title: First case of combined robot-assisted thymectomy and transaxillary thyroidectomy: technique and robot-docking optimization.
abstract: Robot-assisted thymectomy and total transaxillary thyroidectomy represent two excellent therapeutic options for functional and oncological diseases of these two organs. We report the first case in literature of combined robot-assisted resection. The patient was positioned in supine position with the left arm raised cranially 90°-120° to expose the axillary area. After completing the thymectomy we rotated 30° counter-clockwise the robot for the second surgical time. This led to an optimization of disposable instruments and a gain in terms of hospitalization and postoperative recovery for the patient. To perform these two procedures it was enough to rotate 30° the robot.
authors: Thoracic Surgery Unit, University Hospital "Le Scotte", Viale M. Bracci 16, 53100, Siena, Italy.
authors: L
authors: L
authors: Luzzi
authors: Thoracic Surgery Unit, University Hospital "Le Scotte", Viale M. Bracci 16, 53100, Siena, Italy. robcorzani@gmail.com.
authors: R
authors: http://orcid.org/0000-0002-7363-6435
authors: R
authors: Corzani
authors: Otorhinolaryngology Unit, Hospital "San Donato", Via Nenni 20, Arezzo, Italy.
authors: G
authors: G
authors: Burali
authors: Otorhinolaryngology Unit, Hospital "San Donato", Via Nenni 20, Arezzo, Italy.
authors: L
authors: L
authors: Ciampelli
authors: Thoracic Surgery Unit, University Hospital "Le Scotte", Viale M. Bracci 16, 53100, Siena, Italy.
authors: M
authors: M
authors: Ghisalberti
authors: Thoracic Surgery Unit, University Hospital "Le Scotte", Viale M. Bracci 16, 53100, Siena, Italy.
authors: F
authors: F
authors: Meniconi
authors: Thoracic Surgery Unit, University Hospital "Le Scotte", Viale M. Bracci 16, 53100, Siena, Italy.
authors: A
authors: A
authors: Astaneh
authors: Division of Anesthesiology, University Hospital "Le Scotte", Viale Bracci 16, Siena, Italy.
authors: M R
authors: MR
authors: Baldi
authors: Division of Anesthesiology, University Hospital "Le Scotte", Viale Bracci 16, Siena, Italy.
authors: P
authors: P
authors: D'Onofrio
authors: Otorhinolaryngology Unit, Hospital "San Donato", Via Nenni 20, Arezzo, Italy.
authors: P G
authors: PG
authors: Ciabatti
mesh_terms: D000368:Aged; D006042:Goiter / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D008297:Male; D008476:Mediastinal Cyst / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D065287:Robotic Surgical Procedures / Q000379:methods*; D013934:Thymectomy / Q000379:methods*; D013965:Thyroidectomy / Q000379:methods*
keywords: Robotics; Thymectomy; Thymus; Thyroid; Transaxillary thyroidectomy