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Related Experiment Video

Updated: May 23, 2026

Identification and Protection of the Recurrent Laryngeal Nerve during Transoral Robotic Thyroidectomy
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Identification and Protection of the Recurrent Laryngeal Nerve during Transoral Robotic Thyroidectomy

Published on: October 24, 2025

Initial multi-institutional experience with transoral robotic surgery.

Sebastien Vergez1, Benjamin Lallemant, Philippe Ceruse

  • 1Otolaryngology, Head and Neck Surgery Department, University Hospital Rangueil-Larrey, Toulouse, France. vergez.s@chu-toulouse.fr

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|April 5, 2012
PubMed
Summary

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Transoral robotic surgery (TORS) allows resection of difficult tumors, improving surgical skills over time. Strict patient selection is crucial for safe and effective outcomes in TORS procedures.

Area of Science:

  • Otolaryngology
  • Surgical Oncology
  • Robotic Surgery

Background:

  • Transoral robotic surgery (TORS) is an evolving minimally invasive technique for head and neck cancers.
  • Initial experiences and learning curves are critical for establishing best practices.

Purpose of the Study:

  • To evaluate the initial outcomes and learning curve of transoral robotic surgery (TORS) in a multi-institutional French cohort.
  • To identify challenges, complications, and areas for improvement in TORS procedures.

Main Methods:

  • A prospective cohort study involving 130 consecutive patients undergoing TORS across seven tertiary referral centers.
  • Data collected included operative times, conversion rates, morbidity, and adverse events.

Main Results:

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Last Updated: May 23, 2026

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  • TORS was primarily used for laryngeal and hypopharyngeal resections (65%).
  • Suboptimal exposure occurred in 26% of cases, with 6% requiring conversion to open surgery.
  • Postoperative hemorrhages and two deaths were reported in patients with comorbidities.

Conclusions:

  • Robotic assistance enhances visualization, enabling resection of tumors difficult or impossible with laser surgery.
  • Surgical skills improved over time, indicated by better patient selection and reduced conversion rates.
  • Careful patient selection and consideration for tracheostomy are essential for TORS safety.