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Updated: Apr 1, 2026

Identification and Protection of the Recurrent Laryngeal Nerve during Transoral Robotic Thyroidectomy
05:25

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

Published on: October 24, 2025

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Transoral robotic thyroid surgery.

James H Clark1, Hoon Yub Kim1, Jeremy D Richmon1

  • 11 Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins School of Medicine, Baltimore, MD, USA ; 2 Department of Surgery, Korea University College of Medicine, Seoul, Korea.

Gland Surgery
|October 2, 2015
PubMed
Summary
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Transoral robotic thyroid surgery offers a minimally invasive approach, concealing incisions within the mouth. This technique aims to reduce visible scarring while maintaining surgical effectiveness, addressing challenges in endoscopic thyroid procedures.

Area of Science:

  • Surgical Oncology
  • Minimally Invasive Surgery
  • Robotic Surgery

Background:

  • Demand for minimally invasive thyroid surgery is high.
  • Current methods involve trade-offs between scar visibility and dissection extent.
  • Transoral endoscopic thyroid surgery offers a scarless, minimally invasive option.

Purpose of the Study:

  • To review the feasibility of transoral robotic thyroid surgery.
  • To summarize current clinical experience with this approach.
  • To explore how robotics can overcome technical challenges in transoral endoscopic thyroid surgery.

Main Methods:

  • Literature review of transoral robotic thyroid surgery.
  • Analysis of feasibility and clinical outcomes.
  • Examination of technical challenges and robotic solutions.
Keywords:
Transoralendoscopicminimally invasiveroboticthyroid surgerythyroidectomy

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Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
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Main Results:

  • Transoral endoscopic thyroid surgery conceals incisions within the oral cavity.
  • Robotic systems may help overcome technical difficulties associated with the transoral approach.
  • The manuscript synthesizes existing data on the procedure's viability.

Conclusions:

  • Transoral robotic thyroid surgery presents a promising, truly minimally invasive option for thyroidectomy.
  • It potentially avoids visible neck scars without substantially increasing dissection.
  • Further clinical experience is being gathered on this innovative surgical technique.