ArticleJournal of the American College of Surgeons2019
Remote-Access Thyroidectomy: A Multi-Institutional North American Experience with Transaxillary, Robotic Facelift, and Transoral Endoscopic Vestibular Approaches.
Article in Journal of the American College of Surgeons, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 3 of them syntheses that pooled it.
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Who cites it
43 citing papers in PubMed, 3 syntheses or guidelines pooled it, 100 citations in OpenAlex.
- Bilateral axillo-breast approach robotic thyroidectomy (BABA-RT) versus transoral robotic thyroidectomy (TORT): a systematic review and meta-analysis.Updates in surgery · 2023Pooled it
- Facelift thyroid surgery: a systematic review of indications, surgical and functional outcomes.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale · 2023Pooled it
- Complications of Trans-oral Endoscopic Thyroidectomy Vestibular Approach: A Systematic Review.In vivo (Athens, Greece)Pooled it
- Innovation, cost, and evidence: a critical appraisal of robotic surgery in head and neck and endocrine surgery : A structured critical review of the evidence, with attention to lower-resource settings.Journal of robotic surgery · 2026Review
- Safety and cosmetic results of trans-submental endoscopic thyroidectomy.Scientific reports · 2025Article
- Detailed analysis of learning phases and outcomes in robotic and endoscopic thyroidectomy.Surgical endoscopy · 2024Article
- Robotic Surgery for Head and Neck Tumors: What are the Current Applications?Current oncology reports · 2024Review
- A clinical practice review of percutaneous ethanol injection for thyroid nodules: state of the art for benign, cystic lesions.Gland surgery · 2024Review
- Transoral endoscopic thyroid lobectomy and ipsilateral central neck lymph node dissection vestibular approach: analysis of the learning curve and clinical outcomes evaluation.Frontiers in endocrinology · 2024Article
- A scoping review of endoscopic and robotic techniques for lateral neck dissection in thyroid cancer.Frontiers in oncology · 2024Article
- [Efficacy evaluation of transaxillary non-inflatable endoscopic surgery and open neck surgery in the treatment of PTC: a single center report of 342 cases].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2023Article
- Comparison of Medical Management versus Parathyroidectomy in Patients with Mild Primary Hyperparathyroidism: A Meta-Analysis.Cancers · 2023Review
- Transoral thyroid and parathyroid surgery in Brazil: where are we?Revista do Colegio Brasileiro de Cirurgioes · 2023Article
- Transoral thyroid surgery vestibular approach.Innovative surgical sciences · 2022Article
- Article
- Combined thoracoscopic and axillary subcutaneous endoscopic thyroidectomy: a novel approach for cervicomediastinal goiters.Langenbeck's archives of surgery · 2022Article
- Cannula Fracture during Transoral Endoscopic Thyroidectomy Vestibular Approach: Causes and Prevention.Diagnostics (Basel, Switzerland) · 2022Article
- A comparative study of two robotic thyroidectomy procedures: transoral vestibular versus bilateral axillary-breast approach.BMC surgery · 2022Article
- Review
- Quality of life and surgical outcome of ABBA versus EndoCATS endoscopic thyroid surgery: a single center experience.Surgical endoscopy · 2022Article
Corrections and comments
- Commented on byDiscussion.2019
Authors and funding
8 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundMany remote-access approaches (RAAs) to the thyroid have been described to circumvent anterior neck scarring, including the transaxillary, robotic facelift, and transoral endoscopic vestibular approaches. These techniques have been popularized in Asia, but adoption has been slow in North America. We aimed to examine multi-institutional North American outcomes with RAA thyroidectomy in the context of these institutions' transcervical approach (TCA) outcomes. STUDY
designCases of lobectomy and total thyroidectomy via transaxillary, robotic facelift, and transoral endoscopic vestibular approaches were reviewed. Demographic characteristics, outcomes, and complications were compared with the same measures in patients undergoing lobectomy and total thyroidectomy via TCA by the primary RAA surgeons at each institution. Patients who underwent parathyroidectomy or other concomitant neck dissection procedures were excluded.
resultsTwo hundred and sixteen RAA thyroidectomies were attempted (92 transoral endoscopic vestibular approaches, 70 transaxillary, and 54 robotic facelift) and 410 TCA thyroidectomies were performed. There was no difference in mean index nodule sizes between RAA (2.8 ± 1.6 cm) and TCA (2.9 ± 1.9 cm) cohorts (p = 0.72). Median operative times for lobectomy were 146 minutes (range 60 to 343 minutes) and 90 minutes (range 25 to 247 minutes) for the RAA and TCA cohorts, respectively (p < 0.0001). Median operative time for total thyroidectomy was 170 minutes (range 100 to 398 minutes) vs 126.5 minutes (range 51 to 260 minutes) for the RAA and TCA cohorts, respectively (p < 0.0001). There was no difference in the rates of permanent recurrent laryngeal nerve injury between the RAA (0 of 216 [0%]) and TCA (0 of 410 [0%]) cohorts (p = 0.99).
conclusionsRemote-access approach thyroidectomy can be performed in a select North American patient population with outcomes comparable with TCA.
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