Three‐port transoral robotic thyroidectomy without axillary incision: A preliminary report on a case series from Vietnam

• Published in: The international journal of medical robotics + computer assisted surgery Vol. 19; no. 4; pp. e2521 - n/a
• Main Authors: Ngo, Duy Quoc, Pham, Binh, Ngo, Quy Xuan, Le, Quang
• Format: Journal Article
• Language: English
• Published: England Wiley Subscription Services, Inc 01.08.2023
• Subjects: Feasibility; Humans; Neck Dissection - methods; Retrospective Studies; Robot arms; Robotic surgery; Robotic Surgical Procedures - methods; robotic thyroidectomy; Robotics; Thyroid Neoplasms - pathology; Thyroid Neoplasms - surgery; Thyroidectomy; Thyroidectomy - methods; TORT; transoral approach; transoral robotic thyroidectomy; transoral thyroidectomy; Vietnam; Vietnam; transoral robotic thyroidectomy; robotic thyroidectomy; TORT; transoral approach; transoral thyroidectomy
• ISSN: 1478-5951; 1478-596X
• DOI: 10.1002/rcs.2521

Background Transoral robotic thyroidectomy (TORT) is one of the newest approaches and draws attention because of its cosmetic excellence. Here, we present our preliminary data from the initial 5 consecutive patients to explore the feasibility of three‐port TORT without axillary incision. Methods From August 2022 to December 2022, we performed TORT using three ports via the da Vinci Xi system with three robotic arms. Results All 5 patients had cT1aN0M0 papillary thyroid carcinomas with a mean tumour size of 6 mm. All patients underwent lobectomy with ipsilateral central neck dissection. The mean surgical time was 170 ± 15,8 min; the average length of hospital stay is 4.2 days. The number of retrieved central lymph nodes was 4.2 ± 0.8. All patients were discharged uneventfully without complications and completely satisfied with the cosmetic results. Conclusions TORT is feasible and safe when performed on carefully selected patients by experienced surgeons.