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Updated: May 30, 2026

Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma

Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma

Published on: September 15, 2023

Bilateral axillo-breast approach robotic thyroidectomy.

Kyu Eun Lee¹, June Young Choi, Yeo-Kyu Youn

¹Department of Surgery, Seoul National University College of Medicine, Seoul, Korea.

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques

|August 23, 2011

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Bilateral axillo-breast approach (BABA) robotic thyroidectomy (RoT) offers good postoperative results and excellent cosmetic outcomes. This minimally invasive oncoplastic surgery is a suitable alternative for patients with thyroid diseases.

Area of Science:

Minimally Invasive Surgery
Surgical Oncology
Endocrine Surgery

Background:

Bilateral axillo-breast approach (BABA) robotic thyroidectomy (RoT) is recognized for positive postoperative and cosmetic results.
This study details the surgical techniques for BABA RoT.

Purpose of the Study:

To provide a comprehensive description of the techniques employed in robotic BABA thyroidectomy.
To highlight the oncoplastic and cosmetic benefits of this surgical approach.

Main Methods:

The study involved 704 patients undergoing BABA RoT between 2008 and 2010.
Utilized the da Vinci robot system with low CO2 insufflation for oncoplastic thyroid surgery.
Included various thyroidectomy procedures such as total, subtotal, lobectomy, and completion thyroidectomy.

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Main Results:

The majority of procedures were total thyroidectomies (78.9%), followed by lobectomies (10.4%) and subtotal thyroidectomies (9.5%).
BABA RoT demonstrated favorable postoperative outcomes in the patient cohort.

Conclusions:

Robotic BABA thyroidectomy achieves good postoperative outcomes.
The excellent cosmetic results make BABA RoT a viable alternative for thyroid disease treatment.