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Updated: Apr 5, 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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Robotic trans-axillary and retro-auricular thyroid surgery.
Hossam Eldin Mohamed1, Emad Kandil1
1Department of Surgery, Tulane University School of Medicine, New Orleans, Louisiana.
Journal of Surgical Oncology
|August 15, 2015
Summary
Remote thyroid surgery using incisions outside the neck offers a scarless solution, addressing concerns about visible scarring. These robotic techniques are proving safe and feasible for select patients.
Area of Science:
- Surgical Oncology
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Visible neck scars from thyroid surgery can cause social stigma, particularly for young women.
- Alternative surgical approaches aim to conceal or eliminate neck scarring.
- Robotic surgery offers potential for minimally invasive procedures with improved cosmesis.
Purpose of the Study:
- To review current robotic approaches for remote access thyroid surgery.
- To discuss the safety and feasibility of these novel techniques.
- To highlight the benefits of scarless thyroid surgery.
Main Methods:
- Review of existing literature on robotic thyroidectomy with remote access incisions.
- Discussion of surgical techniques employed in axillary, chest, and retro-auricular approaches.
- Analysis of reported outcomes and patient selection criteria.
Main Results:
- Remote access thyroid surgery via robotic assistance is feasible in select patient groups.
- Axillary, chest, and retro-auricular incision sites have been successfully utilized.
- These methods aim to minimize or eliminate visible neck scarring.
Conclusions:
- Robotic remote access thyroid surgery presents a viable alternative for patients concerned about neck scarring.
- Further research and standardization of techniques are ongoing.
- This approach addresses cosmetic concerns while maintaining surgical safety and efficacy.

