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Related Experiment Video

Updated: Mar 26, 2026

Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
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Comparing transaxillary robotic thyroidectomy with conventional surgery in a UK population: A case control study.

Asit Arora1, George Garas1, Sunil Sharma1

  • 1Department of Otorhinolaryngology and Head & Neck Surgery, St. Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK.

International Journal of Surgery (London, England)
|January 26, 2016
PubMed
Summary

Robotic thyroidectomy is safe and feasible in the UK, offering superior long-term scar cosmesis compared to open surgery. However, it involves longer operative times and higher costs, necessitating careful patient selection.

Keywords:
AnthropometryCosmesisEndocrine surgeryFollow-upOutcomesRoboticScarThyroidTransaxillary

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Area of Science:

  • Surgical Oncology
  • Minimally Invasive Surgery
  • Robotic Surgery

Background:

  • Transaxillary robotic thyroid surgery is prevalent in South Korea, driven by cultural factors and a high incidence of small nodules.
  • The technique's efficacy in the UK, with a different patient demographic (higher BMI, larger nodules), remained unevaluated.

Purpose of the Study:

  • To evaluate the feasibility and outcomes of transaxillary robotic thyroid surgery in a United Kingdom patient population.
  • To compare robotic hemithyroidectomy with conventional open surgery regarding safety, cosmesis, and patient-reported outcomes.

Main Methods:

  • A prospective, non-randomized study comparing 16 consecutive robotic hemithyroidectomy patients with 16 open surgery controls.
  • Data collected included operative time, pain, voice function, quality of life, and long-term scar cosmesis.

Main Results:

  • No conversions from robotic to open surgery were required. No significant differences in pain, voice, or quality of life were observed.
  • Robotic surgery demonstrated superior long-term scar cosmesis (3 years, p=0.02) but had significantly longer operative times (228 min vs. 85 min, p=0.01).
  • Transient complications included recurrent laryngeal nerve paresis and shoulder dysfunction, both resolving within 4 weeks.

Conclusions:

  • Transaxillary robotic thyroidectomy is feasible and safe in the UK, despite differences in patient population compared to East Asia.
  • Superior cosmesis is achievable with robotic surgery, though at the expense of increased operative time and cost.
  • Careful patient selection is crucial, and further randomized studies are needed to confirm clinical efficacy against conventional methods.