Thyroid

Single-Port Robotic Areolar Thyroidectomy: How I Do It

Myeong Ho Shin, Sun Min Lee, Hilal Ozer Hwang, Jin Wook Yi

J Surg Innov Educ. 2024;1(1):18-21.   Published online June 25, 2024

DOI: https://doi.org/10.69474/jsie.2024.00052

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Abstract PDFSupplementary Material

With the recent development of the da Vinci Single Port (SP) robotic surgical system, new surgical methods applying the da Vinci SP in thyroid surgery are being reported. We first reported a method known as single-port robotic areolar (SPRA) thyroidectomy in 2023, and we performed more than 100 SPRA thyroidectomies in a year. SPRA is a more minimally invasive method than the existing bilateral axillary breast approach method, as the subcutaneous flap area is reduced by more than 50%. Herein, we present a step-by-step description of the method of SPRA thyroidectomy.

Citations

Citations to this article as recorded by  

• Recent advances in single-port robotic thyroidectomy: evolution, techniques, and clinical outcomes
  Jin Kyong Kim, Dong Wook Kim, Jae Sang Ryu, Sungkeun Kang, Eun Jin Kim, Sang-Wook Kang, Jong Ju Jeong, Kee-Hyun Nam, Woong Youn Chung
  Annals of Surgical Treatment and Research.2026; 110(1): 3.     CrossRef
• Robotic thyroidectomy using the da Vinci SP surgical system
  Young Woo Chang
  Surgical Endoscopy.2026; 40(3): 1876.     CrossRef
• Single-port robotic areolar surgery for thyroid and neck procedures: a 3-year, 500-case single-surgeon experience using the da-Vinci SP system
  Myeong Ho Shin, Gi Tae Kim, Seung Hwan Lim, Jin Wook Yi
  Updates in Surgery.2026;[Epub]     CrossRef

A Practical Guide to Robotic Transabdominal Preperitoneal Repair for Inguinal Hernia

Sungwoo Jung, Hyung Soon Lee

J Surg Innov Educ. 2025;2(1):1-4.   Published online June 16, 2025

DOI: https://doi.org/10.69474/jsie.2025.00052

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• 1 Citations

Abstract PDF

Robotic transabdominal preperitoneal (R-TAPP) inguinal hernia repair offers enhanced visualization, ergonomic comfort, and improved instrument control compared to conventional laparoscopy. Although laparoscopic transabdominal preperitoneal repair has known benefits, its adoption remains limited due to technical challenges and a steep learning curve. The robotic platform addresses these limitations, making it well-suited for safe, precise dissection in the preperitoneal space. This article presents a practical, step-by-step guide to R-TAPP, highlighting key anatomical landmarks, standardized dissection techniques, and tension-free mesh placement without fixation.

Citations

Citations to this article as recorded by  

• Da Vinci Xi versus laparoscopic transabdominal preperitoneal (TAPP) repair of inguinal hernia: a GRADE-assessed systematic review and meta-analysis of randomized controlled trials
  Wajahat Mirza, Mehak Ejaz Khan, Hania Iqbal, Alishbah Khan, Hadi Mohammad Khan, Hamza Nasir Chatha, Eshan Ahmad, Sundus Dadan, Abdul Rafeh Awan, Muhammad Ahmad Nadeem
  Journal of Robotic Surgery.2025;[Epub]     CrossRef

Colorectal

Laparoscopic Right Hemicolectomy with an Inferior Approach: How I Do It

Young Il Kim, Hayoung Lee, Min Hyun Kim

J Surg Innov Educ. 2024;1(1):6-9.   Published online June 28, 2024

DOI: https://doi.org/10.69474/jsie.2024.00038

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• 1 Citations

Abstract PDF

Since its introduction in the early 1990s, laparoscopic colorectal surgery has been extensively validated through randomized controlled trials, establishing its safety and efficacy from oncological and technical standpoints. Laparoscopic right hemicolectomy (LRHC) procedures exhibit variability in dissection extent and initiation sites. Complete mesocolic excision is essential in LRHC, involving precise dissection along embryologic planes and varying in lymph node dissection extent (D2 or D3). Other variations in LRHC include the use of the medial approach (or superior mesenteric vein [SMV]-first approach), where dissection starts along the SMV, the lateral approach (or inferior approach), starting with meso-ileal and retroperitoneal dissection, and the superior approach, initiated by separation of the omentum and transverse colon. This paper presents a case of LRHC for ascending colon cancer using an inferior approach. The procedure included trocar placement, followed by inferior, superior, and medial dissection phases, concluding with specimen extraction and extracorporeal anastomosis. With a standardized procedure, mastery of diverse approaches (inferior, medial, and superior) remains crucial, as the most appropriate method varies among cases.

Citations

Citations to this article as recorded by  

• Medial vs. inferior approach in laparoscopic right hemicolectomy: a comparative study of the perioperative outcomes for early-career surgeons
  Reimi Kawagoe, Nobuki Ichikawa, Tatsushi Shimokuni, Shin Emoto, Yui Ishiguro, Asao Tamanaha, Yasutomo Fukasaku, Takahiro Oshima, Michio Tani, Shuhei Kii, Akinobu Taketomi
  Surgery Today.2026;[Epub]     CrossRef