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Perioperative outcomes of transoral endoscopic vs. robotic thyroidectomy: a systematic review and meta-analysis

A dispatch from PubMed — filed

Transoral endoscopic thyroidectomy vestibular approach (TOETVA) and transoral robotic thyroidectomy (TORT) have emerged as scarless alternatives to conventional open thyroidectomy, offering excellent cosmetic outcomes. However, the comparative perioperative outcomes between these two minimally invasive techniques remain to be systematically evaluated....

Clinical Takeaway

No actionable change — this study concerns thyroid surgery outcomes and has no direct relevance to audiology clinical practice.

Why It Matters

While scarless thyroid surgery techniques may occasionally intersect with head-and-neck care pathways, this meta-analysis has negligible implications for the audiology field.

Key Points
  1. 01Systematic review and meta-analysis comparing transoral endoscopic (TOETVA) vs. robotic thyroidectomy.
  2. 02Both approaches are "scarless" alternatives to traditional thyroid surgery.
  3. 03Study focuses on perioperative (around the time of surgery) outcomes such as complications and recovery.
  4. 04No direct hearing-health or audiology relevance identified.
  5. 05Results are pertinent to ENT surgeons and head-and-neck specialists, not audiologists.
Claims & Evidence

Transoral endoscopic and robotic thyroidectomy are comparable scarless surgical alternatives with differing perioperative outcome profiles.

studysupported
Research metadata
PMID
42144490
DOI
10.1007/s11701-026-03449-8.
Journal
Journal of Robotic Surgery
Publication type
meta_analysis
Evidence level
1a
Population
Patients undergoing scarless thyroidectomy (transoral endoscopic or robotic)
Intervention
Transoral endoscopic thyroidectomy via vestibular approach (TOETVA)
Comparator
Robotic thyroidectomy

Primary outcomes

Perioperative complications; Operative time; Surgical outcomes

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