Clinical Study

Robotic versus Endoscopic Thyroidectomy for Thyroid Cancers: A Multi-Institutional Analysis of Early Postoperative Outcomes and Surgical Learning Curves

Table 4

Endoscopic versus robotic thyroidectomy studies. Case series comparing perioperative outcomes.

Author, yearStudy designNo. (patients)ApproachComparative parametersPerioperative resultsComplication rateOncologic safety (surgical completeness such as harvested lymph node)Other notable findings

Lee et al. (2011) [9]Prospective, controlled, single surgeonRT* (163) versus ET§ (96)GT**Perioperative outcomes,
surgical learning curve
Operation time
(ET > RT)
Learning curve
(ET > RT)
Advanced cancer (RT > ET)
No differenceRetrieved LN (RT > ET)First comparative study between RT and ET. Showed superiority of RT in terms of operation time, lymph node retrieval, and learning curve

Lang and Chow (2011) [11]Retrospective, controlled, single surgeonRT (7) ET (39)GTPerioperative outcomesOperation time
(RT > ET)
No differenceNo dataDescribed initial experience of RT in Hong Kong

Lee et al. (2011) [8]Retrospective, controlled, single centerRT (580)
ET (570)
GTPerioperative outcomesOperation time
(ET > RT)
Advanced cancer (RT > ET)
Transient- hypoparathyroidism
(RT > ET)
Retrieved LN (RT > ET)RT was found to be superior to ET in terms of operation time, and LN retrieval.

Kim et al. (2011) [10]Retrospective, single centerRT (69)
ET (95)
OT (138)
BABA§§Perioperative outcomesOperation time
(RT > ET > OT#)
No differenceSurgical completeness
(RT = OT > ET)
Retrieved LN
(RT = OT = ET)
First comparative study of RT versus OT by analyzing postoperative outcomes

RT*: robotic thyroidectomy, GT**: gasless transaxillary approach, ET§: endoscopic thyroidectomy, BABA§§: bilateral axillo-breast approach, OT#: open thyroidectomy.