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Related Experiment Video

Updated: May 2, 2026

Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
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Robotic thyroid surgery: an initial experience with North American patients.

Ronald B Kuppersmith1, F Christopher Holsinger

  • 1Texas Institute for Thyroid and Parathyroid Surgery, College Station, Texas 77845, USA. rbk@texasentandallergy.com

The Laryngoscope
|February 24, 2011
PubMed
Summary

Gasless transaxillary robot-assisted endoscopic thyroid surgery is feasible and safe for North American patients. While a learning curve exists, initial results show procedural improvements and no major complications, indicating potential benefits.

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Area of Science:

  • Minimally Invasive Surgery
  • Robotic Surgery
  • Endocrine Surgery

Background:

  • The transaxillary approach for robot-assisted endoscopic thyroid surgery offers a scarless alternative.
  • Adapting this technique for North American patients requires specific considerations and modifications.

Purpose of the Study:

  • To review the initial experience with gasless transaxillary robot-assisted endoscopic thyroid surgery.
  • To describe technique modifications, patient selection, and challenges in a North American setting.

Main Methods:

  • Retrospective review of 31 consecutive cases.
  • Analysis of operative components and complication rates.

Main Results:

  • Thirty-one patients underwent robotic thyroid surgery (20 lobectomies, 11 total thyroidectomies).

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  • Improvements in procedure time were observed between early and later cases.
  • No major or permanent complications were reported.

    • Conclusions:

    • Gasless transaxillary robot-assisted thyroid surgery is feasible and safe in North American patients.
    • A learning curve exists for surgical teams, necessitating validated training methods.
    • Further studies are required to fully assess the relative benefits of this robotic technique.