J Endocr Surg.  2018 Jun;18(2):155-160. 10.16956/jes.2018.18.2.155.

Transoral Robotic Thyroidectomy: Description of the Surgical Technique in the Cadaveric Model

• Makay O
• Erol V

• KMID: 2420770
• DOI: http://doi.org/10.16956/jes.2018.18.2.155

Abstract

PURPOSE
Nowadays, minimally invasive surgical approach in thyroid surgery is getting more and more attention. The purpose of this report is to describe the surgical technique of transoral robotic thyroidectomy (TORT) in the cadaveric model which is the one of these minimally invasive methods.
METHODS
Transoral thyroidectomy through vestibular approach was performed on 67 year old lady fresh cadaveric model. The da Vinci Xi surgical system (Intuitive Surgical, Inc.) was used to complete TORT. Total thyroidectomy was successfully completed.
RESULTS
Total thyroidectomy was successfully completed and all vital structures (recurrent laryngeal nerves and parathyroid glands) were identified and preserved.
CONCLUSION
TORT is a technique that can be successfully applied on the cadaver. We believe that this tecnique is an alternative approach in scarless thyroid surgery that can be safely applied to selected patients.

Keyword

Transoral robotic thyroidectomy; Surgical technique

MeSH Terms

Cadaver*
Humans
Laryngeal Nerves
Liability, Legal
Thyroid Gland
Thyroidectomy*

Figure

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  Fig. 1 Three-cm transverse incision in the midline of the lower lip.

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  Fig. 2 Placement the 3 robotic ports.

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  Fig. 3 Docked da Vinci Xi surgical system.

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  Fig. 4 Tissue extraction.

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  Fig. 5 Check after surgery by convensional incision.

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