Seven-step procedure for robot-assisted endoscopic thyroidectomy(BABA approach)

Zheng DING; Bomin GUO; Youben FAN; Xianzhao DENG; Ling ZHAN; Xuanbin TAO; Xiaohui GU; Zixia TAO; Zhihua XIA; Jingfu SUN; Bo YANG

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Seven-step procedure for robot-assisted endoscopic thyroidectomy(BABA approach)

VernacularTitle:内镜机器人辅助甲状腺手术(BABA入路)七步法
Author: Zheng DING ¹ ; Bomin GUO ¹ ; Youben FAN ¹ ; Xianzhao DENG ¹ ; Ling ZHAN ¹ ; Xuanbin TAO ¹ ; Xiaohui GU ¹ ; Zixia TAO ¹ ; Zhihua XIA ¹ ; Jingfu SUN ¹ ; Bo YANG ¹
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1. 上海交通大学医学院附属第六人民医院普通外科(甲乳疝外科)/甲状腺与甲状旁腺疾病多学科临床诊治中心/上海交通大学甲状腺疾病诊治中心,上海 200233
Publication Type:Journal Article
Keywords: Thyroidectomy; Robotic Surgical Procedures; BABA approach; Seven-Step procedure
From: Chinese Journal of General Surgery 2025;34(5):859-866
CountryChina
Language:Chinese
Abstract: Traditional open thyroid surgery often leaves a scar on the neck,which can affect cosmetic outcomes.Therefore,various endoscopic thyroidectomy approaches via extra-cervical approaches have been developed.However,due to the unique anatomical characteristics of the neck and limitations of endoscopic instruments,conventional endoscopic techniques have certain drawbacks.Robot-assisted endoscopic thyroid surgery can help overcome these limitations.At present,robotic surgical systems remain expensive and the associated surgical costs are high,limiting their widespread adoption.Most surgeons are still relatively unfamiliar with the technique.Nevertheless,with ongoing technological advancements and cost reductions,robot-assisted surgery holds great promise for broader application.Based on years of large-scale experience in endoscopic thyroid surgery at our center,and drawing upon both domestic and international experiences with robotic thyroidectomy,this paper summarizes and proposes a seven-step protocol for robot-assisted endoscopic thyroidectomy via the bilateral axillo-breast approach,aiming to provide a practical reference for the clinical adoption of this technique.