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Purpose of Review: <p> Robotic thyroidectomy (RT) is a minimally invasive surgical technique developed to enhance cosmetic outcomes and surgical precision while maintaining safety and oncologic effectiveness comparable to open thyroidectomy (OT). This review outlines the evolution of RT approaches, including trans-axillary (TA), bilateral axillo-breast (BABA), and transoral (TO) techniques, emphasizing their clinical use and outcomes.</p> Recent Findings: <p> Since its introduction in 2009, RT has advanced from multi-port, gas-insufflated methods to refined gasless and single-port systems. TA approach remains widely used in high-volume centers with established safety. BABA offers symmetrical access and better cosmesis, while TO access provides a real scarless option. Indications have expanded to include larger tumors and Graves’ disease. Innovations like the da Vinci SP<sup>®</sup> system and intraoperative fluorescence imaging improve parathyroid preservation and lymph node dissection.</p> Summary: <p> Evidence supports RT as an effective, non-inferior alternative to OT in selected patients, offering superior cosmetic results. Larger studies are needed to confirm long-term outcomes.</p>

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Current Status of Robotic Thyroidectomy

  • 期刊论文

  • 发表日期：

    2025年10月10日

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  • Barbara Mullineris,
  • Alice Francescato,
  • Micaela Piccoli

摘要

Purpose of Review:

Robotic thyroidectomy (RT) is a minimally invasive surgical technique developed to enhance cosmetic outcomes and surgical precision while maintaining safety and oncologic effectiveness comparable to open thyroidectomy (OT). This review outlines the evolution of RT approaches, including trans-axillary (TA), bilateral axillo-breast (BABA), and transoral (TO) techniques, emphasizing their clinical use and outcomes.

Recent Findings:

Since its introduction in 2009, RT has advanced from multi-port, gas-insufflated methods to refined gasless and single-port systems. TA approach remains widely used in high-volume centers with established safety. BABA offers symmetrical access and better cosmesis, while TO access provides a real scarless option. Indications have expanded to include larger tumors and Graves’ disease. Innovations like the da Vinci SP® system and intraoperative fluorescence imaging improve parathyroid preservation and lymph node dissection.

Summary:

Evidence supports RT as an effective, non-inferior alternative to OT in selected patients, offering superior cosmetic results. Larger studies are needed to confirm long-term outcomes.