Robotic thyroidectomy using gas-insufflation one-step single-port transaxillary (GOSTA) approach
Background We conducted this study to report our novel robotic thyroidectomy using gas-insufflation one-step single-port transaxillary (GOSTA) approach and compare it with a conventional transaxillary (CTA) approach using a retraction method for intraoperative and postoperative outcomes. Methods We...
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| Veröffentlicht in: | Surgical endoscopy 2023-11, Vol.37 (11), p.8861-8870 |
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| creator | Yu, Da Young Chang, Young Woo Ku, Dohoe Ko, Seung Yeon Lee, Hye Yoon Son, Gil Soo |
| description | Background
We conducted this study to report our novel robotic thyroidectomy using gas-insufflation one-step single-port transaxillary (GOSTA) approach and compare it with a conventional transaxillary (CTA) approach using a retraction method for intraoperative and postoperative outcomes.
Methods
We retrospectively analyzed 354 patients who underwent robotic thyroidectomy between January 2019 and April 2023. Of these patients, 143 underwent the procedure through the GOSTA approach, which involves a small incision of 3 cm along the axillary folds with both arms down and a gas-insufflation, from skin flap creation to the completion of thyroidectomy as a one-step single-port procedure without the need for a retractor. The remaining 211 patients underwent the CTA approach. We analyzed the GOSTA approach and compared the surgical outcomes of the GOSTA (
n
= 100) and CTA (
n
= 167) approaches in patients with differentiated thyroid cancer who underwent thyroid lobectomy.
Results
Out of the 143 patients who underwent the GOSTA approach, 12 underwent total thyroidectomy and 9 underwent lateral neck lymph node dissection with total thyroidectomy. GOSTA-thyroid lobectomy was performed on 122 patients; of these, 100 were diagnosed with differentiated thyroid carcinoma. A comparative study with the CTA approach was only conducted in patients who underwent thyroid lobectomy. No significant differences were found in operative time, hospital stay, or complications between the two groups.
Conclusions
Despite proceeding in one-step with a single smaller incision, from skin flap creation to the completion of thyroidectomy, the GOSTA approach is as feasible and safe as the CTA approach. Additionally, the GOSTA approach allows for thyroidectomy without using a retractor and reduces the workload for the surgeon and assistants. |
| doi_str_mv | 10.1007/s00464-023-10435-w |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2869221428</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2884007242</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-83e7233d8f5b1421ed08ec5286e9e275b005237989e24a55d50bb8a9a664555d3</originalsourceid><addsrcrecordid>eNp9kE1LxDAQhoMoun78AQ9S8KKHaD636VEWv2BB0PUc0zZdK92mJinr_ntn7argwVMY5pl3Jg9Cx5RcUELSy0CIGAtMGMeUCC7xcguNqOAMM0bVNhqRjBPM0kzsof0Q3gjwGZW7aI-nqcgYoSP08uhyF-siia8r7-rSFtEtVkkf6naezE3AdRv6qmpMrF2buNbiEG2XrNuNxZ3zMYnetMF81E1j_Co5u314ml2dJ6brvDPF6yHaqUwT7NHmPUDPN9ezyR2ePtzeT66muOCpjFhxmzLOS1XJnApGbUmULSRTY5tZlsqcEMl4mimohJGylCTPlcnMeCwklPwAnQ25sPa9tyHqRR0KC0e11vVBQ1IGWgRTgJ7-Qd9c71u4DiglQC0TDCg2UIV3IXhb6c7XC_iipkSv_evBvwb_-su_XsLQySa6zxe2_Bn5Fg4AH4AArXZu_e_uf2I_AeSlkFU</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2884007242</pqid></control><display><type>article</type><title>Robotic thyroidectomy using gas-insufflation one-step single-port transaxillary (GOSTA) approach</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Yu, Da Young ; Chang, Young Woo ; Ku, Dohoe ; Ko, Seung Yeon ; Lee, Hye Yoon ; Son, Gil Soo</creator><creatorcontrib>Yu, Da Young ; Chang, Young Woo ; Ku, Dohoe ; Ko, Seung Yeon ; Lee, Hye Yoon ; Son, Gil Soo</creatorcontrib><description>Background
We conducted this study to report our novel robotic thyroidectomy using gas-insufflation one-step single-port transaxillary (GOSTA) approach and compare it with a conventional transaxillary (CTA) approach using a retraction method for intraoperative and postoperative outcomes.
