Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2017 Jun;6(3):236-242.
doi: 10.21037/gs.2017.06.04.

Gasless trans-axillary robotic thyroidectomy: the technique and evidence

Hassan A Alzahrani  1 , Khuzema Mohsin  1 , Daniah Bu Ali  1 , Fadi Murad  1 , Emad Kandil  1
Affiliations
Review

Gasless trans-axillary robotic thyroidectomy: the technique and evidence

Hassan A Alzahrani et al. Gland Surg. 2017 Jun.

Abstract

Robot assisted thyroid surgery has the advantage of a superior field vision and technical advancements of robotic technology that have permitted novel remote access thyroid surgical approaches. Gasless trans-axillary robot-assisted thyroidectomy has been proved to be among the most current feasible approaches. This approach offers an excellent cosmetic outcome, with comparable outcomes to conventional surgical approaches. This review aims to provide details of this specific remote access technique for thyroid resection with most recent evidences in the literature.

Keywords: Robotic-assisted; da Vinci; gasless trans-axillary; remote access; thyroidectomy.

PubMed Disclaimer

Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Forearm placement and proper padding (SSEP electrodes attached). SSEP, somatosensory evoked potential.
Figure 2
Figure 2
Landmarks: (1) thyroid cartilage, (2) suprasternal notch.
Figure 3
Figure 3
The plane between the sternal and clavicular heads of the SCM (shaded space in the illustration). SCM, sternocleidomastoid.
Figure 4
Figure 4
Identification of omohyoid muscle (arrowed in the illustration). SCM, sternocleidomastoid.
Figure 5
Figure 5
Chung or modified thyroidectomy retractor is mounted at the contralateral side of the bed.
Figure 6
Figure 6
The retractor is connected to a suction tube.
Figure 7
Figure 7
Robot docking.
Figure 8
Figure 8
Identification of RLN. RLN, recurrent laryngeal nerve.
See this image and copyright information in PMC

References

    1. Lang BH. Minimally invasive thyroid and parathyroid operations: surgical techniques and pearls. Adv Surg 2010;44:185-98. 10.1016/j.yasu.2010.05.012 - DOI - PubMed
    1. Linos D. Minimally invasive thyroidectomy: a comprehensive appraisal of existing techniques. Surgery 2011;150:17-24. 10.1016/j.surg.2011.02.018 - DOI - PubMed
    1. Tanna N, Joshi AS, Glade RS, et al. Da Vinci robot-assisted endocrine surgery: novel applications in otolaryngology. Otolaryngol Head Neck Surg 2006;135:633-5. 10.1016/j.otohns.2006.07.003 - DOI - PubMed
    1. Hinson AM, Kandil E, O'Brien S, et al. Trends in Robotic Thyroid Surgery in the United States from 2009 Through 2013. Thyroid 2015;25:919-26. 10.1089/thy.2015.0066 - DOI - PubMed
    1. Kang SW, Jeong JJ, Yun JS, et al. Gasless endoscopic thyroidectomy using trans-axillary approach: surgical outcome of 581 patients. Endocr J 2009;56:361-9. 10.1507/endocrj.K08E-306 - DOI - PubMed

LinkOut - more resources