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Updated: Feb 15, 2026
05:25
Identification and Protection of the Recurrent Laryngeal Nerve during Transoral Robotic Thyroidectomy
Published on: October 24, 2025
602
Expanding indications of robotic thyroidectomy
Se Hyun Paek1, Kyung Ho Kang2, Sung Jun Park3
1Department of Surgery, College of Medicine, Ewha Womans University, Seoul, Republic of Korea.
Surgical Endoscopy
|January 18, 2018
Summary
Robotic thyroidectomy is safe and effective for advanced thyroid cancer, showing comparable outcomes to early-stage cases. Further multi-center studies are needed to confirm these findings for expanded indications.
Area of Science:
- Surgical Oncology
- Minimally Invasive Surgery
- Endocrine Surgery
Background:
- Robotic thyroidectomy offers advantages for low-risk differentiated thyroid cancer.
- Limited data exists on robotic thyroidectomy for advanced thyroid cancer.
- This study evaluates robotic thyroidectomy in more advanced cases.
Purpose of the Study:
- To assess the oncologic safety and completeness of robotic thyroidectomy in advanced thyroid cancer.
- To compare outcomes between advanced and early thyroid cancer groups treated with robotic thyroidectomy.
- To investigate the validity of expanding robotic thyroidectomy indications.
Main Methods:
- Retrospective review of 80 thyroid cancer patients undergoing robotic total thyroidectomy.
- Categorization into early and advanced thyroid cancer groups based on tumor size, capsular invasion, and lymph node metastasis.
- Comparison of surgical safety and completeness parameters between groups.
Main Results:
- Advanced thyroid cancer group had larger tumors, extrathyroidal extension, and higher T stages.
- No significant differences in surgical safety (hypoparathyroidism, vocal cord palsy) or completeness (LN retrieval, thyroglobulin levels) between groups.
- Robotic thyroidectomy outcomes were comparable for advanced and early thyroid cancer.
Conclusions:
- Robotic thyroidectomy demonstrates comparable outcomes for advanced thyroid cancer.
- Expanded indications for robotic thyroidectomy in advanced cases appear valid.
- Multi-center, well-designed studies are required to confirm these findings.
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