SynthesisJournal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
Learning Curves in Robotic Thyroid Surgery: A Systematic Review Comparing Transoral, Axillary, and Facelift Approaches.
Synthesis in Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- RoboticJournal of thoracic disease · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
ImportanceThe learning curve for robotic thyroid surgery (RTS) remains incompletely characterized when considering the surgical approaches (axillary, transoral, transareolar, and facelift).ObjectiveThis systematic review investigated the learning curves and required case volumes for achieving proficiency according to the surgical approach.DesignPubMed, Scopus, and Cochrane Library systematic review using the PRISMA statements.SettingPublished clinical studies investigating learning curve outcomes related to the implementation of RTS.ParticipantsPractitioners.InterventionRTS.OutcomesLearning curve outcomes related to the implementation of RTS. The bias analysis was conducted with the MINORS.ResultsOf the 450 identified studies, 34 studies met our inclusion criteria (6438 patients). The mean minimum number of cases for achieving proficiency in axillary robotic partial and total thyroidectomies was 46 cases (range: 20-66) and 34 cases (range: 20-50), respectively. The minimum number of cases for reaching proficiency of transoral robotic and facelift approaches were 31 (15-55) and 32 (15-50) cases, respectively, with limited evidence for facelift approaches based on only 4 studies. Learning curves of facelift and transoral robotic approaches may be faster than the axillary one. While operative time significantly reduced in most approaches, the reduction of complication rates is inconsistent, with complications occurring in 16.7% of axillary, 11.1% of transoral, and 16.2% of facelift approaches throughout the learning process. There was substantial heterogeneity across studies for inclusion criteria, surgeon experience, and surgical outcomes.ConclusionThe number of cases required to achieve proficiency in robotic thyroid surgeries may depend on the surgical approach, with facelift and transoral approaches suggested as faster than axillary ones. Future prospective studies are needed to standardize learning definitions and analyze how surgeon-specific factors (experience, age, prior training) impact the learning curves.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.