Review Article

Robotic Surgery in Otolaryngology and Head and Neck Surgery: A Review

Table 2

Major clinical series in robot-assisted thyroidectomy.

AuthorsSubjects (no.)Thyroidectomy typeTechnique and approachOperation time (min)Tumor average size (cm)Average hospital stay (days)Complications (%)

Lee et al. [56]15Total = 14
Partial = 1
Bilateral axillo-breast with C02 insufflation218<13.5NR
Kang et al. [51]338Total = 104
Partial = 234
Gasless transaxillary1440.83.3Transient Hypocalcaemia = 41.3%
transient RLN paresis = 3.8%
Seroma formation = 1.7%
permanent RLN injury = 0.8%
hematoma formation = 0.6%
horner’s syndrome = 0.2%
Transient brachial plexus neuropraxia = 0.2%
Tae et al. [55]41Total = 10
Partial = 31
Gasless axillo-breast and axillary1791.636.4Transient hypocalcaemia = 20%
seroma formation = 4.9%
transient RLN paresis = 2.4%
Lee et al. [54]1043Total = 366
Partial = 677
Gasless transaxillary1320.82.9Transient hypocalcaemia = 18.4%
transient RLN paresis = 4.3%
seroma formation = 2%
chyle leakage = 1.2%
permanent RLN injury = 0.5%
hematoma formation = 0.5%
tracheal injury = 0.3%
transient brachial plexus neuropraxia = 0.3%
horner’s syndrome = 0.1%
Lee et al. [58]580Total = 135
Partial = 445
Gasless transaxillary126 (partial) 151 (total)0.583.3Transient hypocalcaemia = 37.8%
transient hoarseness = 3.3%
permanent RLN injury = 0.7%
seroma formation = 2.9%
hematoma formation = 0.5%
tracheal injury = 0.3%
traction injury of ipsilateral arm = 0.2%

RLN, Recurrent Laryngeal Nerve; NR, not reported.