Abstract
The objective of this study is to describe the modification of port placement for the four-arm technique of robotic thyroidectomy to avoid a chest incision and eliminate crowding of the working space provided by the trans-axillary incision. The study methodology involved description of port placement modification to avoid chest incision and report of two cases with appropriate literature review is presented. Trans-axillary robotic thyroidectomy (TART) is often performed with a second chest incision, but the move toward single incision operation and placement of four arms via a single incision require expertise. We describe two patients who underwent TART using a trans-axillary incision and a separate 1 cm incision in the anterior axilla 2.5-cm below the trans-axillary incision for placement of the fourth arm. This design allowed for a more ergonomic placement of the fourth arm while not compromising the working space provided by the trans-axillary incision. Additionally this port was used for surgical drain placement Robot-assisted trans-axillary thyroidectomy poses several challenges in the early surgical learning curve. One roadblock to exposure and efficiency is appropriate port and arm placement. Our modification offers an alternative where a four-arm technique is made possible without a chest port and not occupying the working space provided by the trans-axillary incision. Use of this inferior axillary port is cosmetically acceptable, surgically efficient, and allows avoidance of a visible chest incision for placement of the fourth arm.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 325-327 |
| Number of pages | 3 |
| Journal | Journal of Robotic Surgery |
| Volume | 8 |
| Issue number | 4 |
| DOIs | |
| State | Published - Nov 19 2014 |
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All Science Journal Classification (ASJC) codes
- Surgery
- Health Informatics
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Modification of two-incision trans-axillary robotic thyroidectomy. / Wilson, Meghan N.; Noel, Daniel; DiLeo, Michael; Walvekar, Rohan R.
In: Journal of Robotic Surgery, Vol. 8, No. 4, 19.11.2014, p. 325-327.Research output: Contribution to journal › Article
TY - JOUR
T1 - Modification of two-incision trans-axillary robotic thyroidectomy
AU - Wilson, Meghan N.
AU - Noel, Daniel
AU - DiLeo, Michael
AU - Walvekar, Rohan R.
PY - 2014/11/19
Y1 - 2014/11/19
N2 - The objective of this study is to describe the modification of port placement for the four-arm technique of robotic thyroidectomy to avoid a chest incision and eliminate crowding of the working space provided by the trans-axillary incision. The study methodology involved description of port placement modification to avoid chest incision and report of two cases with appropriate literature review is presented. Trans-axillary robotic thyroidectomy (TART) is often performed with a second chest incision, but the move toward single incision operation and placement of four arms via a single incision require expertise. We describe two patients who underwent TART using a trans-axillary incision and a separate 1 cm incision in the anterior axilla 2.5-cm below the trans-axillary incision for placement of the fourth arm. This design allowed for a more ergonomic placement of the fourth arm while not compromising the working space provided by the trans-axillary incision. Additionally this port was used for surgical drain placement Robot-assisted trans-axillary thyroidectomy poses several challenges in the early surgical learning curve. One roadblock to exposure and efficiency is appropriate port and arm placement. Our modification offers an alternative where a four-arm technique is made possible without a chest port and not occupying the working space provided by the trans-axillary incision. Use of this inferior axillary port is cosmetically acceptable, surgically efficient, and allows avoidance of a visible chest incision for placement of the fourth arm.
AB - The objective of this study is to describe the modification of port placement for the four-arm technique of robotic thyroidectomy to avoid a chest incision and eliminate crowding of the working space provided by the trans-axillary incision. The study methodology involved description of port placement modification to avoid chest incision and report of two cases with appropriate literature review is presented. Trans-axillary robotic thyroidectomy (TART) is often performed with a second chest incision, but the move toward single incision operation and placement of four arms via a single incision require expertise. We describe two patients who underwent TART using a trans-axillary incision and a separate 1 cm incision in the anterior axilla 2.5-cm below the trans-axillary incision for placement of the fourth arm. This design allowed for a more ergonomic placement of the fourth arm while not compromising the working space provided by the trans-axillary incision. Additionally this port was used for surgical drain placement Robot-assisted trans-axillary thyroidectomy poses several challenges in the early surgical learning curve. One roadblock to exposure and efficiency is appropriate port and arm placement. Our modification offers an alternative where a four-arm technique is made possible without a chest port and not occupying the working space provided by the trans-axillary incision. Use of this inferior axillary port is cosmetically acceptable, surgically efficient, and allows avoidance of a visible chest incision for placement of the fourth arm.
UR - http://www.scopus.com/inward/record.url?scp=84911952733&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84911952733&partnerID=8YFLogxK
U2 - 10.1007/s11701-014-0472-1
DO - 10.1007/s11701-014-0472-1
M3 - Article
AN - SCOPUS:84911952733
VL - 8
SP - 325
EP - 327
JO - Journal of Robotic Surgery
JF - Journal of Robotic Surgery
SN - 1863-2483
IS - 4
ER -