Operative performance evolution in robotic transaxillary thyroidectomy: an 884-case institutional experience. | ScholarDeck

Paper

Operative performance evolution in robotic transaxillary thyroidectomy: an 884-case institutional experience.

New research · Surgery

Journal of robotic surgery · 3w

Cohort studyJournal of robotic surgery· Jul 2026

Operative performance evolution in robotic transaxillary thyroidectomy: an 884-case institutional experience.

Mor Shaked Shukrun, Aiman Elmograbi, Patrick Aïdan, Esmat Najjar

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Endocrine SurgeryCohort studyClinical practiceQ1IF 4.0

Mean operative time fell from 159.7 to 133.4 minutes across programme phases

Operative performance evolution in robotic transaxillary thyroidectomy: an 884-case institutional experience.

Mor Shaked Shukrun … Esmat Najjar

Journal of robotic surgery · Jul 2026 · Q1 in Surgery

Background

Remote-access thyroidectomy via the robotic transaxillary approach (RTAT) avoids an anterior cervical scar while providing a stable, magnified operative field.

Methods

The cohort was 75.7% female (of 879 patients with documented sex); mean age was 45.1 ± 12.4 years.

n = 879 patients

Results

operative times shortened as the programme matured

More results

Retrospective analysis of 884 consecutive RTAT procedures at a single tertiary referral centre.

Total thyroidectomy rose from 42.0% to 50.0% across eras (p = 0.02); malignancy proportion increased from 8.5% to 14.9%; and mean specimen weight rose from 23.8 g to 31.9 g.

Conversion to open surgery occurred in 6 patients (0.7%).

More results

Working-space dysaesthesia (2.49%) and brachial plexopathy (0.90%) were confined almost entirely to the early era.

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Conclusion

These findings contribute descriptive evidence supporting staged RTAT programme development at an experienced centre.

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