Methods
We retrospectively analyzed 354 patients who underwent robotic thyroidectomy between January 2019 and April 2023. Of these patients, 143 underwent the procedure through the GOSTA approach, which involves a small incision of 3 cm along the axillary folds with both arms down and a gas-insufflation, from skin flap creation to the completion of thyroidectomy as a one-step single-port procedure without the need for a retractor. The remaining 211 patients underwent the CTA approach. We analyzed the GOSTA approach and compared the surgical outcomes of the GOSTA (
n
= 100) and CTA (
n
= 167) approaches in patients with differentiated thyroid cancer who underwent thyroid lobectomy.
Results
Out of the 143 patients who underwent the GOSTA approach, 12 underwent total thyroidectomy and 9 underwent lateral neck lymph node dissection with total thyroidectomy. GOSTA-thyroid lobectomy was performed on 122 patients; of these, 100 were diagnosed with differentiated thyroid carcinoma. A comparative study with the CTA approach was only conducted in patients who underwent thyroid lobectomy. No significant differences were found in operative time, hospital stay, or complications between the two groups.
Conclusions
Despite proceeding in one-step with a single smaller incision, from skin flap creation to the completion of thyroidectomy, the GOSTA approach is as feasible and safe as the CTA approach. Additionally, the GOSTA approach allows for thyroidectomy without using a retractor and reduces the workload for the surgeon and assistants.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-023-10435-w</identifier><identifier>PMID: 37749201</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Abdominal Surgery ; Adenocarcinoma - surgery ; Carcinoma, Papillary - surgery ; Dynamic Manuscript ; Gastroenterology ; Gynecology ; Hepatology ; Humans ; Insufflation ; Medicine ; Medicine & Public Health ; Neck Dissection ; Operative Time ; Proctology ; Retrospective Studies ; Robotic Surgical Procedures - methods ; Robotics ; Surgery ; Thoracic surgery ; Thyroid cancer ; Thyroid Neoplasms - pathology ; Thyroid Neoplasms - surgery ; Thyroidectomy ; Thyroidectomy - methods</subject><ispartof>Surgical endoscopy, 2023-11, Vol.37 (11), p.8861-8870</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-83e7233d8f5b1421ed08ec5286e9e275b005237989e24a55d50bb8a9a664555d3</citedby><cites>FETCH-LOGICAL-c375t-83e7233d8f5b1421ed08ec5286e9e275b005237989e24a55d50bb8a9a664555d3</cites><orcidid>0000-0001-5396-7467 ; 0000-0001-7931-4034 ; 0000-0003-1169-0820 ; 0000-0001-9077-1412 ; 0000-0001-8684-7875 ; 0000-0002-1717-3392</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00464-023-10435-w$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00464-023-10435-w$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37749201$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yu, Da Young</creatorcontrib><creatorcontrib>Chang, Young Woo</creatorcontrib><creatorcontrib>Ku, Dohoe</creatorcontrib><creatorcontrib>Ko, Seung Yeon</creatorcontrib><creatorcontrib>Lee, Hye Yoon</creatorcontrib><creatorcontrib>Son, Gil Soo</creatorcontrib><title>Robotic thyroidectomy using gas-insufflation one-step single-port transaxillary (GOSTA) approach</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><addtitle>Surg Endosc</addtitle><description>Background
We conducted this study to report our novel robotic thyroidectomy using gas-insufflation one-step single-port transaxillary (GOSTA) approach and compare it with a conventional transaxillary (CTA) approach using a retraction method for intraoperative and postoperative outcomes.
Methods
We retrospectively analyzed 354 patients who underwent robotic thyroidectomy between January 2019 and April 2023. Of these patients, 143 underwent the procedure through the GOSTA approach, which involves a small incision of 3 cm along the axillary folds with both arms down and a gas-insufflation, from skin flap creation to the completion of thyroidectomy as a one-step single-port procedure without the need for a retractor. The remaining 211 patients underwent the CTA approach. We analyzed the GOSTA approach and compared the surgical outcomes of the GOSTA (
n
= 100) and CTA (
n
= 167) approaches in patients with differentiated thyroid cancer who underwent thyroid lobectomy.
