title: Robotic transaxillary total thyroidectomy using a unilateral approach.
abstract: There has been a recent interest at performing thyroid procedures robotically through an axillary approach. Although the technique for a unilateral thyroid lobectomy has been well established, there are controversies about whether a unilateral or bilateral axillary approach should be used for total thyroidectomy. Furthermore, there also questions as to whether a robotic total thyroidectomy would be oncologically equivalent to the traditional procedure. We have been performing our robotic total thyroidcetomies through a unilateral axillary approach, using principles learned in traditional surgery for removing substernal goiter. In this report, we describe a technique of robotic unilateral transaxillary total thyroidectomy validated by follow-up radioactive iodine uptake and serum thyroglobulin data.
authors.affiliation: Endocrine Surgery, Endocrinology and Metabolism Institute, Cleveland Clinic, Cleveland, OH, USA. berbere@ccf.org
authors.forename: Eren
authors.initials: E
authors.lastname: Berber
authors.forename: Allan
authors.initials: A
authors.lastname: Siperstein
mesh_terms: D000328:Adult; D001365:Axilla / Q000601:surgery*; D004867:Equipment Design; D005260:Female; D005500:Follow-Up Studies; D006044:Goiter, Nodular / Q000097:blood / Q000601:surgery*; D006801:Humans; D012371:Robotics; D013954:Thyroglobulin / Q000097:blood; D013965:Thyroidectomy / Q000295:instrumentation*
chemical_list: D013954:Thyroglobulin