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J Robot Surg. 2017 Sep;11(3):341-346. doi: 10.1007/s11701-016-0661-1. Epub 2017 Feb 2.

Transoral robotic thyroidectomy: a preclinical feasibility study using the da Vinci Xi platform.

Author information

1
Department of Otolaryngology-Head and Neck Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
2
Department of Surgery, Korea University College of Medicine, Seoul, Korea.
3
Department of Otolaryngology-Head and Neck Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA. jeremy_richmon@meei.harvard.edu.
4
Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, MA, USA. jeremy_richmon@meei.harvard.edu.

Abstract

Transoral thyroid surgery allows the surgeon to conceal incisions within the oral cavity without significantly increasing the amount of required dissection. TORT provides an ideal scarless, midline access to the thyroid gland and bilateral central neck compartments. This approach, however, presents multiple technical challenges. Herein, we present our experience using the latest generation robotic surgical system to accomplish transoral robotic thyroidectomy (TORT). In two human cadavers, the da Vinci Xi surgical system (Intuitive Surgical, Sunnyvale, CA, USA) was used to complete TORT. Total thyroidectomy and bilateral central neck dissection was successfully completed in both cadavers. The da Vinci Xi platform offered several technologic advantages over previous robotic generations including overhead docking, narrower arms, and improved range of motion allowing for improved execution of previously described TORT techniques.

KEYWORDS:

Remote access; Robotic; Thyroidectomy; Transoral; Vestibular; da Vinci Xi

PMID:
28155047
DOI:
10.1007/s11701-016-0661-1
[Indexed for MEDLINE]

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