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Related Experiment Video

Updated: Oct 14, 2025

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

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Single-port transaxillary robotic thyroidectomy (START): 200-cases with two-step retraction method.

Jin Kyong Kim1, Sun Hyung Choi1, Soon Min Choi1

  • 1Department of Surgery, Yonsei Cancer Center, Severance Hospital, Yonsei University College of Medicine, 50-1, Yonsei-ro, Seodaemun-gu, Seoul, Republic of Korea.

Surgical Endoscopy
|November 6, 2021
PubMed
Summary

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This study demonstrates the effectiveness of single-port transaxillary robotic thyroidectomy (START) in 200 patients. A novel two-step retraction method enhances cosmetic and functional outcomes for thyroid tumor surgery.

Area of Science:

  • Minimally Invasive Surgery
  • Surgical Oncology
  • Robotic Surgery

Background:

  • Single-port transaxillary robotic thyroidectomy (START) is a developing technique for thyroid tumors.
  • This study reports on 200 patients who underwent START.

Purpose of the Study:

  • To present the outcomes of a pioneering clinical study using START.
  • To introduce a novel two-step retraction technique for START.

Main Methods:

  • START was performed on 200 patients using the da Vinci SP robot system.
  • A new two-step retraction technique was utilized in 164 patients.
  • Surgical outcomes and invasiveness of the new method were analyzed.

Main Results:

  • All 200 operations were successful with no open conversions.
Keywords:
Robotic single-port thyroidectomyRobotic single-port transaxillary thyroidectomyRobotic thyroidectomyRobotic transaxillary thyroidectomySTARTda vinci SP

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  • Patients were discharged on postoperative days 3-4 with no significant complications.
  • The two-step retraction method minimized skin flap dissection and demonstrated comparable operative times to conventional methods.

    • Conclusions:

    • START is a practical and effective surgical approach for thyroid tumors.
    • The novel two-step retraction method maximizes cosmetic and functional benefits.
    • This technique increases robotic dependency, reducing surgeon workload and fatigue.