Comparison of robotic thyroidectomy through the trans-axillary and the anterior chest approach in a por-cine model
10.3760/cma.j.issn.1674-6090.2014.04.021
- VernacularTitle:单腋窝和胸前径路达芬奇机器人猪甲状腺切除的对照研究
- Author:
Qingqing HE
;
Dayong ZHUANG
;
Ziyi FAN
;
Peng ZHOU
;
Luming ZHENG
;
Jian ZHU
;
Lei HOU
;
Fang YU
;
Yanning LI
;
Lei XIAO
;
Haitao ZHANG
;
Lu ZHANG
- Publication Type:Journal Article
- Keywords:
da Vinci Si surgical system;
Robotic thyroidectomy;
Trans-axillary approach;
Anteri-or chest approach
- From:
Journal of Endocrine Surgery
2014;(4):328-331
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the safety of the da Vinci Si surgical system in thyroid surgery and to accumulate operation experience .Methods The da Vinci Si surgical system consists of a surgeon's console, a patient-side robotic cart, and high-definition 3D vision system.The robot arm tips were introduced via a single axillary incision or small chest wall ports and attached to the arms of the robot .The surgeon , sitting at the con-sole, manipulated the EndoWrist instruments and endoscope view that transfer the surgeon 's movements to the arm tips.The so called EndoWrist'technology offers seven degrees of movements ( up, down, left, right, twist, et al) , thus exceeding the capacity of a surgeon's hand in open surgery .The da Vinci Si surgical system was used to perform thyroidectomy in two small pigs .The animals were intubated and kept anesthetized with halothane .Re-sults Four surgical procedures were done using the da Vinci Si system from beginning to the end , including 2 thyroidectomies and 2 thymectomies .No conversions to open or laparoscopic procedure was used .The procedure length was 61 minutes and 50 minutes, respectively.Conclusions Robotic thyroidectomy can be performed safe-ly by the experienced surgeons after short-term da Vinci Si surgical system training .The learning curve for robotic thyroidectomy is shorter .
