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Robotic thyroid surgery using bilateral axillo-breast approach: From a trainees' point of view
Gyan Chand1, Jin Wook Yi2, Goonj Johri3
1 Department of Endocrine Surgery, SGPGIMS, Lucknow, Uttar Pradesh, India
2 Department of Surgery, Seoul National University, Seoul, Republic of Korea
3 Department of Breast and Endocrine Surgery, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India
Correspondence Address:
Gyan Chand,
Department of Endocrine Surgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Raebareli Road, Lucknow - 226 014, Uttar Pradesh
India
 Source of Support: None, Conflict of Interest: None DOI: 10.4103/jmas.JMAS_110_20 PMID: 32964870
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Background: Across surgical disciplines, the demand for cosmetically superior procedures is stronger than ever and patient-centered health care has become the standard of care. Endoscopic thyroidectomy has revolutionized the field of minimal access endocrine surgery and akin to other surgical disciplines, there has been a natural progression towards robot-assisted thyroidectomy. Amongst the many described approaches, bilateral axillo-breast approach (BABA) and transaxillary are most widely practiced.
Aims and Objectives: Our aim was to describe the technique of robot-assisted thyroid surgery (RATS) using BABA.
Methods: This is based on the corresponding authors' training and experience of over 50 cases of RATS using BABA, at the Seoul National University, Republic of Korea.
Results: Post-operative outcomes were excellent with lesser pain, better cosmesis and similar oncological outcomes in carefully selected thyroid cancers in comparison to conventional thyroidectomy.
Conclusion: RATS using BABA is easy to master for endoscopic thyroid surgeons and offers excellent postoperative outcomes, ergonomics, vision and dexterity. |
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