Related Experiment Video
Updated: Feb 27, 2026
04:01
Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
Published on: September 15, 2023
1.6K
Advances in Robotic Transaxillary Thyroidectomy in Europe
Micaela Piccoli1, Barbara Mullineris1, Daniele Santi2
1Division of General, Emergency Surgery and New Technologies, OCSAE (Ospedale Civile Sant'Agostino Estense), Via Giardini 1455, Baggiovara, Modena, Italy.
Current Surgery Reports
|July 7, 2017
Summary
Robotic thyroidectomy (RT) is a feasible and safe transaxillary approach for European patients. Surgeons experienced in thyroid and robotic procedures can effectively perform RT, with future instruments potentially enhancing the technique.
Area of Science:
- Minimally Invasive Surgery
- Surgical Oncology
- Robotic Surgery
Background:
- Robotic surgery for thyroidectomy is well-established in Asia.
- European surgeons' adoption and techniques for robotic thyroidectomy require systematic review.
Purpose of the Study:
- To review the interest and practices of European surgeons regarding robotic thyroidectomy (RT).
- To analyze the feasibility, safety, and outcomes of RT in a European context.
Main Methods:
- Systematic literature review of studies on robotic thyroidectomy by European surgeons in Europe.
- Analysis of patient characteristics, surgical positions, techniques, outcomes, and complications.
- Inclusion of 18 studies published between 2011 and 2017, involving 1108 patients.
Main Results:
- Transaxillary approach is common, with Kuppersmith and Chung positions frequently used.
- Mean total surgical time was 166.8 minutes, with distinct phases for workspace, docking, and console operation.
- Low complication rates reported: hypocalcemia (2.9%), recurrent laryngeal nerve (RLN) palsy (2.6%). Mean discharge time was 2.4 days.
Conclusions:
- Transaxillary robotic thyroidectomy is feasible and safe for European patients.
- Expertise in thyroid and robotic surgery is crucial for successful implementation.
- Advancements in dedicated robotic instruments are expected to further improve the technique.