Results
Out of the 143 patients who underwent the GOSTA approach, 12 underwent total thyroidectomy and 9 underwent lateral neck lymph node dissection with total thyroidectomy. GOSTA-thyroid lobectomy was performed on 122 patients; of these, 100 were diagnosed with differentiated thyroid carcinoma. A comparative study with the CTA approach was only conducted in patients who underwent thyroid lobectomy. No significant differences were found in operative time, hospital stay, or complications between the two groups.
Conclusions
Despite proceeding in one-step with a single smaller incision, from skin flap creation to the completion of thyroidectomy, the GOSTA approach is as feasible and safe as the CTA approach. Additionally, the GOSTA approach allows for thyroidectomy without using a retractor and reduces the workload for the surgeon and assistants.</description><subject>Abdominal Surgery</subject><subject>Adenocarcinoma - surgery</subject><subject>Carcinoma, Papillary - surgery</subject><subject>Dynamic Manuscript</subject><subject>Gastroenterology</subject><subject>Gynecology</subject><subject>Hepatology</subject><subject>Humans</subject><subject>Insufflation</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neck Dissection</subject><subject>Operative Time</subject><subject>Proctology</subject><subject>Retrospective Studies</subject><subject>Robotic Surgical Procedures - methods</subject><subject>Robotics</subject><subject>Surgery</subject><subject>Thoracic surgery</subject><subject>Thyroid cancer</subject><subject>Thyroid Neoplasms - pathology</subject><subject>Thyroid Neoplasms - surgery</subject><subject>Thyroidectomy</subject><subject>Thyroidectomy - methods</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kE1LxDAQhoMoun78AQ9S8KKHaD636VEWv2BB0PUc0zZdK92mJinr_ntn7argwVMY5pl3Jg9Cx5RcUELSy0CIGAtMGMeUCC7xcguNqOAMM0bVNhqRjBPM0kzsof0Q3gjwGZW7aI-nqcgYoSP08uhyF-siia8r7-rSFtEtVkkf6naezE3AdRv6qmpMrF2buNbiEG2XrNuNxZ3zMYnetMF81E1j_Co5u314ml2dJ6brvDPF6yHaqUwT7NHmPUDPN9ezyR2ePtzeT66muOCpjFhxmzLOS1XJnApGbUmULSRTY5tZlsqcEMl4mimohJGylCTPlcnMeCwklPwAnQ25sPa9tyHqRR0KC0e11vVBQ1IGWgRTgJ7-Qd9c71u4DiglQC0TDCg2UIV3IXhb6c7XC_iipkSv_evBvwb_-su_XsLQySa6zxe2_Bn5Fg4AH4AArXZu_e_uf2I_AeSlkFU</recordid><startdate>20231101</startdate><enddate>20231101</enddate><creator>Yu, Da Young</creator><creator>Chang, Young Woo</creator><creator>Ku, Dohoe</creator><creator>Ko, Seung Yeon</creator><creator>Lee, Hye Yoon</creator><creator>Son, Gil Soo</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-5396-7467</orcidid><orcidid>https://orcid.org/0000-0001-7931-4034</orcidid><orcidid>https://orcid.org/0000-0003-1169-0820</orcidid><orcidid>https://orcid.org/0000-0001-9077-1412</orcidid><orcidid>https://orcid.org/0000-0001-8684-7875</orcidid><orcidid>https://orcid.org/0000-0002-1717-3392</orcidid></search><sort><creationdate>20231101</creationdate><title>Robotic thyroidectomy using gas-insufflation one-step single-port transaxillary (GOSTA) approach</title><author>Yu, Da Young ; Chang, Young Woo ; Ku, Dohoe ; Ko, Seung Yeon ; Lee, Hye Yoon ; Son, Gil Soo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-83e7233d8f5b1421ed08ec5286e9e275b005237989e24a55d50bb8a9a664555d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Abdominal Surgery</topic><topic>Adenocarcinoma - surgery</topic><topic>Carcinoma, Papillary - surgery</topic><topic>Dynamic Manuscript</topic><topic>Gastroenterology</topic><topic>Gynecology</topic><topic>Hepatology</topic><topic>Humans</topic><topic>Insufflation</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neck Dissection</topic><topic>Operative Time</topic><topic>Proctology</topic><topic>Retrospective Studies</topic><topic>Robotic Surgical Procedures - methods</topic><topic>Robotics</topic><topic>Surgery</topic><topic>Thoracic surgery</topic><topic>Thyroid cancer</topic><topic>Thyroid Neoplasms - pathology</topic><topic>Thyroid Neoplasms - surgery</topic><topic>Thyroidectomy</topic><topic>Thyroidectomy - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yu, Da Young</creatorcontrib><creatorcontrib>Chang, Young Woo</creatorcontrib><creatorcontrib>Ku, Dohoe</creatorcontrib><creatorcontrib>Ko, Seung Yeon</creatorcontrib><creatorcontrib>Lee, Hye Yoon</creatorcontrib><creatorcontrib>Son, Gil Soo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yu, Da Young</au><au>Chang, Young Woo</au><au>Ku, Dohoe</au><au>Ko, Seung Yeon</au><au>Lee, Hye Yoon</au><au>Son, Gil Soo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Robotic thyroidectomy using gas-insufflation one-step single-port transaxillary (GOSTA) approach</atitle><jtitle>Surgical endoscopy</jtitle><stitle>Surg Endosc</stitle><addtitle>Surg Endosc</addtitle><date>2023-11-01</date><risdate>2023</risdate><volume>37</volume><issue>11</issue><spage>8861</spage><epage>8870</epage><pages>8861-8870</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><abstract>Background
We conducted this study to report our novel robotic thyroidectomy using gas-insufflation one-step single-port transaxillary (GOSTA) approach and compare it with a conventional transaxillary (CTA) approach using a retraction method for intraoperative and postoperative outcomes.
Methods
We retrospectively analyzed 354 patients who underwent robotic thyroidectomy between January 2019 and April 2023. Of these patients, 143 underwent the procedure through the GOSTA approach, which involves a small incision of 3 cm along the axillary folds with both arms down and a gas-insufflation, from skin flap creation to the completion of thyroidectomy as a one-step single-port procedure without the need for a retractor. The remaining 211 patients underwent the CTA approach. We analyzed the GOSTA approach and compared the surgical outcomes of the GOSTA (
n
= 100) and CTA (
n
= 167) approaches in patients with differentiated thyroid cancer who underwent thyroid lobectomy.
Results
Out of the 143 patients who underwent the GOSTA approach, 12 underwent total thyroidectomy and 9 underwent lateral neck lymph node dissection with total thyroidectomy. GOSTA-thyroid lobectomy was performed on 122 patients; of these, 100 were diagnosed with differentiated thyroid carcinoma. A comparative study with the CTA approach was only conducted in patients who underwent thyroid lobectomy. No significant differences were found in operative time, hospital stay, or complications between the two groups.
Conclusions
Despite proceeding in one-step with a single smaller incision, from skin flap creation to the completion of thyroidectomy, the GOSTA approach is as feasible and safe as the CTA approach. Additionally, the GOSTA approach allows for thyroidectomy without using a retractor and reduces the workload for the surgeon and assistants.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>37749201</pmid><doi>10.1007/s00464-023-10435-w</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0001-5396-7467</orcidid><orcidid>https://orcid.org/0000-0001-7931-4034</orcidid><orcidid>https://orcid.org/0000-0003-1169-0820</orcidid><orcidid>https://orcid.org/0000-0001-9077-1412</orcidid><orcidid>https://orcid.org/0000-0001-8684-7875</orcidid><orcidid>https://orcid.org/0000-0002-1717-3392</orcidid></addata></record> |
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| subjects | Abdominal Surgery Adenocarcinoma - surgery Carcinoma, Papillary - surgery Dynamic Manuscript Gastroenterology Gynecology Hepatology Humans Insufflation Medicine Medicine & Public Health Neck Dissection Operative Time Proctology Retrospective Studies Robotic Surgical Procedures - methods Robotics Surgery Thoracic surgery Thyroid cancer Thyroid Neoplasms - pathology Thyroid Neoplasms - surgery Thyroidectomy Thyroidectomy - methods |
| title | Robotic thyroidectomy using gas-insufflation one-step single-port transaxillary (GOSTA) approach |
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