Abstract
Robotic transaxillary thyroid surgery is safe and feasible, when performed in a high-volume practice setting. Knowledge of indications, contraindications, advantages, and disadvantages ensures proper patient selection and optimal shared decision-making. These elements are necessary to achieve successful outcomes. Robotic transaxillary thyroidectomy offers excellent cosmetic outcomes and oncologically adequate surgery and results in improved patient satisfaction and quality of life.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Gagner M. Endoscopic subtotal parathyroidectomy in patients with primary hyperparathyroidism. Br J Surg. 1996;83(6):875. https://doi.org/10.1002/bjs.1800830656.
Lirici MM, Hüscher CS, Chiodini S, Napolitano C, Recher A. Endoscopic right thyroid lobectomy. Surg Endosc. 1997;11(8):877. https://doi.org/10.1007/s004649900476.
Miccoli P, Berti P, Conte M, Bendinelli C, Marcocci C. Minimally invasive surgery for thyroid small nodules: preliminary report. J Endocrinol Investig. 1999; https://doi.org/10.1007/BF03343657.
Terris DJ, Angelos P, Steward DL, Simental AA. Minimally invasive video-assisted thyroidectomy: a multi-institutional north American experience. Arch Otolaryngol Head Neck Surg. 2008; https://doi.org/10.1001/archoto.2007.22.
Terris DJ, Seybt MW. Modifications of Miccoli minimally invasive thyroidectomy for the low-volume surgeon. Am J Otolaryngol Head Neck Med Surg. 2011; https://doi.org/10.1016/j.amjoto.2010.07.014
Ikeda, Y. (2013). Total Endoscopic Thyroidectomy: Axillary Approach. Minimally Invasive and Robotic Thyroid and Parathyroid Surgery, 49–53. https://doi.org/10.1007/978-1-4614-​9011-1_7.
Ryu HR, Kang S, Lee SH, Rhee KY, Jeong JJ, Nam K, et al. Feasibility and safety of a new robotic thyroidectomy through a gasless, Transaxillary single-incision approach. J Am Coll Surg. 2010;211(3) https://doi.org/10.1016/j.jamcollsurg.2010.05.021.
Bellantone R. Arterial PCO2 and cardiovascular function during endoscopic neck surgery with carbon dioxide insufflation. Arch Surg. 2001;136(7):822. https://doi.org/10.1001/archsurg.136.7.822.
Kang S, Jeong JJ, Nam K, Chang HS, Chung WY, Park CS. Robot-assisted endoscopic thyroidectomy for thyroid malignancies using a gasless Transaxillary approach. J Am Coll Surg. 2009;209(2) https://doi.org/10.1016/j.jamcollsurg.2009.05.003.
Russell JO, Noureldine SI, Khadem MG, Tufano RP. Minimally invasive and remote-access thyroid surgery in the era of the 2015 American Thyroid Association guidelines. Laryngosc Investig Otolaryngol. 2016;1(6):175–9. https://doi.org/10.1002/lio2.36.
Kang S, Jeong JJ, Yun J, Sung TY, Lee SC, Lee YS, et al. Robot-assisted endoscopic surgery for thyroid cancer: experience with the first 100 patients. Surg Endosc. 2009;23(11):2399–406. https://doi.org/10.1007/s00464-009-0366-x.
Kim MJ, Chung WY. Yonsei experience of 5000 gasless Transaxillary robotic thyroidectomies: reply. World J Surg. 2018;42(7):2281–2. https://doi.org/10.1007/s00268-018-4471-7.
Chang YW, Lee HY, Ji WB, Kim HY, Kim WY, Lee JB, Son GS. Detailed comparison of robotic and endoscopic transaxillary thyroidectomy. Asian J Surg. 2019; https://doi.org/10.1016/j.asjsur.2019.02.012.
Chung YS, Choe J, Kang K, Kim SW, Chung K, Park KS, et al. Endoscopic thyroidectomy for thyroid malignancies: comparison with conventional open thyroidectomy. World J Surg. 2007;31(12):2302–6. https://doi.org/10.1007/s00268-007-9117-0.
Koh YW, Park JH, Kim JW, Lee SW, Choi EC. Endoscopic hemithyroidectomy with prophylactic ipsilateral central neck dissection via an unilateral axillo-breast approach without gas insufflation for unilateral micropapillary thyroid carcinoma: preliminary report. Surgical Endoscopy,24(1), 188-197. 2009; https://doi.org/10.1007/s00464-009-0646-5.
Jeong JJ, Kang S, Yun J, Sung TY, Lee SC, Lee YS, et al. Comparative study of endoscopic thyroidectomy versus conventional open thyroidectomy in papillary thyroid microcarcinoma (PTMC) patients. J Surg Oncol. 2009;100(6):477–80. https://doi.org/10.1002/jso.21367.
