Imperial College London

Dr George Garas PhD FRCS FEBORL-HNS

Faculty of MedicineDepartment of Surgery & Cancer

Honorary Clinical Research Fellow
 
 
 
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Contact

 

g.garas

 
 
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Location

 

Queen Elizabeth the Queen Mother Wing (QEQM)St Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Arora:2012:10.1177/0194599812451426a165,
author = {Arora, A and Sharma, SD and Garas, G and Awad, Z and Darzi, A and Tolley, NS},
doi = {10.1177/0194599812451426a165},
journal = {Otolaryngol Head Neck Surg},
title = {Robotic-Assisted Thyroidectomy: The First UK Experience.},
url = {http://dx.doi.org/10.1177/0194599812451426a165},
volume = {147},
year = {2012}
}

RIS format (EndNote, RefMan)

TY  - JOUR
AB - Objective: To review our initial experience of robotic thyroidectomy, describe modifications for a Western population, and establish a robust framework for implementation in the UK. Method: Prospective feasibility study (n = 15) performed in a tertiary referral center over 18 months. Procedure-related measures included conversions to open, operative time and the learning curve. Patient-related measures included biometrics, trans-axillary dissection area, voice and swallow function, pain, scar cosmesis, and global quality of life using validated assessment tools. Results: Thyroid lobectomy was performed in 15 patients with no conversions to open. The average BMI was 25.6 (range, 19-35). Mean operative time was 200 minutes. A larger trans-axillary dissection area increased the total operative time. The average size of the excised nodule was 2.5 cm (range, 1.5-6.5 cm). All patients were discharged within 24 hours. No permanent complications occurred. There was 1 temporary brachial plexus neuropraxia which resolved within 5 days. The mean follow-up time was 7 months. The mean scar cosmesis score significantly improved from 56% on day 1 postoperatively to 98% at 12 months (P = .01). Conclusion: Robotic thyroidectomy is feasible for selected patients in the UK. The primary advantage is avoidance of a neck scar. Optimal arm position which minimizes brachial plexus injury is crucial. Validated training methods are necessary for safe adoption. A randomized clinical study will establish the clinical efficacy compared with conventional surgery.
AU - Arora,A
AU - Sharma,SD
AU - Garas,G
AU - Awad,Z
AU - Darzi,A
AU - Tolley,NS
DO - 10.1177/0194599812451426a165
PY - 2012///
TI - Robotic-Assisted Thyroidectomy: The First UK Experience.
T2 - Otolaryngol Head Neck Surg
UR - http://dx.doi.org/10.1177/0194599812451426a165
UR - http://www.ncbi.nlm.nih.gov/pubmed/25718628
UR - http://hdl.handle.net/10044/1/53880
VL - 147
ER -