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  • Title: Bilateral robotic-assisted transaxillary surgery.
    Author: Landry CS, Grubbs EG, Perrier ND.
    Journal: Arch Surg; 2010 Aug; 145(8):717-20. PubMed ID: 20713921.
    Abstract:
    HYPOTHESIS: Robotic-assisted transaxillary surgery (RATS) for the removal of thyroid glands is feasible by surgeons in the United States. DESIGN: Case report. SETTING: Academic research. Patient A 53-year-old woman. INTERVENTION: Total thyroidectomy via the transaxillary approach. MAIN OUTCOME MEASURE: Successful completion thyroidectomy using bilateral RATS. RESULTS: Right thyroid lobectomy was performed via RATS to remove a 2.2-cm Hurthle cell neoplasm of the thyroid gland per cytologic analysis. Final pathologic analysis was consistent with minimally invasive follicular thyroid carcinoma. The patient then underwent completion thyroidectomy via left-sided RATS. There were no complications. CONCLUSIONS: Bilateral RATS to perform total thyroidectomy is a feasible option in properly selected patients. To our knowledge, this is the first reported use of this technique in the United States.
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