Vriens Menno R, Kist Jakob W, Lodewijk Lutske, van Hillegersberg Richard, Borel Rinkes Inne H M
Universitair Medisch Centrum Utrecht, afd. Heelkunde, Utrecht, the Netherlands.
Ned Tijdschr Geneeskd. 2013;157(28):A5841.
The robot-assisted transaxillary (hemi)thyroidectomy (RATT) is a new surgical technique using the da Vinci S surgery robot. This technique has recently been successfully introduced in the Netherlands. In a RATT a subcutaneous tunnel from the axilla is created to gain access to the thyroid gland. The operation is then carried out with the robot much like an open procedure. Using a RATT, a total thyroidectomy can be performed. However, surgeons at the beginning of the learning curve are advised to start with hemithyroidectomies only. The indication area consists of nodules up to three centimeters and most probably being benign. The major advantage of this technique is the prevention of a potentially disfiguring scar. The most important disadvantage of this technique is its high cost compared with the conventional procedure. In order to successfully introduce the RATT procedure, thorough preparation by both surgeons and operating room personnel is required. A proctoring program is also necessary.
机器人辅助经腋窝（半）甲状腺切除术（RATT）是一种使用达芬奇S手术机器人的新型外科技术。该技术最近已在荷兰成功引入。在RATT手术中，需从腋窝创建一条皮下隧道以进入甲状腺。然后使用机器人进行手术，操作方式与开放手术非常相似。使用RATT可以进行全甲状腺切除术。然而，建议处于学习曲线初期的外科医生仅从半甲状腺切除术开始。适应症范围包括直径达三厘米且很可能为良性的结节。该技术的主要优点是可避免潜在的毁容性疤痕。与传统手术相比，该技术最重要的缺点是成本高昂。为了成功引入RATT手术，外科医生和手术室工作人员都需要进行充分准备。还需要一个指导计划。
