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The Laryngoscope
Article . 2017 . Peer-reviewed
License: Wiley Online Library User Agreement
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The Laryngoscope
Article . 2019
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Recent progress of retroauricular robotic thyroidectomy with the new surgical robotic system

Authors: Hyung Kwon Byeon; F. Christopher Holsinger; Umamaheswar Duvvuri; Da Hee Kim; Jae Hong Park; Estelle Chang; Se‐Heon Kim; +1 Authors

Recent progress of retroauricular robotic thyroidectomy with the new surgical robotic system

Abstract

ObjectivePreviously, we have reported the feasibility of retroauricular (RA) robotic thyroidectomy. Despite its promising surgical outcomes, there were certain intrinsic mechanical limitations inherent to the da Vinci Si System (Intuitive Surgical, Sunnyvale, California, U.S.A.). Since the advent of an upgraded model, the Xi System (Intuitive Surgical), we have actively incorporated the new model into performing RA thyroidectomy. Here, we intend to verify the feasibility of RA robotic thyroidectomy using the new da Vinci Xi System (Intuitive Surgical) with comparison of the former Si‐applied surgery (Intuitive Surgical).Study DesignComparative analysis.MethodsThere were total 165 consecutive patients who received RA robotic thyroidectomy from January 2013 to February 2016. The patients were divided into two groups: Si group (n = 125) and Xi group (n = 40). Perioperative and treatment outcomes were compared and analyzed.ResultsCompared with the previous system, new da Vinci Xi system (Intuitive Surgical) enabled insertion of an extra third robotic instrumental arm. Unlike the previous robotic surgical technique, the robotic dissection could be initiated immediately after the establishment of working space and the resulting total operation time could be significantly decreased. There was no difference in the surgical completeness, as confirmed by postoperative thyroglobulin levels. Additionally, flexed EndoWrist (Intuitive Surgical) instruments equipped with the Erbe (Erbe USA Inc., Marietta, Georgia, U.S.A.) system could be mounted, which further facilitated the operation. There were no significant differences in postoperative complications between the two groups.ConclusionThe RA robotic thyroidectomy with the new Xi System (Intuitive Surgical) can greatly facilitate the robotic surgery with comparable or improved surgical outcomes. Its application is expected to open up a new era of robotic neck surgery.Level of Evidence4. Laryngoscope, 128:1730–1737, 2018

Keywords

Adult, Male, Robotic thyroidectomy, Thyroid Gland, Thyroid Gland / surgery*, Postoperative Complications, Robotic Surgical Procedures / adverse effects, da Vinci Xi, Robotic Surgical Procedures, 617, Humans, Minimally Invasive Surgical Procedures, minimally invasive surgery, retroauricular approach, Minimally Invasive Surgical Procedures / methods, Robotic Surgical Procedures / instrumentation*, Thyroid Diseases, Thyroidectomy / adverse effects, Thyroidectomy / methods*, Thyroidectomy, remote access, Feasibility Studies, Female, Thyroid Diseases / surgery*, Follow-Up Studies

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    influence
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    impulse
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
11
Top 10%
Average
Top 10%
Green