Volume 42, Issue 2 pp. 321-329
ORIGINAL ARTICLE

Safety and efficacy of transoral robotic and endoscopic thyroidectomy: The first 100 cases

Kyung Tae MD

Corresponding Author

Kyung Tae MD

Department of Otolaryngology—Head and Neck Surgery, College of Medicine, Hanyang University, Republic of Korea

Correspondence

Kyung Tae, Department of Otolaryngology—Head and Neck Surgery, College of Medicine, Hanyang University, 222 Wangsimni-ro, Seongdong-gu, Seoul 04763, Republic of Korea.

Email: [email protected]

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Yong Bae Ji MD

Yong Bae Ji MD

Department of Otolaryngology—Head and Neck Surgery, College of Medicine, Hanyang University, Republic of Korea

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Chang Myeon Song MD

Chang Myeon Song MD

Department of Otolaryngology—Head and Neck Surgery, College of Medicine, Hanyang University, Republic of Korea

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Jeong Seon Park MD

Jeong Seon Park MD

Department of Radiology, College of Medicine, Hanyang University, Seoul, Republic of Korea

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Jung Hwan Park MD

Jung Hwan Park MD

Department of Internal Medicine, College of Medicine, Hanyang University, Seoul, Republic of Korea

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Dong Sun Kim MD

Dong Sun Kim MD

Department of Internal Medicine, College of Medicine, Hanyang University, Seoul, Republic of Korea

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First published: 04 November 2019
Citations: 52
Section Editor: Mark Zafereo

Abstract

Background

The aim of this study was to evaluate the safety and efficacy of transoral robotic and endoscopic thyroidectomy.

Methods

We analyzed and compared the first 100 cases of transoral robotic (71 cases) and endoscopic (29 cases) thyroidectomy with 207 cases of conventional transcervical thyroidectomy.

Results

Transoral thyroidectomy was completed successfully in all patients, except for three who were converted to the robotic facelift or transcervical approach. The mean operative time of the transoral procedure was significantly longer than that of the conventional procedure. Perioperative complications such as hypoparathyroidism, vocal cord palsy, hematoma, and seroma did not differ between the two groups. However, there were some unusual complications such as CO2 embolism, surgical site infection, skin trauma, burn, and ecchymosis in transoral thyroidectomy. Postoperative cosmesis was significantly better in the transoral group.

Conclusion

Transoral robotic and endoscopic thyroidectomy is feasible and comparable to conventional transcervical thyroidectomy in highly selected patients.

CONFLICT OF INTEREST

The authors declare no potential conflict of interest.

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