Initial experience with the Carina™ platform for gasless transaxillary robotic thyroidectomy in papillary thyroid carcinoma: an early feasibility report - Report - MDSpire
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Initial experience with the Carina™ platform for gasless transaxillary robotic thyroidectomy in papillary thyroid carcinoma: an early feasibility report
Clinical Report: Early Assessment of the Carina™ Modular Robotic System
Overview
This feasibility study evaluates the Carina™ modular robotic system for gasless transaxillary thyroidectomy in patients with papillary thyroid carcinoma. The results are preliminary and indicate that the system may be safe and feasible, with acceptable operative times and no severe complications observed.
Background
The increasing incidence of thyroid tumors necessitates innovative surgical approaches that minimize postoperative scarring. Robot-assisted thyroid surgery has emerged as a promising option, offering technical advantages over traditional methods. However, the application of modular robotic systems in thyroid surgery has not been previously explored, highlighting the importance of this study.
Data Highlights
Parameter
Mean ± SD
Range
System Preparation Time (min)
10.43 ± 3.99
7–17
Teleoperation Time (min)
116.14 ± 24.20
80–151
Operative Time (min)
196.43 ± 29.40
150–230
Retrieved Central Lymph Nodes
6.14 ± 2.91
2–11
Metastatic Nodes
1.00 ± 1.83
0–5
Key Findings
The Carina™ system was used for gasless transaxillary unilateral lobectomy and central neck dissection in seven patients.
No conversions to open or conventional endoscopic surgery were required during the procedures.
Transient paresthesia was the most common complication, occurring in the subclavian skin region.
The average number of retrieved central lymph nodes was 6.14, with 1.00 metastatic node on average.
Surgeons reported low physical and mental stress load scores during the procedures.
Clinical Implications
The Carina™ modular robotic system demonstrates preliminary feasibility and safety for selected patients undergoing thyroidectomy.
Conclusion
The preliminary findings suggest that further investigation in larger clinical trials is warranted to evaluate the Carina™ system for robotic thyroid surgery.
