Transaxillary robotic thyroid surgery
Leading-edge technology, precision
A complete biological analysis
What criteria must be met to benefit from transaxillary robotic thyroid surgery?
Paying for treatment
Take a course on robotic thyroid surgery
Conferences with international experts
Read the latest publications publications
Transaxillary thyroid surgery, which entails making an incision in the underarm area, is used to treat thyroid pathologies without leaving a neck scar. The procedure is performed with the help of a robot, which ensures increased precision and safety.
Our establishment is a leader in this technique, and numerous surgeons from around the world take part in our annual Master Class.
Thanks to Dr. Patrick Aïdan and his team, our patients benefit from the latest innovations in thyroid surgery.
Leading-edge technology: the da Vinci® surgical system.
A superficial incision – 5 to 6 cm long and extending up to the neck muscles – is made in the axillary cavity (armpit).
A retractor is then placed under the skin so the four robot arms can be positioned.
The da Vinci system, which is controlled by the surgeon, reproduces the surgeon’s hand movements, fine-tuning them and making them as precise as possible using small instruments inserted into the patient’s body prior to surgery. These instruments are maneuvered three dimensionally in order to remove the thyroid while vessels are coagulated using the Ultracision® device.
Once dissected, the thyroid gland is removed using an endoscopic retrieval bag in order to avoid any tissue leakage in the surgical site. The surgery is performed under constant visual control thanks to the 30 degree endoscopic camera which affords high-definition 3D vision and close-up viewing.
Surgeon: Dr P. Aïdan (Chief of Service)
Assisted by: Dr. M. Germain, Mrs. C. Jados
Anesthesiologists: Dr. G. Boccara (Chief of Service), Dr. T. Guennoun, Dr. O. Tuil, Dr. E. Maret
Administrative assistants: Mrs. K. Marien, Mrs. F. Arguant
In addition to a complete biological analysis with emphasis on the thyroid functions, an ultrasound is required for an accurate preoperative assessment.
The preoperative ultrasound is vital. It is used to establish a precise ultrasonic “map” of the nodules, determine whether a preliminary fine-needle aspiration is indicated and detect any anatomical or acquired anomalies that may contraindicate the robotic technique. The ultrasound is generally performed by Dr. Monpeyssen, a thyroidologist at the American Hospital of Paris.
Once this specific biological assessment is completed, patients have an anesthesia consultation with Dr. G. Boccara or a member of his team. This assessment may be supplemented with additional exams if necessary, such as an ECG or chest x-ray.
Transaxillary robotic thyroid surgery is not suitable for all patients.
What criteria must be met to undergo transaxillary robotic thyroid surgery?
An estimate is sent to the patient after a precise analysis of the reimbursements by the French national health insurance (Assurance Maladie) and the patient’s private or supplementary insurance policy. Patients should provide a detailed description of their insurance cover in order to ensure the cost estimate is as accurate as possible.
Every month, Dr. P. Aïdan and the company Intuitive Surgical give a class on dissection at the Ecole Européenne de Chirurgie (European School of Surgery) in Paris. Surgeons are then invited to the operating room at the American Hospital of Paris to observe a live surgery.
Dr. P. Aïdan, Dr. G. Boccara, Dr. M. Germain, Dr. H. Monpeyssen.
Academie Nationale de Chirurgie, February 20, 2013.
Indications for the Gasless Transaxillary Robotic Approach to Thyroid Surgery: Experience of Forty-Seven Procedures at the American Hospital of Paris
Patrick Aidan, Helen Pickburn, Hervé Monpeyssen, Gilles Boccara
European Thyroid Journal 2013, 2: 102-109.
Implications anesthésiques de la chirurgie thyroïdienne ou parathyroïdienne par voie axillaire sous robot-assistance : à propos de sept premiers cas
G. Boccara , T. Guenoun , B. Cohen , P. Aidan. March 2011.
Annales Française d’anesthésie et Réanimation.
Robotic-assisted thyroid surgery consultation
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