Single-Port Transaxillary Robotic Modified Radical Neck Dissection (STAR-RND): Initial Experiences

Laryngoscope. 2023 Mar;133(3):709-714. doi: 10.1002/lary.30437. Epub 2022 Oct 29.

Abstract

Objectives: This study aimed to demonstrate the usefulness of single-port transaxillary robotic modified radical neck dissection (STAR-RND) for metastatic thyroid cancer, and its potential to make small and invisible surgical wounds possible compared to open modified radical neck dissection.

Methods: Between January 2020 and July 2021, 30 thyroid cancer patients who underwent lateral neck dissection surgery with the da Vinci SP at Yonsei University Health System (Seoul, Korea) were studied.

Results: All 30 patients, diagnosed with papillary thyroid cancer were women. The average operating time was 293.80 ± 36.58 (min), and the average postoperative hospital stay was 4.77 ± 0.57 (days). All patients were discharged after the expected number of hospitalization days without major complications.

Conclusion: STAR-RND is technically feasible and safe with a short length of the incision. To our knowledge, this is the first report on the use of a single-port robotic system for modified radical neck dissection. LEVEL OF EVIDENCE BY USING 2011 OCEBM: 4 Laryngoscope, 133:709-714, 2023.

Keywords: cosmetic benefit; safety; single-port transaxillary robotic modified radical neck dissection; small incision; thyroid cancer.

MeSH terms

  • Female
  • Humans
  • Male
  • Neck Dissection
  • Robotic Surgical Procedures*
  • Robotics*
  • Thyroid Neoplasms* / pathology
  • Thyroid Neoplasms* / surgery
  • Thyroidectomy