Robot Assisted Trans Axillary Thyroidectomy: A Subcontinent Experience
Autor: | Amit Kumar, Ashok K. Gupta, Anand Subash, Abhijeet Singh |
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Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: |
medicine.medical_specialty
medicine.medical_treatment Population Lesion 03 medical and health sciences 0302 clinical medicine medicine 030223 otorhinolaryngology education education.field_of_study medicine.diagnostic_test business.industry Thyroidectomy medicine.disease Robotic thyroidectomy Surgery Otorhinolaryngology Brachial plexus injury 030220 oncology & carcinogenesis Nerve conduction study Original Article medicine.symptom business Brachial plexus |
Popis: | To evaluate the outcome and initial hurdles of transaxillary robotic thyroidectomy in the Indian subcontinent. A total of seven (n = 7) patients were operated from August 2016 to February 2017. Ultrasonography was used as a tool to decide the size of thyroid lobe and fine needle aspiration cytology for the type of lesion. All patients underwent ipsilateral brachial plexus nerve conduction studies preoperatively. Two arm positions were evaluated. The robot was docked at the contralateral side of the surgical field. Before discharge from hospital, all patients were given a questionnaire evaluate outcome. Set 1 was answered on the day of discharge and Set 2 at one-month follow up. The most common pathology in our case series was colloid goiter (n = 4) followed by follicular lesion (n = 3). The mean console time was 167 min, with initial two cases taking more than 200 min. The maximum and minimum length of the axillary tunnel was 16 and 27 cm respectively. There was no difference with regard to complication rate with either arm position. None of the patients developed brachial plexus injury and was confirmed by normal nerve conduction study done on postoperative day three. In our experience with transaxillary robotic thyroidectomy, the problems we faced in our population were unique considering the varied physical parameters. Use of malleable retractors comes handy in these situation and we recommend the use of these over the rigid ones. Though both the arm positions had similar outcomes, the one with sideways position was more favorable. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s12070-018-1357-9) contains supplementary material, which is available to authorized users. |
Databáze: | OpenAIRE |
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