ArticleBMC surgery2022
A comparative study of two robotic thyroidectomy procedures: transoral vestibular versus bilateral axillary-breast approach.
Article in BMC surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 27 citations in OpenAlex.
- Postoperative pain outcomes following thyroidectomy: a systematic review and network meta-analysis of various surgical approaches.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026Pooled it
- Oncologic outcomes and surgical completeness of remote-access thyroidectomy: a systematic review and network meta-analysis.Langenbeck's archives of surgery · 2024Pooled it
- Surgical safety and effectiveness of bilateral axillo-breast approach robotic thyroidectomy: a systematic review and meta-analysis.Brazilian journal of otorhinolaryngologyPooled it
- Predictors of tunneling time in transoral robotic thyroidectomy: impact of anatomical measurements.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026Article
- Frontiers and hotspots evolution in robot-assisted thyroidectomy: a bibliometric analysis from 2008 to 2023.Gland surgery · 2025Article
- Chinese expert consensus on endoscopic and robotic parathyroid surgery (version 2025).Surgical endoscopy · 2025Article
- Transoral vestibular robotic thyroidectomy in pediatric thyroid disease: 5 case reports.Endocrine · 2025Article
- Chinese expert consensus on transoral vestibular approach robotic thyroidectomy and parathyroidectomy (version 2024).Journal of robotic surgery · 2024Review
- Review
- Comparison of endoscopic thyroidectomy via the oral vestibule approach and the areola approach for papillary thyroid carcinoma.BMC surgery · 2024Article
- Review
- Comparison of transoral vestibular robotic thyroidectomy with traditional low-collar incision thyroidectomy.Journal of robotic surgery · 2024Article
- Optimizing robotic thyroid surgery: lessons learned from an retrospective analysis of 104 cases.Frontiers in endocrinology · 2024Article
- Safety and Efficacy of Transoral Robotic Thyroidectomy for Thyroid Tumor: A Systematic Review and Meta-Analysis.Cancers · 2022Review
- Advantages of Small Incision Surgery in Thyroid Tumors.Evidence-based complementary and alternative medicine : eCAM · 2022Article
- Transoral endoscopic thyroidectomy vestibular approach for papillary thyroid microcarcinoma: an analysis of clinical outcomes.American journal of translational research · 2022Article
Corrections and comments
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Authors and funding
17 authors at 1 institution in 1 country.
Funding
Abstract
objectiveTo compare the surgical outcomes between the transoral-vestibular robotic thyroidectomy (TOVRT) and bilateral axillo-breast approach robotic thyroidectomy (BABART).
methodsA total of 99 patients with papillary thyroid carcinoma but no distant metastasis were enrolled in this study from May 2020 to April 2021. Lobectomy or total thyroidectomy with central lymph node dissection were performed in all cases. All 99 patients were received an ultrasound guided fine needle aspiration biopsy prior to surgical intervention, out of which 49 patients underwent TOVRT, while rest 50 patients underwent BABART. During the procedure, intraoperative neuromonitoring system was used and all recurrent laryngeal nerves (RLNs) were preserved, additionally for TOVRT procedure, three intraoral ports or right axillary fold incision was used to allow for fine countertraction of tissue for radical oncological dissection. The clinical data including age, gender, height, weight, BMI, primary tumor size, number of central lymph node removed, central lymph node metastasis, operating time, total hospital stays, postoperative hospital stays, total postoperative drainage volume, postoperative pain score, cosmetic effect and complications were recorded and analyzed.
resultsThere were no significant differences in gender, height, weight, BMI and removed central lymph nodes between the two groups (P > 0.05). Patients accepted TOVRT were younger and had smaller primary tumor size than those who accepted BABART. The TOVRT group had a longer surgical time than the BABART group, but with smaller postoperative drainage volume and superior cosmetic effect (under visual analogue scale, VAS) (P < 0.05). There was no significant difference in lymph node metastasis, hospital stay and postoperative pain score (under numerical rating scale, NRS) between the two groups (P > 0.05). Last but not least, certain peculiar complications were observed in TOVRT group: paresthesia of the lower lip and the chin (one case), surgical site infection (one case) and skin burn (one case).
conclusionTransoral-vestibular robotic thyroidectomy is safe and feasible for certain patients, which could be considered an alternative approach for patients who require no scarring on their neck.
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