Transaxillary robotic thyroid surgery

The American Hospital of Paris has been performing transaxillary robotic thyroid surgery since 2010.

Transaxillary surgery is used to treat pathologies affecting the thyroid gland without leaving a neck scar.

 

Contents

What We Do

Transaxillary robotic thyroid surgery

The Team

Team members

What Sets Us Apart

Leading-edge technology, precision

Preoperative Assessment

A complete biological analysis

Patient Information

What criteria must be met to benefit from transaxillary robotic thyroid surgery?

Financial Information

Paying for treatment

Robotic Thyroid Surgery Class

Take a course on robotic thyroid surgery

Robotic Thyroid Surgery Master Class

Conferences with international experts

Publications

Read the latest publications publications


What We Do

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.

The procedure in detail

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.

The Team

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

What Sets Us Apart

    • Greater surgical precision
    • Increased dexterity and ease of access for the surgeon
    • High-definition camera
    • 3D images
    •  No damage to surrounding anatomical structures: parathyroid glands (hypocalcemia) and the recurrent laryngeal nerve (which supplies motor function to the vocal cords)

    • Enhanced esthetic outcome (smaller scar, concealed under the arm)
    • Reduced post-operative pain: the incision is remote from the surgical site, avoiding swallowing difficulties that often result from the traditional neck procedure
    • Patients return to work more quickly

    Preoperative Assessment

    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.

    Patient Information

    Transaxillary robotic thyroid surgery is not suitable for all patients.
    What criteria must be met to undergo transaxillary robotic thyroid surgery?

    • Nodule size must not exceed 8 cm
    • Cancerous nodules must be between 2 and 4 cm
    • The procedure is perfectly suitable for dissection procedures, which result in considerably fewer complications than traditional surgery
    • Patient morphology: the procedure is contraindicated for obese and/or multi-operated patients (axillary approach too complicated)
    • Basedow’s disease can be treated using this technique; the gland must be of average size and well-prepared

    Financial Information

    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.

    Robotic Thyroid Surgery Class

    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.

    Surgeons who received training

    Robotic Thyroid Surgery Master Class

    Publications

    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.

    Top

    Contact Information

    Robotic-assisted thyroid surgery consultation

    Building B – Level 1


    Biological analysis consultation

    Building B – Level 1

    Phone: +33 (0)1 46 41 25 71


    Anesthesia consultation

    Building B – Level 1

    Phone: +33 (0)1 46 41 26 91


    Ultrasound consultation

    Building E – Level 1

    Phone: +33 (0)1 46 41 25 55


    Robotic surgery class

    Phone: +33 (0)1 46 41 27 22


    Financial information

    Phone: +33 (0)1 46 41 27 22

    Videos


    Dr. Aïdan’s team performed its hundredth operation

    >> Watch more videos

    American Hospital of Paris - 63, Bd Victor Hugo 92200 Neuilly-sur-Seine - France - Tél : +33 (0)1 46 41 25 25

    HDN CODE

    American Hospital Of Paris