Zaidi N, Daskalaki D, Quadri P, Okoh A, Giulianotti PC, Berber E. The current status of robotic transaxillary thyroidectomy in the United States: an experience from two centers. Gland Surg. 2017;6(4):380–4. https://doi.org/10.21037/gs.2017.05.06.
Aidan P, Arora A, Lorincz B, Tolley N, Garas G. Robotic thyroid surgery: current perspectives and future considerations. ORL J Otorhinolaryngol Relat Spec. 2018;80(3–4):186–94. https://doi.org/10.1159/000488354.
Arora A, Garas G, Sharma S, Muthuswamy K, Budge J, Palazzo F, et al. Comparing transaxillary robotic thyroidectomy with conventional surgery in a UK population: a case control study. Int J Surg. 2016;27:110–7. https://doi.org/10.1016/j.ijsu.2016.01.071.
Hinson AM, Kandil E, Obrien S, Spencer HJ, Bodenner DL, Hohmann SF, Stack BC. Trends in robotic thyroid surgery in the United States from 2009 through 2013. Thyroid. 2015;25(8):919–26. https://doi.org/10.1089/thy.2015.0066.
Kandil EH, Noureldine SI, Yao L, Slakey DP. Robotic Transaxillary thyroidectomy: an examination of the first one hundred cases. J Am Coll Surg. 2012;214(4):558–64. https://doi.org/10.1016/j.jamcollsurg.2012.01.002.
Russell JO, Razavi CR, Garstka ME, Chen LW, Vasiliou E, Kang S, et al. Remote-access thyroidectomy: a multi-institutional north American experience with Transaxillary, robotic facelift, and Transoral endoscopic vestibular approaches. J Am Coll Surg. 2019;228(4):516–22. https://doi.org/10.1016/j.jamcollsurg.2018.12.005.
Stang MT, Yip L, Wharry L, Bartlett DL, Mccoy KL, Carty SE. Gasless Transaxillary endoscopic thyroidectomy with robotic assistance: a high-volume experience in North America. Thyroid. 2018;28(12):1655–61. https://doi.org/10.1089/thy.2018.0404.
Kuppersmith RB, Holsinger FC. Robotic thyroid surgery: an initial experience with north American patients. Laryngoscope. 2010;121(3):521–6. https://doi.org/10.1002/lary.21347.
Foley CS, Agcaoglu O, Siperstein AE, Berber E. Robotic transaxillary endocrine surgery: a comparison with conventional open technique. Surg Endosc. 2012;26(8):2259–66. https://doi.org/10.1007/s00464-012-2169-8.
Landry CS, Grubbs EG, Morris GS, Turner NS, Holsinger FC, Lee JE, Perrier ND. Robot assisted transaxillary surgery (RATS) for the removal of thyroid and parathyroid glands. Surgery. 2011;149(4):549–55. https://doi.org/10.1016/j.surg.2010.08.014.
Berber E, Bernet V, Fahey TJ, Kebebew E, Shaha A, Stack BC, et al. American Thyroid Association statement on remote-access thyroid surgery. Thyroid. 2016;26(3):331–7. https://doi.org/10.1089/thy.2015.0407.
Haugen BR, Alexander EK, Bible KC, Doherty GM, Mandel SJ, Nikiforov YE, et al. 2015 American Thyroid Association management guidelines for adult patients with thyroid nodules and differentiated thyroid cancer: the American Thyroid Association guidelines task force on thyroid nodules and differentiated thyroid cancer. Thyroid. 2016;26(1):1–133. https://doi.org/10.1089/thy.2015.0020.
Noureldine SI, Yao L, Wavekar RR, Mohamed S, Kandil E. Thyroidectomy for graves disease: a feasibility study of the robotic transaxillary approach. ORL J Otorhinolaryngol Relat Spec. 2013;75(6):350–6. https://doi.org/10.1159/000354266.
Lee SG, Lee J, Kim MJ, Choi JB, Kim TH, Ban EJ, et al. Long-term oncologic outcome of robotic versus open total thyroidectomy in PTC: a case-matched retrospective study. Surg Endosc. 2015;30(8):3474–9. https://doi.org/10.1007/s00464-015-4632-9.
Lee J, Kwon IS, Bae EH, Chung WY. Comparative analysis of oncological outcomes and quality of life after robotic versus conventional open thyroidectomy with modified radical neck dissection in patients with papillary thyroid carcinoma and lateral neck node metastases. J Clin Endocrinol Metabol. 2013;98(7):2701–8. https://doi.org/10.1210/jc.2013-1583.
Noureldine SI, Jackson NR, Tufano RP, Kandil E. A comparative north American experience of robotic thyroidectomy in a thyroid cancer population. Langenbecks Archives of Surgery, 398(8), 1069-1074. 2013; https://doi.org/10.1007/s00423-013-1123-0.
Kang S, Chung WY. Robotic lateral neck node dissection for the thyroid cancer via the transaxillary approach. Minim Invasive Thyroidect. 2012:161–7. https://doi.org/10.1007/978-3-642-23696-9_15.
