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Robotic thyroidectomy using the da Vinci SP surgical system
1Division of Breast and Endocrine Surgery, Department of Surgery, Korea University College of Medicine, Seoul, Republic of Korea. ywoochang@korea.ac.kr.
Surgical Endoscopy
|February 20, 2026
Summary
Single-port robotic thyroidectomy using the da Vinci SP system offers cosmetic and ergonomic benefits comparable to traditional methods. Further research is needed to optimize techniques and expand its use in advanced thyroid disease.
Area of Science:
- Minimally Invasive Endocrine Surgery
- Robotic Surgery
- Surgical Oncology
Background:
- The da Vinci SP (Single-Port) system is advancing robotic thyroidectomy.
- This study reviews clinical evidence and technical progress for SP robotic thyroidectomy.
- Emphasis is placed on institutional experience and literature review.
Purpose of the Study:
- To summarize current evidence on robotic thyroidectomy using the da Vinci SP system.
- To highlight technical advances and practical insights.
- To analyze the evolution of surgical approaches and outcomes.
Main Methods:
- A narrative review of studies from 2019-2025 was conducted.
- Evaluated safety, feasibility, and performance of single-port robotic thyroidectomy.
- Compared five SP approaches: SP-TORT, SP-TART/START, RA-SP, SPRA, and GOSTA.
Main Results:
- SP robotic thyroidectomy shows comparable operative times, complication rates, and lymph node yields to conventional surgery.
- Distinct cosmetic and ergonomic advantages were observed.
- SP technology is feasible for modified radical neck dissection (MRND) in select cases.
Conclusions:
- The da Vinci SP system is a significant advancement in minimally invasive endocrine surgery.
- Current evidence supports the safety, feasibility, and cosmetic benefits of SP robotic thyroidectomy for selected patients.
- Further research is needed to refine instrumentation, optimize techniques, and gather long-term data for expanded indications.
