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Updated: Mar 26, 2026

Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
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American Thyroid Association Statement on Remote-Access Thyroid Surgery.

Eren Berber1, Victor Bernet2, Thomas J Fahey3

  • 11 Department of Endocrine Surgery, Cleveland Clinic , Cleveland, Ohio.

Thyroid : Official Journal of the American Thyroid Association
|February 10, 2016
PubMed
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This summary is machine-generated.

Remote-access thyroidectomy offers a neck-incision-free option for select patients with small nodules. This technique requires specialized surgical expertise and careful patient selection for optimal outcomes.

Area of Science:

  • Endocrine Surgery
  • Minimally Invasive Surgery
  • Surgical Innovation

Background:

  • Remote-access thyroidectomy techniques aim to remove the thyroid gland without a neck incision.
  • Existing literature shows confusion regarding available techniques and patient selection criteria.
  • This review addresses classification, selection criteria, outcomes, and adoption barriers.

Purpose of the Study:

  • To classify remote-access thyroid surgery approaches.
  • To define optimal patient selection criteria.
  • To evaluate outcomes and identify barriers to adoption.

Main Methods:

  • Literature review to identify described techniques.
  • Development of a classification system for remote-access approaches.

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  • Consensus formulation on patient selection and surgical performance.

    • Main Results:

    • Categorization into endoscopic/robotic breast, axillo-breast, axillary, and facelift approaches.
    • Limited data indicate longer operative times, steep learning curves, and higher costs.
    • Viable option for unilateral small nodules in experienced hands, avoiding neck scars.

    Conclusions:

    • Remote-access thyroidectomy suits a select patient group meeting strict criteria.
    • Requires advanced surgical expertise and high-volume experience in thyroid and robotic surgery.