Department of Surgery, KUMC Thyroid Center, Korea University Hospital, Korea University College of Medicine, Seoul, Republic of Korea.
Head and Neck Endocrine Surgery Division, Department of Otolaryngology-Head and Neck Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland.
Head Neck. 2019 Dec;41(12):4229-4233. doi: 10.1002/hed.25939. Epub 2019 Aug 30.
Transoral vestibular approach endoscopic thyroidectomy has gained popularity worldwide because it avoids a cutaneous incision. Some surgeons have expressed reservations about operating with only 2 instruments in the endoscopic technique, and some therefore utilize an axillary incision as an adjunct to facilitate dissection. The Intuitive da Vinci single port robotic system offers the potential to overcome this limitation without an axillary incision.
In this study, the Intuitive da Vinci single port robotic surgical system was used to perform transoral thyroidectomy on 2 human cadavers.
A total thyroidectomy was performed in 2 cadavers using the da Vinci single port (SP) robot via transoral vestibular technique. The dissections were performed with removal of the thyroid gland and preservation of the recurrent laryngeal nerves and parathyroid glands.
In our evaluation, transoral vestibular approach robotic thyroidectomy using the Intuitive da Vinci SP system facilitated dissection without the need for an axillary incision.
经口前庭内镜甲状腺切除术因其避免了皮肤切口而在全球范围内得到普及。一些外科医生对仅使用内镜技术中的 2 种器械进行手术表示保留意见，因此一些外科医生采用腋窝切口作为辅助手段以方便解剖。直观达芬奇单端口机器人系统有可能克服这一限制，而无需腋窝切口。
本研究使用直观达芬奇单端口机器人系统对 2 具人体尸体进行经口前庭内镜甲状腺切除术。
通过经口前庭技术，达芬奇单端口 (SP) 机器人在 2 具尸体上完成了全甲状腺切除术。进行了甲状腺的解剖，并保留了喉返神经和甲状旁腺。
在我们的评估中，使用直观达芬奇 SP 系统的经口前庭内镜机器人甲状腺切除术有助于在无需腋窝切口的情况下进行解剖。
