Transoral robotic thyroidectomy: a preclinical feasibility study using the da Vinci Xi platform.
Transoral thyroid surgery allows the surgeon to conceal incisions within the oral cavity without significantly increasing the amount of required dissection. TORT provides an ideal scarless, midline access to the thyroid gland and bilateral central neck compartments. This approach, however, presents multiple technical challenges. Herein, we present our experience using the latest generation robotic surgical system to accomplish transoral robotic thyroidectomy (TORT). In two human cadavers, the da Vinci Xi surgical system (Intuitive Surgical, Sunnyvale, CA, USA) was used to complete TORT. Total thyroidectomy and bilateral central neck dissection was successfully completed in both cadavers. The da Vinci Xi platform offered several technologic advantages over previous robotic generations including overhead docking, narrower arms, and improved range of motion allowing for improved execution of previously described TORT techniques.
Department of Otolaryngology-Head and Neck Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Jonathon O
http://orcid.org/0000-0002-6588-6549
JO
Russell
Department of Otolaryngology-Head and Neck Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Salem I
SI
Noureldine
Department of Otolaryngology-Head and Neck Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Mai G
MG
Al Khadem
Department of Otolaryngology-Head and Neck Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Hamad A
HA
Chaudhary
Department of Otolaryngology-Head and Neck Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Andrew T
AT
Day
Department of Surgery, Korea University College of Medicine, Seoul, Korea.
Hoon Yub
HY
Kim
Department of Otolaryngology-Head and Neck Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Ralph P
RP
Tufano
Department of Otolaryngology-Head and Neck Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA. jeremy_richmon@meei.harvard.edu.|Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, MA, USA. jeremy_richmon@meei.harvard.edu.
Jeremy D
JD
Richmon
D002102:Cadaver; D004210:Dissection / Q000295:instrumentation; D005240:Feasibility Studies; D006801:Humans; D010535:Laparoscopy / Q000295:instrumentation*; D065287:Robotic Surgical Procedures / Q000295:instrumentation* / Q000379:methods; D013525:Surgical Instruments; D013965:Thyroidectomy / Q000295:instrumentation* / Q000379:methods
Remote access; Robotic; Thyroidectomy; Transoral; Vestibular; da Vinci Xi