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Introduction <p>Thyroid tumours are the most common endocrine tumours affecting young women. Traditional thyroidectomy with a collar incision results in a visible neck scar. Remote-access thyroid surgery using robotic technology is gaining popularity as a&#xa0;scarless alternative.</p> Purposes <p>This study reports the experiences and surgical outcomes of 65 robotic thyroidectomies (RT) performed by a single surgeon.</p> Methods <p>65 patients underwent RT from October 2022 to March 2024. Patients diagnosed with thyroid tumours, including STN, MNG, thyroid cancers, and Graves' disease. RT was performed using a bilateral axillary and breast approach (BABA) or transoral&#xa0;robotic thyroidectomy (TORT). Lymph node dissection was performed in every PTC.</p> Results <p>The cohort consisted of 75.39% Female &amp; 24.62% Male, with a mean age of 34.25 ± 12.81 years. The mean duration of tumours was 32.35 ± 39.01 months, tumour weight was 35.32± 39.95 grams, and size was 5.57 ± 1.75 cm. Bethesda II (50.77%) was the most common cytology; others were Bethesda III (28.1%), Bethesda IV (1.6%), Bethesda V (4.7%), and Bethesda VI (15.6%). RT was performed using BABA in 69.23% and TORT in 30.77%. Hemithyroidectomy (58.46%), total thyroidectomy (TT) (23.08%), TT with central compartment lymph node dissection (CCLND) (6.15%), and TT with CCLND and selective lymph node dissection (SLND) (9.23%). A small percentage underwent total thyroidectomy with contralateral lobectomy (CTT) (1.54%) or SLND alone (1.54%). The mean operative time was 229.81 ± 78.45 minutes, with consol time 154.48 ± 75.55 minutes. The average hospital stay was 4.06 ± 1.36 days. HPE revealed 24.61% of thyroid cancer and 75.39% of benign tumours. 86.15% of cases showed no complications. Transient hypocalcaemia in 38.46 % of patients after TT and neck dissection was managed with calcium and vitamin D supplementation. Focal transient numbness in the neck was observed in two patients, and all of them recovered fully within six months of follow-up.</p> Conclusion <p>Robotic thyroidectomy is a safe and effective treatment option for selected benign and malignant thyroid tumours, offering the advantage of minimal scarring for patients who prefer no visible neck scars.</p>

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Surgical Outcomes of Robotic-Assisted Thyroidectomy in Thyroid Tumours: A Single Surgeon’s Initial Experience

  • 期刊论文

  • 发表日期：

    2026年1月21日

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  • Gyan Chand,
  • Madhu Kumari,
  • Aakriti Yadav

摘要

Introduction

Thyroid tumours are the most common endocrine tumours affecting young women. Traditional thyroidectomy with a collar incision results in a visible neck scar. Remote-access thyroid surgery using robotic technology is gaining popularity as a scarless alternative.

Purposes

This study reports the experiences and surgical outcomes of 65 robotic thyroidectomies (RT) performed by a single surgeon.

Methods

65 patients underwent RT from October 2022 to March 2024. Patients diagnosed with thyroid tumours, including STN, MNG, thyroid cancers, and Graves' disease. RT was performed using a bilateral axillary and breast approach (BABA) or transoral robotic thyroidectomy (TORT). Lymph node dissection was performed in every PTC.

Results

The cohort consisted of 75.39% Female & 24.62% Male, with a mean age of 34.25 ± 12.81 years. The mean duration of tumours was 32.35 ± 39.01 months, tumour weight was 35.32± 39.95 grams, and size was 5.57 ± 1.75 cm. Bethesda II (50.77%) was the most common cytology; others were Bethesda III (28.1%), Bethesda IV (1.6%), Bethesda V (4.7%), and Bethesda VI (15.6%). RT was performed using BABA in 69.23% and TORT in 30.77%. Hemithyroidectomy (58.46%), total thyroidectomy (TT) (23.08%), TT with central compartment lymph node dissection (CCLND) (6.15%), and TT with CCLND and selective lymph node dissection (SLND) (9.23%). A small percentage underwent total thyroidectomy with contralateral lobectomy (CTT) (1.54%) or SLND alone (1.54%). The mean operative time was 229.81 ± 78.45 minutes, with consol time 154.48 ± 75.55 minutes. The average hospital stay was 4.06 ± 1.36 days. HPE revealed 24.61% of thyroid cancer and 75.39% of benign tumours. 86.15% of cases showed no complications. Transient hypocalcaemia in 38.46 % of patients after TT and neck dissection was managed with calcium and vitamin D supplementation. Focal transient numbness in the neck was observed in two patients, and all of them recovered fully within six months of follow-up.

Conclusion

Robotic thyroidectomy is a safe and effective treatment option for selected benign and malignant thyroid tumours, offering the advantage of minimal scarring for patients who prefer no visible neck scars.