Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Video

Updated: Mar 11, 2026

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

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

Published on: October 24, 2025

Postoperative Pain Evaluation After Robotic Transaxillary Thyroidectomy Versus Conventional Thyroidectomy: A

Lorenzo Fregoli¹, Gabriele Materazzi¹, Mario Miccoli²

¹1 Department of Surgical Pathology, Medical, Molecular and Critical Area, University of Pisa , Pisa, Italy .

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A

|November 23, 2016

Summary

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

The Role of Self-Compassion and Body Perception in Predicting Psychological Safety.

Journal of clinical medicine·2026

Same author

Evaluation of differences in presentation and postoperative outcomes after adrenalectomy for pheochromocytoma according to age.

Endocrine connections·2026

Same author

ERAS thyroidectomy within the Italian DRG-based public health system: surgical efficiency is penalized.

Updates in surgery·2026

Same author

Does preoperative administration of Lugol's solution in patients undergoing thyroidectomy for Graves' disease really improve surgical outcomes? A propensity score matching analysis from six high-volume centers (StELLinA study).

Updates in surgery·2026

Same author

Endorectal Ultrasound Versus MRI for Lower and Middle Rectal Cancer Staging in Upfront Surgery: A Comparative Study.

Journal of clinical medicine·2026

Same author

Lactic acid promotes metastasis of papillary thyroid carcinoma by enhancing CPT1A lactylation.

Cell death & disease·2026

Robot-assisted transaxillary thyroidectomy (RATT) offers less immediate postoperative pain compared to conventional thyroidectomy (CT). However, RATT patients reported higher pain levels after seven days, suggesting longer healing for the extensive dissection.

Area of Science:

Minimally Invasive Surgery
Surgical Oncology
Endocrine Surgery

Background:

Robot-assisted transaxillary thyroidectomy (RATT) presents cosmetic advantages but raises concerns about invasiveness and pain compared to conventional thyroidectomy (CT).
Prospective studies are needed to objectively compare postoperative pain between RATT and CT.

Purpose of the Study:

To prospectively compare postoperative pain experienced by patients undergoing RATT versus CT.
To evaluate the safety and effectiveness of RATT in comparison to CT.

Main Methods:

A prospective study included 124 female patients with nodules <5 cm and volume <30 mL.
Pain was assessed using the Visual Analog Scale (VAS) at multiple time points: recovery room, postoperative day 1 (8 a.m. and 8 p.m.), postoperative day 2 (8 a.m.), and 7 days post-surgery.

Keywords:

cervicotomy pain robot thyroidectomy transaxillary

More Related Videos

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

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

Published on: September 15, 2023

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach

Published on: September 15, 2023

Related Experiment Videos

Last Updated: Mar 11, 2026

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

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

Published on: October 24, 2025

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

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

Published on: September 15, 2023

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach

Published on: September 15, 2023

Operative time and complication rates were recorded for both RATT and CT groups.

Main Results:

While operative time was longer for RATT (119.4 min) than CT (70.3 min), complication rates were similar, with no definitive complications in either group.
Immediate postoperative pain (VASrr) was significantly lower in the RATT group (1.79) compared to the CT group (2.5) (P < .0001).
No significant pain difference was observed on postoperative days 1 and 2, but pain at 7 days (VAS 7) was higher in the RATT group (0.85) versus the CT group (0.17) (P < .010).

Conclusions:

RATT is a safe and effective alternative to CT, offering comparable outcomes.
RATT provides superior pain relief in the immediate postoperative period.
The increased pain at 7 days post-RATT may be attributed to the extended healing time required for the larger dissection, despite early cosmetic benefits.