ArticleWorld journal of surgical oncology2012
Optimal carbon dioxide insufflation pressure during robot-assisted thyroidectomy in patients with various benign and malignant thyroid diseases.
Article in World journal of surgical oncology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 18 citations in OpenAlex.
- Gasless endoscopic thyroidectomyFrontiers in endocrinology · 2022Trial
- A prospective, randomized controlled study of the safety and efficacy of gasless bilateral axillo-breast approach (BABA) robotic thyroidectomy.Surgical endoscopy · 2020Trial
- Minimal transcervical access single-port endoscopy-assisted thyroidectomy: a retrospective comparative study.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2023Article
- Transoral endoscopic thyroidectomy vestibular approach (TOETVA): Our outcomes from Turkey.Turkish journal of surgery · 2020Article
- Novel robot-assisted thyroidectomy by a transaxillary gas-insufflation approach (TAGA): a preliminary report.Gland surgery · 2020Article
- Comparative study of bilateral axillo-breast approach endoscopic and robotic thyroidectomy: propensity score matching analysis of large multi-institutional data.Annals of surgical treatment and research · 2020Article
- Robotic-assisted breast-axillo insufflation thyroidectomy (RABIT): a retrospective case series of thyroid carcinoma.International journal of clinical oncology · 2020Article
- Strategy to Prevent Subcutaneous Emphysema and Gas Insufflation-Related Complications in Transoral Endoscopic Thyroidectomy Vestibular Approach: Reply.World journal of surgery · 2017Article
- Comparison of postoperative surgical stress following robotic thyroidectomy and open thyroidectomy: a prospective pilot study.Surgical endoscopy · 2016Article
- Current status of robotic thyroid surgery in South Korea: a web-based survey.World journal of surgery · 2014Article
- Robotic infraclavicular approach for minimally invasive neck dissection in head-neck cancers.Journal of minimal access surgeryArticle
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCurrently, data are not available concerning a safe insufflation pressure that provides a proper view of the surgical field without adverse metabolic and hemodynamic changes in humans undergoing the robot-assisted thyroidectomy bilateral axillo-breast approach (BABA) using the da Vinci robotic surgical system. The purpose of this study was to determine the optimal carbon dioxide (CO₂) insufflation pressure in patients with various benign and malignant thyroid diseases when using the da Vinci robotic surgical system.
methodsA total of 32 patients underwent thyroid surgery at 6 (n = 15), 9 (n = 15), and 12 (n = 2) mmHg. The partial pressure of carbon dioxide (PaCO₂), pH, cardiac output, heart rate, and mean arterial pressure were measured at baseline, 30 min and 1, 1.5, and 2 hours after CO₂ insufflation, and 30 min after desufflation.
resultsCO₂ insufflation of 12 mmHg caused severe facial subcutaneous emphysema, hypercarbia, and acidosis during robot-assisted thyroidectomy with BABA. The study was stopped before completion for the patients' safety in accordance with the study protocol. Applying 6- or 9- mmHg of CO₂ insufflation pressure caused increases in PaCO₂ and decreases in arterial pH. However, vital signs were stable and pH and PaCO₂ were within the physiologic range during the surgery in the 6- and 9-mmHg groups.
conclusionsWe propose that a CO₂ insufflation pressure under 10 mmHg in robot-assisted thyroidectomy with BABA is the optimal insufflation pressure for patient safety.
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