Three‐port transoral robotic thyroidectomy without axillary incision: A preliminary report on a case series from Vietnam

Abstract

AbstractBackgroundTransoral robotic thyroidectomy (TORT) is one of the newest approaches and draws attention because of its cosmetic excellence. Here, we present our preliminary data from the initial 5 consecutive patients to explore the feasibility of three‐port TORT without axillary incision.MethodsFrom August 2022 to December 2022, we performed TORT using three ports via the da Vinci Xi system with three robotic arms.ResultsAll 5 patients had cT1aN0M0 papillary thyroid carcinomas with a mean tumour size of 6 mm. All patients underwent lobectomy with ipsilateral central neck dissection. The mean surgical time was 170 ± 15,8 min; the average length of hospital stay is 4.2 days. The number of retrieved central lymph nodes was 4.2 ± 0.8. All patients were discharged uneventfully without complications and completely satisfied with the cosmetic results.ConclusionsTORT is feasible and safe when performed on carefully selected patients by experienced surgeons.