Robot Assisted Trans Axillary Thyroidectomy: A Subcontinent
Received: 21 May 2018 / Accepted: 28 May 2018
Ó Association of Otolaryngologists of India 2018
We read with interest ‘‘Robot Assisted Trans Axillary
Thyroidectomy: A Subcontinent experience’’ by Gupta
et al. . We congratulate the authors on their ‘‘three arm
single incision’’ technique and their results they achieved,
even though the numbers are small. We agree with the
authors regarding the learning curve and that docking time
decreases with time and also minor adjustments to suit
Indian patients with different proﬁle when compared to
their Korean Counterparts with screen detected malignan-
cies and smaller goiters . We have few queries which
many interest future readers.
The authors have mentioned Rs. 35,000 and Rs. 15,000
for Robotic and open hemi thyroidectomy however the
Robotic patients would have stayed more in the hospital
post-surgery than an uneventful open hem thyroidectomy.
Did the authors compare the Total cost for Robotic and
open hem thyroidectomies? What was the indication for
surgery in patients with FNAC diagnosis of colloid goiter?
Did the authors ﬁnd less of sensation over the tunnel area,
which can be sometimes troublesome in female patients?
Do the authors feel gasless techniques provide any added
advantage over techniques which employ gas ?
1. Gupta AK, Kumar A, Singh A, Subash A (2018) Robot assisted
trans axillary thyroidectomy: a subcontinent experience. Indian J
Otolaryngol Head Neck Surg 1–8
2. Ryu HR, Kang SW, Lee SH, Rhee KY, Jeong JJ, Nam KH, Chung
WY, Park CS (2010) Feasibility and safety of a new robotic
thyroidectomy through a gasless, transaxillary single-incision
approach. J Am Coll Surg 211(3):e13–e19
3. Bhargav PR, Kumbhar US, Satyam G, Gayathri KB (2013) Gasless
single incision trans-axillary thyroidectomy: the feasibility and
safety of a hypo-morbid endoscopic thyroidectomy technique.
J Minimal Access Surg 9(3):116
& Sabaretnam Mayilvaganan
Department of Endocrine Surgery, Sanjay Gandhi
Postgraduate Institute of Medical Sciences, Raebareli Road,
Lucknow 226 014, India
Indian J Otolaryngol Head Neck Surg