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Archives of Surgery
Year: 2010  |  Volume: 145  |  Issue: 8  |  Page No.: 717 - 720

Bilateral Robotic-Assisted Transaxillary Surgery

C. S Landry, E. G Grubbs and N. D. Perrier    


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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