Robotic transaxillary thyroidectomy for multinodular goiter: a volume-stratified analysis of feasibility and…

Cohort studyJournal of robotic surgery· Aug 2026

Robotic transaxillary thyroidectomy for multinodular goiter: a volume-stratified analysis of feasibility and safety.

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

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Endocrine SurgeryCohort studyClinical practiceQ1IF 4.0

Robotic transaxillary thyroidectomy achieved a 97.7% completion rate for multinodular goiter.

Robotic transaxillary thyroidectomy for multinodular goiter: a volume-stratified analysis of feasibility and safety.

Mor Shaked Shukrun … Esmat Najjar

Journal of robotic surgery · Aug 2026 · Q1 in Surgery

Background

Robotic transaxillary thyroidectomy (robotic transaxillary thyroidectomy) is an established remote-access technique, yet the impact of goiter size on surgical feasibility and safety remains a subject of debate.

Purpose

This study evaluates the outcomes of robotic transaxillary thyroidectomy for multinodular goiter (multinodular goiter), specifically analyzing the influence of thyroid volume on operative metrics and complication rates.

Methods

A retrospective analysis was conducted on 44 patients who underwent robotic transaxillary thyroidectomy for multinodular goiter.

n = 44 patients

Results

surgery finished without switching to open incision in nearly all cases

142.1min

Small

165.3min

Medium

180.5min

Large

More results

Post-hoc analysis revealed a significant difference between the Small and Large groups (P = 0.013).

The length of hospital stay remained stable across all groups (P > 0.05).

Overall transient complication rates included recurrent laryngeal nerve (recurrent laryngeal nerve) palsy in 2.3% (1/44) and hypocalcemia in 20.9% (9/43).

More results

No statistically significant differences in complication rates were observed across groups (P > 0.05).

“

Conclusion

These findings should therefore be interpreted cautiously and require validation in larger multicenter studies.

Robotic transaxillary thyroidectomy for multinodular goiter: a volume-stratified analysis of feasibility and safety.

Robotic transaxillary thyroidectomy for multinodular goiter: a volume-stratified analysis of feasibility and safety.

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