SynthesisJournal of robotic surgery2026
A systematic review and meta-analysis: surgical outcomes comparing transoral robotic and open approaches to thyroidectomy.
Synthesis in Journal of robotic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
8 authors.
Funding
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Abstract
Thyroid cancer incidence is rising, especially in young women. Conventional open thyroidectomy (OT) is effective but leaves a neck scar, affecting mental health. Transoral robotic thyroidectomy (TORT) offers scarless surgery, but its safety and completeness need evaluation. We systematically searched PubMed, Embase, Cochrane Library, and Web of Science for trials comparing TORT and OT. Outcomes included lymph node yield, complications (recurrent laryngeal nerve injury, hypoparathyroidism, hematoma, seroma, flap perforation), operation time, hospital stay, and postoperative pain. A random-effects model was used. Five observational studies were included. TORT had longer operative time, hospital stay, and early postoperative pain than OT. Central lymph node yield, nerve injury, and hypoparathyroidism rates were similar. Flap perforation occurred only in TORT. TORT provides superior cosmesis without compromising oncologic completeness or increasing nerve/parathyroid damage, but at the cost of longer operative time, hospital stay, pain, and risk of flap perforation. Long-term outcomes need further study.
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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.