title: Anesthetic implications for robot-assisted transaxillary thyroid and parathyroid surgery: a report of twenty cases.
abstract: Gasless transaxillary robot-assisted endoscopic thyroid surgery has recently been proposed and developed in South Korea and the United States. Perianesthetic implications and their evolution for 20 patients scheduled to undergo this innovative surgical technique are presented. The anesthetic considerations focus on the length of surgery due to the learning curve, the risk of the ipsilateral arm posture, and postoperative pain evaluation and management.
authors.affiliation: Department of Anesthesia and Intensive Care, American Hospital of Paris, 92200 Neuilly S/Seine, France. Electronic address: gilles.boccara@ahparis.org.
authors.forename: Gilles
authors.initials: G
authors.lastname: Boccara
authors.forename: Thierry
authors.initials: T
authors.lastname: Guenoun
authors.forename: Patrick
authors.initials: P
authors.lastname: Aidan
mesh_terms: D000328:Adult; D000368:Aged; D000768:Anesthesia, General / Q000379:methods*; D001365:Axilla; D005260:Female; D006801:Humans; D007432:Intraoperative Period; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative / Q000379:methods; D010149:Postoperative Pain / Q000517:prevention & control; D016105:Parathyroidectomy / Q000009:adverse effects / Q000379:methods*; D056888:Patient Positioning / Q000379:methods; D012371:Robotics / Q000295:instrumentation / Q000379:methods*; D013965:Thyroidectomy / Q000009:adverse effects / Q000379:methods*; D055815:Young Adult
keywords: Anesthesia; Robot-assisted surgery; Thyroid axillary