Bhatia P, Mohamed HE, Kadi A, Kandil E, Walvekar RR. Remote access thyroid surgery. Gland Surg. 2015;4(5):376–87. https://doi.org/10.3978/j.issn.2227-684X.2015.05.02.
Kandil E. Transaxillary gasless robotic thyroidectomy a single surgeons experience in North America. Arch Otolaryngol Head Neck Surg. 2012;138(2):113. https://doi.org/10.1001/archoto.2011.1082.
Garstka ME, Alameer ES, Awwad SA, Kandil E. Conventional robotic endoscopic thyroidectomy for thyroid cancer. Endocrinol Metab Clin N Am. 2019;48(1):153–63. https://doi.org/10.1016/j.ecl.2018.10.005.
Huang S, Garstka ME, Murcy MA, Bamford JA, Kang S, Randolph GW, Kandil E. Somatosensory evoked potential: preventing brachial plexus injury in transaxillary robotic surgery. Laryngoscope. 2019; https://doi.org/10.1002/lary.27611.
Jackson NR, Yao L, Tufano RP, Kandil EH. Safety of robotic thyroidectomy approaches: meta-analysis and systematic review. Head Neck. 2013;36(1):137–43. https://doi.org/10.1002/hed.23223.
Sun GH, Peress L, Pynnonen MA. Systematic review and meta-analysis of robotic vs conventional thyroidectomy approaches for thyroid disease. Otolaryngology–Head and Neck Surgery,150(4), 520-532. 2014; https://doi.org/10.1177/0194599814521779.
Shen H, Shan C, Qiu M. Systematic review and meta-analysis of Transaxillary robotic thyroidectomy versus open thyroidectomy. Surg Laparosc Endosc Percutan Tech. 2014;24(3):199–206. https://doi.org/10.1097/sle.0b013e3182a47a40.
Kandil E, Hammad AY, Walvekar RR, Hu T, Masoodi H, Mohamed SE, et al. Robotic thyroidectomy versus nonrobotic approaches. Surg Innov. 2015;23(3):317–25. https://doi.org/10.1177/1553350615613451.
Son SK, Kim JH, Bae JS, et al. Surgical safety and oncologic effectiveness in robotic versus conventional open thyroidectomy in thyroid cancer: a systematic review and meta-analysis. Ann Surg Oncol. 2015;22:3022.
Lobe TE, Wright SK, Irish MS. Novel uses of surgical robotics in head and neck surgery. J Laparoendosc Adv Surg Tech. 2005;15(6):647–52. https://doi.org/10.1089/lap.2005.15.647.
Chang EH, Kim HY, Koh YW, Chung WY. Overview of robotic thyroidectomy. Gland Surgery. 2017;6(3):218–28. https://doi.org/10.21037/gs.2017.03.18.
Kang S, Jeong JJ, Yun J, Sung TY, Lee SC, Lee YS, et al. Gasless endoscopic thyroidectomy using trans–axillary approach; surgical outcome of 581 patients. Endocrine Journal,56(3), 361-369. 2009; https://doi.org/10.1507/endocrj.k08e-306.
Ryu HR, Lee J, Park J, Kang S, Jeong JJ, Hong J, Chung WY. A comparison of postoperative pain after conventional open thyroidectomy and Transaxillary single-incision robotic thyroidectomy: a prospective study. Ann Surg Oncol. 2013;20(7):2279–84. https://doi.org/10.1245/s10434-012-2557-2.
Lee J, Kang SW, Jung JJ, Choi UJ, Yun JH, Nam KH, et al. Multicenter study of robotic thyroidectomy: short-term postoperative outcomes and surgeon ergonomic considerations. Ann Surg Oncol. 2011;18(9):2538–47. https://doi.org/10.1245/s10434-011-1628-0.
Cabot JC, Lee CR, Brunaud L, Kleiman DA, Chung WY, Fahey TJ, Zarnegar R. Robotic and endoscopic transaxillary thyroidectomies may be cost prohibitive when compared to standard cervical thyroidectomy: a cost analysis. Surgery. 2012;152(6):1016–24. https://doi.org/10.1016/j.surg.2012.08.029.
Tae K, Ji YB, Song CM, Ryu J. Robotic and endoscopic thyroid surgery: evolution and advances. Clin Exp Otorhinolaryngol. 2019;12(1):1–11. https://doi.org/10.21053/ceo.2018.00766.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Alameer, E.S., Lee, G.S., Kandil, E. (2021). Robotic Transaxillary Thyroidectomy. In: Singer, M.C., Terris, D.J. (eds) Innovations in Modern Endocrine Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-73951-5_18
Download citation
DOI: https://doi.org/10.1007/978-3-030-73951-5_18
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-73950-8
Online ISBN: 978-3-030-73951-5
eBook Packages: MedicineMedicine (R0)