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Updated: May 4, 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
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Comparison of surgical completeness between robotic total thyroidectomy versus open thyroidectomy
Kyung Tae1, Chang M Song, Yong B Ji
1Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Hanyang University, Seoul, Republic of Korea.
The Laryngoscope
|December 17, 2013
Summary
Robotic total thyroidectomy shows comparable surgical completeness to open procedures. Experienced surgeons and patient selection are key for successful robotic thyroid cancer removal.
Area of Science:
- Endocrine Surgery
- Surgical Oncology
- Robotic Surgery
Background:
- Papillary thyroid carcinoma necessitates total thyroidectomy.
- Assessing surgical completeness is crucial for treatment efficacy.
- Robotic surgery offers potential advantages in thyroidectomy.
Purpose of the Study:
- To compare the surgical completeness of robotic total thyroidectomy versus conventional open thyroidectomy.
- To evaluate the efficacy of robotic thyroidectomy in papillary thyroid carcinoma treatment.
Main Methods:
- Retrospective case-control study of 245 papillary thyroid carcinoma patients.
- Comparison between 62 robotic thyroidectomies (gasless unilateral axillo-breast or axillary approach) and 183 open thyroidectomies.
- Analysis of serum TSH-stimulated thyroglobulin (Tg) and radioactive iodine (RAI) uptake for surgical completeness.
Main Results:
- No significant differences in tumor characteristics or complications between groups (except TNM stage).
- Higher mean TSH-stimulated Tg in the robotic group initially, but normalized over time with experience.
- Radioactive iodine uptake rates and post-ablation Tg levels were similar between groups.
Conclusions:
- Robotic total thyroidectomy, using gasless unilateral axillo-breast/axillary approaches, achieves surgical completeness comparable to open thyroidectomy.
- Surgical completeness is dependent on surgeon experience and appropriate patient selection for robotic procedures.
