‘A new option for thyroid surgery that avoids a tell tale neck scar’
There is a new treatment option available for patients who require thyroid surgery. It represents the latest surgical advance in this area and doesn’t leave a tell tale scar on the neck. This ‘scar-less in the neck’ option promises to expand the boundaries of thyroid surgery by delivering tangible improvements in patient care.
Mr Neil Tolley, ENT-Thyroid Consultant Surgeon at St Mary’s Hospital, Imperial College Healthcare NHS Trust pioneered the technique in the UK in 2010 and has the largest clinical experience. His team performed rigorous clinical research to evaluate robotic assisted head & neck surgery over the last 2 1/2 years as part of an ethically approved clinical study. Their work has been reported in The Independent, BBC online and Daily Mail.
Robotic assisted thyroidectomy is a very precise and specific procedure which requires considerable training. Currently, there are only a handful of surgeons in the world qualified to perform this operation. Mr Tolley, a Charter member of the Society of Robotic Surgeons, counts among them.
Development of Robotic-assisted Thyroidectomy
Robotic assisted thyroidectomy is a minimally invasive technique to remove all or part of the thyroid and was first developed in the US and South Korea. It is also called robotic thyroid surgery or robot-assisted endoscopic surgery. Before its development, there were 2 main treatment options; conventional open surgery or endoscopic surgery. Open thyroid surgery, also known as standard or conventional open surgery typically leaves a 4-6cm scar in the front of the neck. Endoscopic techniques also involve one or more visible neck scars.
Robotic thyroidectomy eliminates the neck scar by accessing the thyroid gland through an incision under the arm. The scar is usually 6cm long and hidden unlike the neck scars used in conventional and endoscopic thyroidectomy. One of the first studies about robotic thyroidectomy was published in March 2009 so it is a very recent development. More studies are being published now as more doctors report their experience and success with this new technique throughout the world.
Why is it called ‘Robotic’?This refers to a sophisticated platform called the da Vinci Surgical System which is required to perform robotic-assisted surgery. It is completely controlled by the surgeon who uses it to perform the operation. The system has;
The complications and recovery time for robotic thyroidectomy are about the same for open or endoscopic surgery. A patient usually spends one day in the hospital following the surgery.
Who Can Have a Robotic Thyroidectomy?
Unfortunately, robotic thyroidectomy isn't a viable treatment option for everyone, but as the technique improves more people may be able to have this surgery. At the moment, the procedure is most suited for patients: