¸ñÀû: Transoral robotic thyroidectomy (TORT) has emerged as a promising
scarless approach for thyroid surgery. While previous studies have
focused on TORT outcomes by experienced conventional thyroid surgeons,
the feasibility and safety of TORT adoption by early-career surgeons
remain unexplored. This study aims to evaluate the learning curve,
surgical outcomes, and patient satisfaction when TORT is implemented
by a surgeon with limited conventional thyroidectomy experience. ¹æ¹ý:We conducted a retrospective analysis comparing 60 consecutive TORT
cases with 60 conventional open thyroidectomy cases performed by a
single surgeon with limited initial experience (12 cases) in
conventional thyroidectomy. Patient demographics, operative outcomes,
complications, and cosmetic satisfaction were evaluated. °á°ú:The mean age was significantly lower in the TORT group compared to the
conventional group (46.3 ¡¾ 8.5 vs. 58.2 ¡¾ 9.2 years, p < 0.001). The
mean operative time was significantly longer in the TORT group
compared to the conventional group (218.2 ¡¾ 45.3 vs. 129.5 ¡¾ 38.3
minutes, p < 0.001). Temporary recurrent laryngeal nerve palsy
occurred in 6.7% (4/60) of TORT cases and 5% (3/60) of conventional
cases (p = 0.695), and temporary hypoparathyroidism was observed in
6.7% (4/60) and 8.3% (5/60) of cases, respectively (p = 0.730). No
permanent complications were observed in either group. Cosmetic
satisfaction scores were significantly higher in the TORT group (mean
VAS score: 9.2 ¡¾ 0.8) compared to the conventional group (mean VAS
score: 6.8 ¡¾ 1.2, p < 0.001). °á·Ð:This study demonstrates that TORT can be safely implemented by early-
career surgeons with comparable complication rates to conventional
thyroidectomy, despite requiring a longer operative time. The superior
cosmetic outcomes support TORT as a viable alternative, even during
the early phase of surgical experience. |