Ann Surg Treat Res.  2019 May;96(5):266-268. 10.4174/astr.2019.96.5.266.

Robotic transoral thyroidectomy for papillary thyroid carcinoma

• Kim HK
• Park D
• Kim HY

• KMID: 2443590
• DOI: http://doi.org/10.4174/astr.2019.96.5.266

Abstract

Transoral robotic thyroidectomy (TORT) is well consistent with the primary goal of remote-access thyroid surgery, which is to avoid a visible cervical scar. Additionally, the extent of transoral thyroidectomy dissection is less than that of other remote-access surgical procedures. Owing to these merits of the transoral approach, several institutions around the world are now performing this procedure. Since transoral thyroidectomy is performed in a confined, narrow space, and is characterized by a close distance from the ports to the working space, more benefits can be derived from multiarticulation of robotic instruments. Especially when performing left lobectomy by TORT, the surgeon can use right-handed robotic instruments over the thyroid cartilage with the merits of multiarticulation. In this study, we present our unique procedure of left lobectomy by TORT in detail.

Keyword

Transoral thyroidectomy; Remote-access thyroidectomy; Transoral robotic thyroidectomy

MeSH Terms

Cicatrix
Liability, Legal
Thyroid Cartilage
Thyroid Gland*
Thyroid Neoplasms*
Thyroidectomy*

Figure

• 

  Fig. 1 The operative procedures of transoral robotic thyroidectomy. (A) Ligation of the superior thyroidal vessels of the left thyroid gland. (B) Identification of the left recurrent laryngeal nerve (arrowheads). (C) Completion of left thyroidectomy preserving recurrent laryngeal nerve (arrowheads). *Thyroid gland.

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