The pros and cons of additional axillary arm for transoral robotic thyroidectomy

Background: Transoral vestibular approach thyroidectomy using robotic system has advantages with articulating instrumentation. Transoral robotic thyroidectomy (TORT) can be done either using just two robot arms for instruments and an extra one for the endoscopic camera, or using three robot arms for...

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Autores principales:	Hoon Yub Kim, Dawon Park, Antonio A.T. Bertelli
Formato:	article
Lenguaje:	EN
Publicado:	KeAi Communications Co., Ltd. 2020
Materias:	Transoral thyroidectomy Transoral vestibular approach thyroidectomy Robotic thyroidectomy Robotic surgery Minimally invasive surgery Thyroid surgery Otorhinolaryngology RF1-547 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/c187187604c6407cb174a38f83479c88
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spelling	oai:doaj.org-article:c187187604c6407cb174a38f83479c882021-12-02T13:36:29ZThe pros and cons of additional axillary arm for transoral robotic thyroidectomy2095-881110.1016/j.wjorl.2020.01.010https://doaj.org/article/c187187604c6407cb174a38f83479c882020-09-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S209588112030069Xhttps://doaj.org/toc/2095-8811Background: Transoral vestibular approach thyroidectomy using robotic system has advantages with articulating instrumentation. Transoral robotic thyroidectomy (TORT) can be done either using just two robot arms for instruments and an extra one for the endoscopic camera, or using three robot arms for instruments (third arm through axila) and an additional arm for the camera. Pros of additional axillary arm for TORT: The 4th arm through an additional axillary port is mainly responsible for a counter-traction of strap muscles and thyroid tissue. The additional axillary port tract is also an excellent passage for the specimen removal with lower risk of disruption or fragmentation. Ultimately, these merits from the additional axillary arm allows TORT to be performed safely in a wide range of patient groups. Cons of additional axillary arm for TORT: One of the issue with the additional axillary arm in TORT is that it leaves a cutaneous scar. Another issue to consider is the cost. In some places, robotic surgery operation fee varies with the number of arms used during the operation. Retraction of strap muscles through subcutaneous stitches applied after establishing the working space may make up for the lack of counter-traction. Conclusion: TORT can be done safely with or without the transaxillary arm and surgeon may consider pros and cons based on multiple factors.Hoon Yub KimDawon ParkAntonio A.T. BertelliKeAi Communications Co., Ltd.articleTransoral thyroidectomyTransoral vestibular approach thyroidectomyRobotic thyroidectomyRobotic surgeryMinimally invasive surgeryThyroid surgeryOtorhinolaryngologyRF1-547SurgeryRD1-811ENWorld Journal of Otorhinolaryngology-Head and Neck Surgery, Vol 6, Iss 3, Pp 161-164 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Transoral thyroidectomy Transoral vestibular approach thyroidectomy Robotic thyroidectomy Robotic surgery Minimally invasive surgery Thyroid surgery Otorhinolaryngology RF1-547 Surgery RD1-811
spellingShingle	Transoral thyroidectomy Transoral vestibular approach thyroidectomy Robotic thyroidectomy Robotic surgery Minimally invasive surgery Thyroid surgery Otorhinolaryngology RF1-547 Surgery RD1-811 Hoon Yub Kim Dawon Park Antonio A.T. Bertelli The pros and cons of additional axillary arm for transoral robotic thyroidectomy
description	Background: Transoral vestibular approach thyroidectomy using robotic system has advantages with articulating instrumentation. Transoral robotic thyroidectomy (TORT) can be done either using just two robot arms for instruments and an extra one for the endoscopic camera, or using three robot arms for instruments (third arm through axila) and an additional arm for the camera. Pros of additional axillary arm for TORT: The 4th arm through an additional axillary port is mainly responsible for a counter-traction of strap muscles and thyroid tissue. The additional axillary port tract is also an excellent passage for the specimen removal with lower risk of disruption or fragmentation. Ultimately, these merits from the additional axillary arm allows TORT to be performed safely in a wide range of patient groups. Cons of additional axillary arm for TORT: One of the issue with the additional axillary arm in TORT is that it leaves a cutaneous scar. Another issue to consider is the cost. In some places, robotic surgery operation fee varies with the number of arms used during the operation. Retraction of strap muscles through subcutaneous stitches applied after establishing the working space may make up for the lack of counter-traction. Conclusion: TORT can be done safely with or without the transaxillary arm and surgeon may consider pros and cons based on multiple factors.
format	article
author	Hoon Yub Kim Dawon Park Antonio A.T. Bertelli
author_facet	Hoon Yub Kim Dawon Park Antonio A.T. Bertelli
author_sort	Hoon Yub Kim
title	The pros and cons of additional axillary arm for transoral robotic thyroidectomy
title_short	The pros and cons of additional axillary arm for transoral robotic thyroidectomy
title_full	The pros and cons of additional axillary arm for transoral robotic thyroidectomy
title_fullStr	The pros and cons of additional axillary arm for transoral robotic thyroidectomy
title_full_unstemmed	The pros and cons of additional axillary arm for transoral robotic thyroidectomy
title_sort	pros and cons of additional axillary arm for transoral robotic thyroidectomy
publisher	KeAi Communications Co., Ltd.
publishDate	2020
url	https://doaj.org/article/c187187604c6407cb174a38f83479c88
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The pros and cons of additional axillary arm for transoral robotic thyroidectomy

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