Bilateral axillo-breast approach (BABA) robotic neck dissection for papillary thyroid carcinomas

• 영문명: Bilateral axillo-breast approach (BABA) robotic neck dissection for papillary thyroid carcinomas
• 발행기관: 대한신경모니터링학회
• 저자명: Kyung Ho Kang
• 간행물 정보: 『Journal of Neuromonitoring & Neurophysiology』Vol.3 No.2, 63~69쪽, 전체 7쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2023.11.30

영문 초록

Papillary thyroid carcinoma (PTC), the most commonly diagnosed thyroid malignancy, frequently presents with lymph node metastases. Effective management of metastatic lymph nodes is crucial due to the disease's high recurrence rates. Herein, we present our approach to robotic thyroidectomy and central/lateral neck node dissection, which has shown comparable oncologic outcomes, reduced complications, and improved cosmetic results compared to open surgeries. We detail the surgical procedure, from patient positioning and flap dissection, through central and lateral neck dissection, to closure. The BABA robotic modified radical neck dissection (MRND) is primarily recommended for patients with well-differentiated thyroid carcinoma, predominantly PTC, presenting with suspected or pathologically confirmed lateral neck metastasis. We also discuss the application of the da Vinci robot settings in performing precise procedures and preserving critical anatomical structures. This comprehensive review provides insights into the effectiveness of BABA robotic thyroid surgery and central/lateral neck node dissection in managing PTC.

목차

Introduction

Surgical Indications

Patient Position

Flap Dissection

Central Neck Dissection

Lateral Neck Dissection

Closure

Funding

Conflict of Interest

ORCID

References

키워드

Papillary thyroid carcinoma Robotic thyroidectomy Neck node dissection Bilateral axillo-breast approach da Vinci robot