Articles
About
Publish
Subscribe
Sign In
Title
1. Introduction
2. Marking and Surgical Approach
chevron_right
a. Position Patient
b. Examine Ultrasound
c. Mark Patient
3. Exposure
chevron_right
a. Conduct Hydrodissection with Epinephrine Solution
b. Dissect Bluntly Using Clamps and Vascular Tunneler via Bilateral Peri-areolar and Axillary Incisions
c. Place Peri-areolar Trocars (8-12 mm)
d. Insufflate with CO2 (5-6 mmHg)
e. Place Axilla Trocars (8-12 mm)
4. Docking the Robot
5. Subplatysmal Flap Dissection Under Direct Visualization
6. Thyroid Dissection
chevron_right
a. Open the Strap Muscle at the Median Pharyngeal Raphe
b. Expose the Isthmus, Trachea, and Cricothyroid Cartilage
c. Dissect Strap Muscle with Medial Traction of Thyroid Down to the Carotid
d. Divide Sternohyoid from Sternothyroid Muscle
e. Dissect Strap Muscle with Medial Traction of Thyroid Down to the Carotid
f. Check Vagus Nerve Signal
g. Localize Recurrent Laryngeal Nerve (RLN)
h. Dissect along the RLN
i. Localize and Dissect Superior and Inferior Parathyroid Glands
j. Dissect Ligament of Berry and Isolate Superior Pole Vessels
k. Localize External Branch of Superior Laryngeal Nerve
l. Divide Superior Pole Vessels
m. Check Right Vagus Nerve and RLN Signal
n. Check for Hemostasis & Reapproximate Strap Muscles
o. Extend Axillary Incision
7. Closure
chevron_right
a. Remove Robot and Trocars
b. Inject Local Anesthetic
c. Suture Incision Sites
8. Post-op Remarks
jkl keys enabled
2734 views
Robotic Thyroidectomy: A Bilateral Axillo-Breast Approach (BABA)
Hyunsuk Suh, MD
The Mount Sinai Hospital
Tags:
General Surgery
Otolaryngology
Main Text
Procedure Outline
Transcript
Comments
Comments (0)
Subscribe to comments
LIMITED ACCESS
To gain temporary access for evaluation purposes, please:
CREATE AN ACCOUNT
OR
SIGN IN
Share This Article
Authors
Hyunsuk Suh, MD
Filmed At:
The Mount Sinai Hospital
Article Information
Publication Date
8/14/2024
Article ID
212
Production ID
0212
Volume
2024
Issue
212
DOI
https://doi.org/10.24296/jomi/212