Background: Compared to previous generations Xi system, the SP
robotic system offers a greater range of motion and more precise
surgical control. The aim of this study was to introduce our
robotic technique, which can minimize the dissection extent using
the da Vinci SP robotic system via only hairline incision.
Methods: Forty patients underwent robotic thyroidectomy using the
da Vinci SP robotic system via only hairline incision between
February 2020 and April 2021 at Ulsan University Hospital. All
procedures were performed successfully using the SP robotic
system without any significant intraoperative complications or
conversion to open surgery under EMG monitoring by one surgeon.
After using SP system, usually only hairline incision was
performed without extension to retroauricular area.
Results: All patients were women and diagnosed with 32 papillary
thyroid carcinomas and 8 follicular adenomas. Hemithyroidectomy
was performed in 32 patients and total thyroidectomy in 8
patients. Central neck dissection was performed in 32 patients.
The mean operative time was 140.2¡¾50.7 minutes and mean console
time 74.0¡¾42.7 minutes in all patients. Additionally, the mean
operative time of hemithyroidectomy and total thyroidectomy was
119.2¡¾ 31.4 vs 213.01 ¡¾ 63.1 minutes (console time: 61.3¡¾20.9
vs 138.8¡¾38.4), respectively. All patients were discharged on
the two or third day after operation without any complications.
Conclusions: Robotic thyroidectomy using the da Vinci SP robotic
system via only hairline incision is technically feasible and
safe with a short length of incision. To our knowledge, this is
the first study to use a single-port robotic system for
thyroidectomy using hairline incision. To verify the superior
operative outcomes, further clinical trials are necessary. |