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Robot-Assisted Thyroidectomy With Novel Camera-Port Retractor

Ishikawa, Norihiko MD, PhD; Kawaguchi, Masahiko MD, PhD; Moriyama, Hideki MD; Shimada, Masanari MD; Watanabe, Go MD, PhD

Innovations: Technology & Techniques in Cardiothoracic & Vascular Surgery: September/October 2013 - Volume 8 - Issue 5 - p 384–388
doi: 10.1097/IMI.0000000000000025
How-to-do-it Article

Abstract: We performed gasless transaxillary robot-assisted thyroidectomy with a novel camera-port retractor (CP retractor). Herein, we describe the new instrument and its efficacy, which was evaluated by performing robot-assisted thyroidectomy. From October 2009 to August 2012, a total of 12 patients underwent robot-assisted thyroidectomy using the da Vinci Surgical System. The CP retractor was used in all cases, and we use the Maryland bipolar forceps and the microbipolar forceps on both arms for dissection of the surrounding tissues as well as for cutting and coagulation to avoid injury to the vessels and the nerves. The CP retractor provided excellent visualization without robotic arm instrument interference. The novel retractor is useful and safe, and the use of bipolar instruments is an effective option for robotic dissection around the nerves in the robot-assisted thyroidectomy.

From the Department of General and Cardiothoracic Surgery, Kanazawa University, Kanazawa, Japan.

Accepted for publication September 29, 2013.

Disclosure: The authors declare no conflicts of interest.

Address correspondence and reprint requests to Norihiko Ishikawa, MD, PhD, Department of General and Cardiothoracic Surgery, Kanazawa University, 13-1 Takara-machi, Kanazawa 920-8641, Japan. E-mail:

©2013 by the International Society for Minimally Invasive Cardiothoracic Surgery