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Updated: Aug 1, 2025

Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
Published on: September 15, 2023
Three-port transoral robotic thyroidectomy without axillary incision: A preliminary report on a case series from
Duy Quoc Ngo1,2, Binh Van Pham1, Quy Xuan Ngo1
1Department of Head and Neck Surgery, Vietnam National Cancer Hospital, Hanoi, Vietnam.
Background:
Transoral robotic thyroidectomy (TORT) is one of the newest approaches and draws attention because of its cosmetic excellence. Here, we present our preliminary data from the initial 5 consecutive patients to explore the feasibility of three-port TORT without axillary incision.
Methods:
From August 2022 to December 2022, we performed TORT using three ports via the da Vinci Xi system with three robotic arms.
Results:
All 5 patients had cT1aN0M0 papillary thyroid carcinomas with a mean tumour size of 6 mm. All patients underwent lobectomy with ipsilateral central neck dissection. The mean surgical time was 170 ± 15,8 min; the average length of hospital stay is 4.2 days. The number of retrieved central lymph nodes was 4.2 ± 0.8. All patients were discharged uneventfully without complications and completely satisfied with the cosmetic results.
Conclusions:
TORT is feasible and safe when performed on carefully selected patients by experienced surgeons.

