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갑상선 수술에서 단일공 로봇의 적용

Application of Single Port Robotic System in Thyroid Surgery

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주제분류이비인후과학

초록

This study explores the application and feasibility of the single-port (SP) robotic system in thyroid surgery, focusing on transoral, retroauricular, and transaxillary approaches. The system, equipped with arms and a stereoscopic endoscope, enables effective operations even within limited spaces through a SP. The transoral approach eliminates external scars, providing excellent cosmetic outcomes, while the retroauricular approach minimizes neck scars and optimizes workspace efficiency. The transaxillary approach offers a broader surgical field but presents limitations in specific patient groups. This paper highlights the strengths and weaknesses of each approach and demonstrates the clinical potential of the SP robotic system in thyroid surgery, emphasizing its efficiency and safety.

Abstract

This study explores the application and feasibility of the single-port (SP) robotic system in thyroid surgery, focusing on transoral, retroauricular, and transaxillary approaches. The system, equipped with arms and a stereoscopic endoscope, enables effective operations even within limited spaces through a SP. The transoral approach eliminates external scars, providing excellent cosmetic outcomes, while the retroauricular approach minimizes neck scars and optimizes workspace efficiency. The transaxillary approach offers a broader surgical field but presents limitations in specific patient groups. This paper highlights the strengths and weaknesses of each approach and demonstrates the clinical potential of the SP robotic system in thyroid surgery, emphasizing its efficiency and safety.

참고문헌 (6)

  1. Tae K, "Transoral robotic thyroidectomy using the da Vinci single-port surgical system", Gland Surg, 9(3), pp.614~616 (2020)
  2. Park D, "Transoral robotic thyroidectomy on two human cadavers using the Intuitive da Vinci single port robotic surgical system and CO2 insufflation : preclinical feasibility study", Head Neck, 41(12), pp.4229~4233 (2019)
  3. Kim TK, "Feasibility of robotic thyroidectomy via hairline incision using da Vinci single port system : initial experience with 40 consecutive cases", Head Neck, 44(10), pp.2197~2205 (2022)
  4. Noel JE, "Retroauricular thyroidectomy with a single-arm robotic surgical system : preclinical cadaveric study", Head Neck, 42(12), pp.3663~3669 (2020)
  5. Kang IK, "Safety and feasibility of single-port trans-axillary robotic thyroidectomy : experience through consecutive 100 cases", Medicina, 58(10), pp.14866~ (2022)
  6. Yu DY, "Robotic thyroidectomy using gas-insufflation one-step single-port transaxillary(GOSTA)approach", Surg Endosc, 37(11), pp.8861~8870 (2023)

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