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2015 ; 4
(5
): 397-402
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English Wikipedia
Robotic transaxillary thyroid surgery
#MMPMID26425452
Rabinovics N
; Aidan P
Gland Surg
2015[Oct]; 4
(5
): 397-402
PMID26425452
show ga
Recent technological advances have led to a rapid progress in endocrine surgery.
With the advent of minimally invasive techniques in thyroid surgery,
robot-assisted transaxillary thyroid surgery (RATS) has emerged as one of the
most promising approaches. Its main advantages are improved cosmetic outcome,
avoiding cervical incisions, increased patient satisfaction, improved
visualization, arms articulations, eliminating surgeon's natural tremor, thereby
increasing precision. The main disadvantages are longer operative time, and
increased cost compared to conventional thyroidectomy, as well as potential
injuries to the brachial plexus, skin flap, esophagus, and trachea. Large-scale
studies, mainly from South-Korea, have proved that in skilled hands, RATS is a
safe alternative to conservative thyroidectomy and should be presented to
patients with aesthetic concerns. As with any new emerging technique, careful
patient selection is crucial, and further evidence must be sought to confirm its
indications.