Motor Evoked Potential Monitoring During Robot-Assisted Transaxillary Thyroid Surgery: A Report of Feasibility in Two Cases

Gasless Transaxillary robotic thyroid surgery has recently been proposed and developed in many countries. We report the feasibility of continuous intraoperative neuromonitoring of Transcranial Electric Motor Evoked Potentials (tceMEP) in two cases in order to monitor the risk of brachial plexopathy due to ipsilateral arm positioning during the axillary approach. The anesthetic implications are also described, specifically the use of intraoperative monitoring.

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