After developing the EndoCATS in our surgical department, we introduced ABBA as well for bilateral thyroid pathologies and complete thyroidectomies in 2009. In total, endoscopic thyroid surgery and its robotic variants are technically advanced surgical procedures, which should be performed by experienced hands not only because of the prolonged learning curve in comparison to open thyroid surgery. Complication rates are similar to open thyroid surgery with a comparable oncologic outcome and better cosmetic satisfaction due to the extra-cervical scar. More recent, experience with these techniques and robotic variants like bilateral-axillary-breast approach (BABA) and the RA steadily improved and they can even be used in oncologic thyroid surgery with central lymphadenectomy in low-risk and localized differentiated thyroid cancer. Since its development, ABBA was also introduced in Germany by Strik et al, who published their first experience 13 years ago. Large specimen can be retrieved through the axillar access. The view on the thyroid gland and the important landmarks are comparable to open surgery because of the ventral access after dividing the strap muscles in the midline and an excellent exposure with use of CO 2-insufflation. and can be used for bilateral procedures. The axillo-bilateral-breast approach (ABBA) was first described in 2003 by Shimazu et al. Its advantage lies in the smaller dissection area due to the short distance between retroauricular incision and the thyroid specimen up to 60 mL volume can be retrieved through this access, but only unilateral thyroidectomy procedures can be performed. It was also modified to a robotic “face-lift” approach. The RA was first described by our group in 2008 as the EndoCATS approach and has even spread worldwide. Meine Inhalte subNavigationMarker subNavigationPointer.Mehr subNavigationMarker subNavigationPointer.
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