Institutional experience of 200 consecutive papillary thyroid carcinoma patients in transoral robotic thyroidectomy surgeries

Head Neck. 2020 Aug;42(8):2106-2114. doi: 10.1002/hed.26149. Epub 2020 Mar 25.


Background: We evaluated the outcomes of patients with papillary thyroid carcinoma (PTC) who underwent transoral robotic thyroidectomy (TORT).

Methods: We retrospectively analyzed the perioperative outcomes of 200 patients (170 women and 30 men) with PTC who underwent TORT at a single center between March 2016 and February 2018.

Results: There were 182 and 13 cases of lobectomy and total thyroidectomy, respectively, with corresponding mean operative times of 200.6 ± 31.2 and 265.7 ± 63.0 minutes. On average, 5.6 ± 3.45 lymph nodes were retrieved per patient. There were 12 cases of perioperative morbidity. No conversion to endoscopic or conventional open surgery was noted. In a subgroup analysis for predictors of difficult TORT, patient sex was the only factor showing a significant operative time difference between a difficult and a nondifficult thyroidectomy.

Conclusion: TORT can be performed safely in patients with PTC without serious complications.

Keywords: papillary thyroid carcinoma; robotic thyroidectomy; thyroid cancer; transoral robotic thyroidectomy; transoral thyroidectomy.

MeSH terms

  • Female
  • Humans
  • Male
  • Operative Time
  • Retrospective Studies
  • Robotic Surgical Procedures* / adverse effects
  • Thyroid Cancer, Papillary / surgery
  • Thyroid Neoplasms* / surgery
  • Thyroidectomy