Transoral robotic-assisted thyroidectomy with central neck dissection: Preclinical cadaver feasibility study and proposed surgical technique

被引：81

作者：

Richmon J.D. ^{[1
]}

Holsinger F.C. ^{[2
]}

Kandil E. ^{[3
]}

Moore M.W. ^{[2
]}

Garcia J.A. ^{[2
]}

Tufano R.P. ^{[1
]}

机构：

[1] Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins Hospital, Blatimore, MD 21287

[2] Department of Head and Neck Surgery, The University of Texas M.D. Anderson Cancer Center, Houston, TX

[3] Department of Surgery, Tulane University, New Orleans, LA

来源：

Journal of Robotic Surgery | 2011年 / 5卷 / 4期

关键词：

Central neck; Minimally invasive; Robot; Robotic-assisted surgery; Thyroid; Transoral thyroidectomy;

D O I：

10.1007/s11701-011-0287-2

中图分类号：

学科分类号：

摘要：

Recently, a transoral robotic-assisted technique to access the thyroid gland has been introduced. Despite the advantages this approach may have over other minimally invasive and robotic-assisted techniques, we found that the placement of the camera through the floor of mouth led to restricted freedom of movement. We describe our modification to this technique to overcome this problem. In a study using two fresh human cadavers, the camera port of the da Vinci robot was placed in the midline oral vestibule instead of the floor of the mouth. A transoral thyroidectomy and central neck dissection was successfully performed. Our modification led to an unfettered view of the central neck and allowed for a total thyroidectomy and central neck dissection. Our modification of transoral robotic-assisted thyroidectomy provides superior access to the central compartment of the neck over other robotic-assisted thyroidectomy techniques. © 2011 Springer-Verlag London Ltd.

引用

页码：279 / 282

页数：3

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