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Updated: May 9, 2025

Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
Published on: September 15, 2023
Intraoperative and Short-Term Postoperative Outcomes Associated With Transoral Robotic Surgery: A Protocol for a
Amanda Albæk Larsen1, Magnus Fuhr Hovind1, Emma Atsuko Tsuchiya1
1Department of Anaesthesia, Centre of Head and Orthopaedics, Rigshospitalet, Copenhagen, Denmark.
Background:
Transoral robotic surgery has been introduced into clinical practice as a minimally invasive procedure for the treatment of both malignant and benign conditions within the field of otorhinolaryngology. While the long-term outcomes of this innovative surgical technique have been extensively studied, evidence regarding intraoperative and short-term postoperative outcomes remains limited. This scoping review aims to systematically outline and evaluate the current evidence on perioperative outcomes.
Methods:
This protocol has been developed in accordance with the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocol and will adhere to the PRISMA Extension for Scoping Reviews guidelines for reporting. A structured "Population, Intervention, Comparator, and Outcome" framework will guide the definition of search criteria. A comprehensive search will be conducted in The Cochrane Library, MEDLINE, and Embase databases. The study selection and screening process will be performed independently by two reviewers, with consensus reached in cases of disagreement. All identified intraoperative and short-term postoperative outcomes of transoral robotic surgery will be analyzed and described.
Discussion:
The aim of this scoping review is to provide a comprehensive overview of the existing evidence on intraoperative and short-term postoperative outcomes associated with transoral robotic surgery. This will help identify gaps in the literature and inform future clinical practice and research.
Insights
This scoping review evaluates intraoperative and short-term outcomes of transoral robotic surgery (TORS), a minimally invasive technique in otorhinolaryngology. It identifies current evidence and research gaps for TORS perioperative care.
Area of Science:
- Otorhinolaryngology
- Surgical Oncology
- Robotic Surgery
Background:
- Transoral robotic surgery (TORS) is a minimally invasive approach for head and neck conditions.
- While long-term TORS outcomes are known, perioperative data is limited.
- This review focuses on intraoperative and short-term postoperative results.
Purpose of the Study:
- To systematically review and evaluate evidence on perioperative outcomes of TORS.
- To identify research gaps in the literature regarding TORS.
- To inform future clinical practice and research in TORS.
Main Methods:
- Systematic scoping review following PRISMA Extension for Scoping Reviews guidelines.
- Search strategy based on "Population, Intervention, Comparator, and Outcome" framework.
- Comprehensive database search (Cochrane Library, MEDLINE, Embase) with independent reviewer screening.
Main Results:
- Analysis and description of all identified intraoperative outcomes.
- Evaluation of short-term postoperative outcomes reported in the literature.
- Synthesis of current evidence on TORS perioperative safety and efficacy.
Conclusions:
- Provides a comprehensive overview of existing evidence on TORS perioperative outcomes.
- Highlights areas needing further investigation in TORS research.
- Aims to guide future clinical practice and research for TORS.

