧腋窝和前胸壁）进行。最近，前胸壁切口被消除，通过单一腋窝切口进行了一种创伤更小的机器人甲状腺手术。
这项新技术的复杂性带来了新的并发症的可能性，特别是在最初的学习曲线期间，这些并发症通常与传统的开放式甲状腺切除术无关。本文将帮助外科医生克服经腋窝单切口机器人甲状腺切除术（TSI-RT）的学习曲线，详细解释机器人手术程序、可能的并发症以及并发症管理。
如果外科医生掌握了机器人手术程序的多个步骤，并且很好地理解了可能的并发症以及如何预防这些并发症，那么 TSI-RT 可以安全地进行，并且与多切口机器人甲状腺切除术以及传统的开放式甲状腺切除术相比具有许多优势。
