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Updated: Jul 9, 2026
Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
Published on: September 15, 2023
Report on 8 years of experience with video-assisted thyroidectomy for papillary thyroid carcinoma
Celestino Pio Lombardi1, Marco Raffaelli, Carmela de Crea
1Division of Endocrine Surgery, Department of Surgery, Università Cattolica del Sacro Cuore, Rome, Italy.
Background:
The results of video-assisted thyroidectomy in a large series of patients with papillary thyroid carcinoma were evaluated, especially in terms of the completeness of the operative resection.
Methods:
The medical records of all patients who underwent video-assisted total thyroid resection (single procedure total thyroidectomy or lobectomy followed by completion thyroidectomy) for papillary thyroid cancer between June 1998 and December 2006 were reviewed.
Results:
We included 271 patients. One hundred two patients underwent central neck node removal by the same approach. Postoperative complications included 5 patients with transient recurrent nerve palsies, 59 with transient hypocalcemia, 3 with permanent hypoparathyroidism, and 1 with postoperative hematoma. Final histology showed the neoplasms to be 215 pT1, 23 pT2, and 33 pT3. Lymph node metastases were found in 19 patients. Follow-up evaluations were completed for 231 patients. Mean postoperative serum thyroglobulin level after levothyroxine withdrawal was 5.5 ng/mL. Postoperative ultrasonography showed no residual thyroid tissue in all patients. Mean postoperative (131)I uptake was 2.1%. One patient developed a lateral neck recurrence.
Conclusions:
The completeness of the operative resection achieved with video-assisted thyroidectomy seems comparable with that reported for conventional surgery. A longer follow-up is necessary to draw definitive conclusions in terms of recurrence and survival rate.
