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Updated: May 10, 2026

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Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
Published on: September 15, 2023
Technical features of the robot-assisted trans-axillary thyroidectomy.
D D Axente1, Z Z Major, C M Micu
1Vth Surgical Clinic, Municipal Clinical Hospital, Cluj-Napoca, Romania.
Summary
Robot-assisted endoscopic thyroid surgery offers a solution to the limitations of traditional minimally invasive techniques. This study details the transaxillary approach for thyroid surgery, highlighting its technical aspects and outcomes in 50 patients.
Area of Science:
- Endocrinology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Minimally invasive thyroid surgery techniques have advanced, but often face technical challenges impacting practicality.
- Robotic systems emerged to address the limitations inherent in endoscopic surgery.
- Robot-assisted endoscopic surgery is a recent innovation for minimally invasive thyroid procedures.
Purpose of the Study:
- To present the technical details and specific characteristics of robot-assisted transaxillary thyroid surgery.
- To share early experiences and insights from a series of 50 patients undergoing this procedure.
Main Methods:
- A retrospective review of 50 patients who underwent robot-assisted endoscopic thyroid surgery via the transaxillary approach.
- Detailed description of the surgical technique and procedural nuances.
- Data collection from November 2010 to March 2012.
Main Results:
- The study details the technical aspects of performing robot-assisted transaxillary thyroid surgery.
- Early experience with 50 patients provides a foundation for understanding the procedure's application.
- The transaxillary approach was utilized for unilateral total lobectomy.
Conclusions:
- Robot-assisted transaxillary thyroid surgery represents a viable option for minimally invasive thyroid procedures.
- The technique aims to overcome the practical limitations of previous endoscopic methods.
- Further experience and data are essential for refining this innovative surgical approach.

