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Updated: May 24, 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

Robotic thyroid surgery using bilateral axillo-breast approach: personal initial experience over two years.

H Y Kim¹, K Hoon Yub, F d'Ajello

¹Department of Surgery, Korea University College of Medicine, Seoul, Korea. [corrected].

Minerva Chirurgica

|February 25, 2012

Summary

Robotic thyroid surgery using the bilateral axillo-breast approach (BABA) is feasible and safe for early differentiated thyroid cancers and benign tumors. This initial experience shows promising results with no conversions to open surgery and minimal complications.

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Area of Science:

Endocrinology
Surgical Oncology
Robotic Surgery

Background:

Manual endoscopic thyroid surgery has limitations.
Robotic surgical systems offer potential solutions to these limitations.
The bilateral axillo-breast approach (BABA) is a widely used endoscopic technique.

Purpose of the Study:

To report the initial two-year experience of a single surgeon using robotic thyroid operations with the BABA technique.
To evaluate the feasibility and safety of robotic thyroid surgery via the BABA approach.

Main Methods:

Prospective data collection from 93 patients undergoing robotic thyroid surgery (July 2008-July 2010) using the da Vinci-S system and BABA.
Evaluation of clinicopathological characteristics, operation types, times, results, hospital stays, and complications.

Main Results:

93 robotic procedures performed, including total thyroidectomies, lobectomies, and one bilateral subtotal lobectomy.
No conversions to traditional endoscopic or open surgery.
Mean operation time: 288.5±48.0 min; mean hospital stay: 2.8±1.2 days.
Low complication rates: 3.2% transient hoarseness, 23.6% transient hypocalcemia (in total thyroidectomy patients), no permanent complications.

Conclusions:

Robotic thyroid surgery using the BABA approach is feasible and safe.
The procedure is effective for treating benign tumors and early differentiated thyroid carcinomas.
Initial results suggest a favorable safety profile with minimal complications.