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2026, Number P5

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Acta Med 2026; 24 (P5)

Thyroidectomy by bilateral robotic axillo-pectoral approach in a case of follicular adenoma

Saldívar GFM, Anaya WJ, García LA, Cisneros MA, Mora CJ, Aguirre TJ, Saldívar ÁNG
Full text How to cite this article

Language: Spanish
References: 5
Page: 574-577
PDF size: 1558.05 Kb.


Key words:

follicular thyroid adenoma, thyroidectomy, robotic approach, bilateral axillo-pectoral approach.

ABSTRACT

The only consolidated approach for total thyroidectomy is Bilateral Axillo-Breast Approach Robotic Thyroidectomy (RTBABA), with experience in thousands of patients. It is a central, inferior approach that provides a surgical field similar to that of conventional open thyroidectomy, allowing the performance of total thyroidectomy and the treatment of lymph nodes on both sides of the neck. It uses high-definition cameras providing an unmatched image of the surgical field; in addition, it provides neuromonitoring to protect the recurrent and superior laryngeal nerves. A case of follicular thyroid adenoma managed with RT-BABA is presented, the first performed at the Angeles Leon Hospital.


REFERENCES

  1. Kania R, Camus D, Vérillaud B, Le Clerc N, Herman P, MaterazziG et al. Tiroidectomía videoasistida y robótica. EMC - CirugíaOtorrinolaringológica y Cervicofacial. 2019; 20: 1-15. doi: 10.1016/S1635-2505(18)41668-4.

  2. Liu SY, Kim JS. Bilateral axillo-breast approach robotic thyroidectomy:review of evidences. Gland Surg. 2017; 6 (3): 250-257. doi:10.21037/gs.2017.04.05.

  3. Lee KE, Koo DH, Kim SJ, Lee J, Park KS, Oh SK et al. Outcomes of109 patients with papillary thyroid carcinoma who underwent robotictotal thyroidectomy with central node dissection via the bilateralaxillo-breast approach. Surgery. 2010; 148 (6): 1207-1213. doi:10.1016/j.surg.2010.09.018.

  4. Shin IB, Bae DS. Comparison of the postoperative outcomes of themini-flap bilateral axillo-breast approach (BABA) and conventionalBABA robot-assisted thyroidectomy. J Clin Med. 2022; 11 (16): 4894.doi: 10.3390/jcm11164894.

  5. Kim SJ, Lee KE, Oh BM, Oh EM, Bae DS, Choi JY et al. Intraoperativeneuromonitoring of the external branch of the superior laryngealnerve during robotic thyroid surgery: a preliminary prospectivestudy. Ann Surg Treat Res. 2015; 89 (5): 233. doi: 10.4174/astr.2015.89.5.233.




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Acta Med. 2026;24