Evidence map›Paper›PMID 42807948›Full record

ArticleOTO open

Preclinical Simulation of Transoral Robotic Thyroidectomy Using a Training Box and the Versius Robotic Platform.

Guilherme R Agne, Valdenor N Feitosa, Antonio Bertelli, Rafael de Cicco, Luiza H C da Silva, Leandro L Matos, Bruno M Murara, Renan B Lira, Everson L de Almeida Artifon, Luiz P Kowalski

Abstract read
In one paragraph

Article in OTO open. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Guilherme R AgneOncology Postgraduate Program, Faculdade de Medicina FMUSP Universidade de São Paulo São Paulo São Paulo Brazil.ORCID https://orcid.org/0000-0002-4991-8205
Valdenor N FeitosaDepartment of Head and Neck Surgery Irmandade Santa Casa de Misericórdia de Fortaleza Fortaleza Ceará Brazil.ORCID https://orcid.org/0009-0009-0625-7185
Antonio BertelliHead and Neck Surgery Division, Department of Surgery Faculty of Medical Sciences of Santa Casa de São Paulo São Paulo São Paulo Brazil.ORCID https://orcid.org/0000-0002-9873-2482
Rafael de CiccoDepartment of Surgery Instituto de Cancer Doctor Arnaldo São Paulo São Paulo Brazil.ORCID https://orcid.org/0000-0003-2505-0461
Luiza H C da SilvaDepartment of Head and Neck Surgery PESCOP Group Balneário Camboriú Santa Catarina Brazil.
Leandro L MatosDepartment of Head and Neck Surgery, School of Medicine Universidade de São Paulo São Paulo São Paulo Brazil.ORCID https://orcid.org/0000-0002-5068-8208
Bruno M MuraraDepartment of Otorhinolaryngology PESCOP Group Balneário Camboriú Santa Catarina Brazil.
Renan B LiraDepartment of Head and Neck Surgery Hospital Israelita Albert Einstein São Paulo São Paulo Brazil.ORCID https://orcid.org/0000-0002-1461-9053
Everson L de Almeida ArtifonDepartment of Surgery Universidade de São Paulo São Paulo São Paulo Brazil.ORCID https://orcid.org/0000-0003-1900-8777
Luiz P KowalskiDepartment of Head and Neck Surgery, School of Medicine Universidade de São Paulo São Paulo São Paulo Brazil.ORCID https://orcid.org/0000-0002-0481-156X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Transoral robotic thyroidectomy (TORT) represents an alternative to open surgery, offering favorable cosmetic outcomes and comparable oncologic results. However, standardized training pathways and validated simulation models replicating standardized setups for emerging robotic platforms remain limited. An experimental simulation of total thyroidectomy and central (recurrent) neck dissection was performed with the Versius robotic system in a validated synthetic training box. Optimal robotic positioning and docking were determined, and a standardized procedural sequence was followed to ensure optimal results. Simulation was successful only with a C-shaped configuration of the robotic arms and a posteriorly positioned camera in a Z-shaped layout, matching prior cadaveric findings. All thyroidectomy steps proceeded smoothly. However, during central neck dissection, instrument collisions limited access to deeper spaces, restricting maneuverability. The training box allowed successful simulation of TORT with the Versius system in this proof-of-concept study, providing a platform for evaluating robotic positioning and docking configurations and supporting further investigation of its potential applications in training and preclinical assessment.

Indexed as

minimally invasive trainingrobotic thyroidectomysurgical simulationtransoral surgeryVersius robotic system

Identifiers

PMID42807948
PMCPMC13618370

What OpenQuestion holds

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Registered trials

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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.