Robotic Thyroid Surgery: Surgical Approach

1. Single-port Transaxillary Robotic Thyroidectomy (START)

In this approach, a small incision is made in a natural skin crease under the arm on the same side as the thyroid nodule or area of concern. This incision provides direct access to the thyroid, without the need for gas insufflation, which reduces potential complications.

Key Advantages:

  • Single Incision: Minimizes scarring by utilizing a single, concealed incision in the underarm area.
  • Reduced Discomfort: Less dissection is required, resulting in less discomfort and shorter recovery times.
  • Shoulder Ergonomics: Allows for a lateral arm position, decreasing strain on the shoulder joint and minimizing nerve-related risks.

This approach is ideal for patients seeking an effective, minimally invasive procedure with reduced recovery time.

2. Transoral Robotic Thyroidectomy (TORT)

TORT involves three small incisions placed between the lower lip and the jaw with the possibility of adding an optional fourth small incision in the armpit. This approach provides a comprehensive surgical field, ideal for cases requiring additional precision.

Key Features:

  • Compact Instrumentation: Allows for meticulous work in small spaces.
  • Enhanced Flexibility: Increased range of motion and camera placement options allow for precise control.
  • Integrated Table Movement and Imaging: Supports stability and clear visualization during surgery.

While effective, TORT requires CO₂ insufflation.

Choosing the Right Approach

Each of these approaches at the Clayman Thyroid Center offers a tailored solution based on the surgical requirements. Our team is committed to providing the best outcomes through minimally invasive techniques that prioritize aesthetics and patient comfort.