Table 1. For the robotic total thyroidectomy and ND, the instruments and materials needed additionally are summarized below.
Procedure | Instruments or materials |
---|---|
Patient position | • Arm board |
• Soft pillow | |
Development of working space | • Electrocautery with regular and extended-sized tip |
• Vascular Debakey or Russian forceps (extended length) | |
• Army-navy retractor ×2 | |
• Right-angled retractors ×2 | |
• Breast lighted retractor ×2 | |
• Endoscopic clip appliers | |
Maintenance of working space | • Chung’s retractor (special set of retractor for ND) |
• Table mount and suspension device (Marina Medical, Sunrise, USA) | |
Robotic procedure | • 5 mm Maryland dissector |
• 8 mm ProGrasp forceps | |
• 5 mm Harmonic curved shears | |
• Dual channel 30 degree endoscope (used in the rotated down position) | |
• Endoscopic graspers and forceps | |
• Endoscopic suction irrigator |
ND, neck dissection.