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  1. Home
  3. Comparison Of Transoral Vestibular Robotic Thyroidectomy With Traditional Low-collar Incision Thyroidectomy.
  1. Home
  3. Comparison Of Transoral Vestibular Robotic Thyroidectomy With Traditional Low-collar Incision Thyroidectomy.

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Comparison of transoral vestibular robotic thyroidectomy with traditional low-collar incision thyroidectomy.

Qing-Qing He1, Yun-Han Ma2, Jian Zhu2

  • 1Department of Thyroid and Breast Surgery, The 960th Hospital of the PLA Joint Logistics Support Force (Former Jinan Military General Hospital of People's Liberation Army), Jinan, 250031, Shandong, China. heqingqing@yeah.net.

Journal of Robotic Surgery
|February 22, 2024

View abstract on PubMed

Summary
This summary is machine-generated.

Transoral vestibular robotic thyroidectomy (TOVRT) offers a scarless alternative to traditional thyroid surgery, with comparable complication rates but higher costs. This robotic approach provides superior cosmetic outcomes and patient satisfaction for papillary thyroid carcinoma patients.

Keywords:
Minimally invasive surgeryPapillary thyroid carcinomaRobotic surgeonTraditional low-collar incision thyroidectomyTransoral vestibular robotic thyroidectomy

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Area of Science:

  • Surgical Oncology
  • Minimally Invasive Surgery
  • Robotic Surgery

Background:

  • Traditional thyroidectomy often leaves visible neck scars.
  • Patient demand for aesthetic outcomes in thyroid surgery is increasing.
  • Transoral vestibular robotic thyroidectomy (TOVRT) aims to address cosmetic concerns.

Purpose of the Study:

  • To compare surgical and patient-related outcomes of TOVRT versus traditional low-collar incision thyroidectomy (TLCIT).
  • To evaluate the safety, feasibility, and cosmetic benefits of TOVRT for papillary thyroid carcinoma (PTC).

Main Methods:

  • A comparative study of 120 patients with PTC undergoing either TOVRT or TLCIT.
  • Propensity score matching (1:1) was employed to minimize selection bias.
  • Data collected included operative time, complications, pain scores, and cosmetic outcomes.

Main Results:

  • TOVRT showed longer operative times and increased postoperative drainage compared to TLCIT.
  • Complication rates for hypoparathyroidism and vocal cord paralysis were similar between groups.
  • TOVRT demonstrated significantly better postoperative cosmetic results and patient satisfaction.

Conclusions:

  • Transoral vestibular robotic thyroidectomy is a safe and feasible option for low to moderate-risk PTC.
  • TOVRT provides a scarless neck option, enhancing patient satisfaction and reducing psychological impact.
  • While associated with higher costs and longer drainage times, the cosmetic benefits make TOVRT a valuable alternative.